{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T22:53:23Z","timestamp":1789167203300,"version":"build-2803163510"},"reference-count":39,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,6,15]],"date-time":"2025-06-15T00:00:00Z","timestamp":1749945600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Valencia City Council"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Objective: To characterize the nutritional status of the child population and to identify the most relevant determinants that could influence the early development of obesity and overweight. Methods: A descriptive cross-sectional study was conducted, recruiting a representative sample (698 schoolchildren, aged between 5 and 14, and obtaining information from a total of 414 households), using of anthropometric methods for nutritional assessment, the FIES scale, the KidMed index, and questions from the COSI survey. Results: Overall, 27% of the sample had healthy weight, 22.6% were overweight, and 18.1% were obese, with a higher prevalence among boys, and 86.7% of the sample did not adhere to dietary habits consistent with the Mediterranean diet. Food insecurity was present in 45.6% of the sample. A mean weight increase of 2.6 kg (95% CI: 1.0\u20134.3) was observed for each additional kilogram the child weighed at birth, 2.0 kg (95% CI: \u22120.2\u20134.3) in children living in households with some difficulty making ends meet, and 4.8 kg (95% CI: 1.3\u20138.3) in those from households reporting that they do not or barely manage to make ends meet. A statistically significant association was found with gross annual household income, with children from households earning less than EUR 12,000 having a 3.6 times higher risk of overweight\/obesity compared to those from households earning more than EUR 36,000. Conclusions: The prevalence of obesity and overweight is considerably higher in low-income families and is significantly associated with family economic capacity. Continued epidemiological surveillance of these conditions and their relationship with social determinants is necessary.<\/jats:p>","DOI":"10.3390\/nu17122006","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T05:28:33Z","timestamp":1750051713000},"page":"2006","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of Social and Economic Determinants on the Prevalence of Childhood Overweight and Obesity: A Cross-Sectional Study from the ENPIV in Valencia, Spain"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3522-5632","authenticated-orcid":false,"given":"Luis","family":"Caba\u00f1as-Alite","sequence":"first","affiliation":[{"name":"Faculty of Health Sciences, European University of Valencia, Paseo de la Alameda 7, 46010 Valencia, Spain"},{"name":"Project Department, Official College of Dietitians-Nutritionists of the Valencian Community Region (CODiNuCoVa), Clariano St. 34, 46021 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Alonso-Asensi","sequence":"additional","affiliation":[{"name":"Project Department, Official College of Dietitians-Nutritionists of the Valencian Community Region (CODiNuCoVa), Clariano St. 34, 46021 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8270-5423","authenticated-orcid":false,"given":"Elena","family":"Rocher-Vicedo","sequence":"additional","affiliation":[{"name":"Valencian Community Foundation for Strategic Promotion, Development and Urban Innovation, Joan Verdeguer St. 16, 46002 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lidia","family":"Garcia-Garcia","sequence":"additional","affiliation":[{"name":"Valencian Community Foundation for Strategic Promotion, Development and Urban Innovation, Joan Verdeguer St. 16, 46002 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Garcia-Barajas","sequence":"additional","affiliation":[{"name":"Project Department, Official College of Dietitians-Nutritionists of the Valencian Community Region (CODiNuCoVa), Clariano St. 34, 46021 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8648-5541","authenticated-orcid":false,"given":"Jose M.","family":"Martin-Moreno","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine and Public Health, Faculty of Medicine, University of Valencia, Blasco Iba\u00f1ez Avenue 15, 46010 Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Di Cesare, M., Sori\u0107, M., Bovet, P., Miranda, J.J., Bhutta, Z., Stevens, G.A., Laxmaiah, A., Kengne, A.-P., and Bentham, J. (2019). The epidemiological burden of obesity in childhood: A worldwide epidemic requiring urgent action. BMC Med., 17.","DOI":"10.1186\/s12916-019-1449-8"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1542\/peds.110.5.1003","article-title":"Childhood Obesity: A New Pandemic of the New Millennium","volume":"110","author":"Kimm","year":"2002","journal-title":"Pediatrics"},{"key":"ref_3","unstructured":"WHO (2022). WHO Report on the Fifth Round of Data Collection, 2018\u20132020: WHO European Childhood Obesity Surveillance Initiative, Regional Office for Europe. Available online: https:\/\/iris.who.int\/bitstream\/handle\/10665\/363950\/WHO-EURO-2022-6594-46360-67071-eng.pdf?sequence=2."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e13214","DOI":"10.1111\/obr.13214","article-title":"Thinness, overweight, and obesity in 6- to 9-year-old children from 36 countries: The World Health Organization European Childhood Obesity Surveillance Initiative\u2014COSI 2015\u20132017","volume":"22","author":"Spinelli","year":"2021","journal-title":"Obes. Rev."},{"key":"ref_5","first-page":"943","article-title":"Situaci\u00f3n ponderal de la poblaci\u00f3n escolar de 6 a 9 a\u00f1os en Espa\u00f1a: Resultados del estudio ALADINO 2019","volume":"38","author":"Aparicio","year":"2021","journal-title":"Nutr. Hosp."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1111\/j.1600-0838.2009.00959.x","article-title":"Health-related fitness in adolescents: Underweight, and not only overweight, as an influencing factor. The AVENA study","volume":"20","author":"Artero","year":"2010","journal-title":"Scand. J. Med. Sci. Sports"},{"key":"ref_7","unstructured":"G\u00f3mez, S., Lorenzo, L., Ribes, C., and Homs, C. (2025, February 01). Resultados Preliminares del Estudio PASOS 2022 Sobre la Actividad F\u00edsica, los Estilos de Vida y la Obesidad de la Poblaci\u00f3n Espa\u00f1ola de 8 a 16 A\u00f1os. Available online: https:\/\/gasolfoundation.org\/wp-content\/uploads\/2023\/01\/GF-PASOS-informe-2022-WEB.pdf."},{"key":"ref_8","unstructured":"Garc\u00eda Solano, M., Guti\u00e9rrez Gonz\u00e1lez, E., Pe\u00f1a-Rey Lorenzo, I., Arcarons Feixas, A., Arias Lera, A., Jorquera Rojas, G., and Roll\u00e1n Gordo, A. (2022). Obesidad y Pobreza Infantil: Radiograf\u00eda de una Doble desigualdad. Estudio del rol de los Factores Socioecon\u00f3micos en la Obesidad de los Escolares en Espa\u00f1a. Informe Breve, Presidencia de Gobierno. Available online: https:\/\/www.aesan.gob.es\/AECOSAN\/docs\/documentos\/nutricion\/observatorio\/Obesidad_Pobreza.pdf."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e13213","DOI":"10.1111\/obr.13213","article-title":"Socioeconomic inequalities in overweight and obesity among 6- to 9-year-old children in 24 countries from the World Health Organization European region","volume":"22","author":"Buoncristiano","year":"2021","journal-title":"Obes. Rev. Off. J. Int. Assoc. Study Obes."},{"key":"ref_10","unstructured":"Ballard, T.J., Kepple, A.W., and Cafiero, C. (2013). The Food Insecurity Experience Scale. Development of a Global Standard for Monitoring Hunger Worldwide, FAO. Available online: http:\/\/www.fao.org\/economic\/ess\/ess-fs\/voices\/en\/."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1111\/nyas.12594","article-title":"Validity and reliability of food security measures","volume":"1331","author":"Cafiero","year":"2014","journal-title":"Ann. N. Y. Acad. Sci."},{"key":"ref_12","unstructured":"G\u00e1mez, M.J. (2025, February 01). Objetivos y Metas de Desarrollo Sostenible [Internet]. Desarrollo Sostenible. Available online: https:\/\/www.un.org\/sustainabledevelopment\/es\/objetivos-de-desarrollo-sostenible\/."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies","volume":"370","author":"Altman","year":"2007","journal-title":"Lancet"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1079\/PHN2004556","article-title":"Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents","volume":"7","author":"Ribas","year":"2004","journal-title":"Public Health Nutr."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"660","DOI":"10.2471\/BLT.07.043497","article-title":"Development of a WHO growth reference for school-aged children and adolescents","volume":"85","author":"Onyango","year":"2007","journal-title":"Bull. World Health Organ."},{"key":"ref_16","unstructured":"World Health Organization, and Regional Office for Europe (2017). Childhood Obesity Surveillance Initiative (COSI): Data Collection Procedures: October 2016, Regional Office for Europe. Available online: https:\/\/iris.who.int\/handle\/10665\/354792."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"e201171","DOI":"10.1001\/jamanetworkopen.2020.1171","article-title":"Time Trends and Sociodemographic Factors Associated with Overweight and Obesity in Children and Adolescents in Spain","volume":"3","author":"Casas","year":"2020","journal-title":"JAMA Netw. Open"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.recesp.2021.06.030","article-title":"Prevalencia e incidencia de sobrepeso y obesidad en 2,5 millones de ni\u00f1os y adolescentes en Espa\u00f1a","volume":"75","author":"Bennett","year":"2022","journal-title":"Rev. Espa\u00f1ola Cardiol."},{"key":"ref_19","unstructured":"(2025, February 02). Encuesta Nacional de Salud en Espa\u00f1a (ENSE), Ministerio de Sanidad, Consumo y Bienestar Social, 2017. Available online: https:\/\/www.sanidad.gob.es\/estadEstudios\/estadisticas\/encuestaNacional\/encuesta2017.htm."},{"key":"ref_20","unstructured":"Guti\u00e9rrez-Gonz\u00e1lez, E., Garc\u00eda-Solano, M., Roll\u00e1n-Gordo, A., Pe\u00f1a-Rey, I., Andreu-Ivorra, B., P\u00e9rez-G\u00f3mez, B., Poll\u00e1n, M., Pastor-Barriuso, R., de Larrea-Baz, N.F., and Pe\u00f1alver-Arg\u00fceso, B. (2023). Estudio ENE-COVID: Situaci\u00f3n ponderal de la poblaci\u00f3n infantil y adolescente en Espa\u00f1a, Instituto de Salud Carlos III. Available online: https:\/\/www.aesan.gob.es\/AECOSAN\/docs\/documentos\/nutricion\/ENE_COVID_NINOS_FINAL.pdf."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1093\/eurpub\/ckx095","article-title":"Social vulnerabilities as determinants of overweight in 2-, 4- and 6-year-old Spanish children","volume":"28","author":"Iguacel","year":"2018","journal-title":"Eur. J. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Morales-Su\u00e1rez-Varela, M., Peraita-Costa, I., Llopis-Morales, A., and Llopis-Gonz\u00e1lez, A. (2024). Cross-Sectional Assessment of Nutritional Status, Dietary Intake, and Physical Activity Levels in Children (6\u20139 Years) in Valencia (Spain) Using Nutrimetry. Nutrients, 16.","DOI":"10.3390\/nu16162649"},{"key":"ref_23","first-page":"2390","article-title":"Test KIDMED; prevalencia de la baja adhesi\u00f3n a la dieta mediterr\u00e1nea en ni\u00f1os y adolescentes: Revisi\u00f3n sistem\u00e1tica","volume":"32","author":"Cabrera","year":"2015","journal-title":"Nutr. Hosp."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"571","DOI":"10.1089\/chi.2020.0228","article-title":"The Influence of Adherence to the Mediterranean Diet among Children and Their Parents in Relation to Childhood Overweight\/Obesity: A Cross-Sectional Study in Greece","volume":"16","author":"Kosti","year":"2020","journal-title":"Child. Obes."},{"key":"ref_25","first-page":"363","article-title":"Protective effects of a Mediterranean-like dietary pattern on obesity, abdominal obesity and large neck circumference in a cohort of Turkish children aged 6\u20139 years","volume":"29","author":"Korkmaz","year":"2020","journal-title":"Asia Pac. J. Clin. Nutr."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"100482","DOI":"10.1016\/j.gfs.2020.100482","article-title":"Estimating the prevalence of food insecurity of households with children under 15 years, across the globe","volume":"28","author":"Pereira","year":"2021","journal-title":"Glob. Food. Secur."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Ortiz-Marr\u00f3n, H., Ortiz-Pinto, M.A., Lanza, M.U., Pujadas, G.C., Del Pino, V.V., Cort\u00e9s, S.B., Gasc\u00f3n, T.G., and Gav\u00edn, M.O. (2022). Household food insecurity and its association with overweight and obesity in children aged 2 to 14 years. BMC Public Health, 22.","DOI":"10.1186\/s12889-022-14308-0"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"e12401","DOI":"10.1111\/cob.12401","article-title":"Association of household food insecurity and childhood weight status in a low-income population","volume":"10","author":"Wirth","year":"2020","journal-title":"Clin. Obes."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"e67","DOI":"10.1017\/S1368980024000351","article-title":"Household food insecurity and physical activity behaviour in Ecuadorian children and adolescents: Findings from the Ecuador 2018 National Health and Nutrition Survey (ENSANUT-2018)","volume":"27","author":"Chakraborty","year":"2024","journal-title":"Public Health Nutr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1017\/S0021932012000685","article-title":"Family food insecurity and nutritional risk in adolescents from a low-income area of Rio de Janeiro, Brazil","volume":"45","author":"Lopes","year":"2013","journal-title":"J. Biosoc. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"e014371","DOI":"10.1136\/bmjopen-2016-014371","article-title":"Food insecurity and maternal-child nutritional status in Mexico: Cross-sectional analysis of the National Health and Nutrition Survey 2012","volume":"7","year":"2017","journal-title":"BMJ Open"},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Olaya, B., Moneta, M.V., Pez, O., Bitfoi, A., Carta, M.G., Eke, C., Goelitz, D., Keyes, K.M., Kuijpers, R., and Lesinskiene, S. (2015). Country-level and individual correlates of overweight and obesity among primary school children: A cross-sectional study in seven European countries. BMC Public Health, 15.","DOI":"10.1186\/s12889-015-1809-z"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1186\/s12966-022-01291-3","article-title":"Prevalence and sociodemographic correlates of physical activity and sitting time among South American adolescents: A harmonized analysis of nationally representative cross-sectional surveys","volume":"19","author":"Araujo","year":"2022","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.nut.2018.11.029","article-title":"Food insecurity and the risk of undernutrition complications among children and adolescents: A systematic review and meta-analysis","volume":"62","author":"Moradi","year":"2019","journal-title":"Nutrition"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e12347","DOI":"10.1111\/mcn.12347","article-title":"Understanding the double burden of malnutrition in food insecure households in Brazil","volume":"13","author":"Gubert","year":"2017","journal-title":"Matern. Child Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Martinez-Brockman, J.L., Hromi-Fiedler, A., Galusha, D., Oladele, C., Acosta, L., Adams, O.P., Maharaj, R.G., Nazario, C.M., Nunez, M., and Nunez-Smith, M. (2023). Risk factors for household food insecurity in the Eastern Caribbean Health Outcomes Research Network cohort study. Front. Public Health, 11.","DOI":"10.3389\/fpubh.2023.1269857"},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Mokari-Yamchi, A., Faghfouri, A.H., Gholami, S., Nattagh-Eshtivani, E., and Gheibi, S. (2024). Association of household food insecurity with sociodemographic factors and obesity in US youth: Findings from the National Health and Nutrition Examination Survey 2017\u20132018. Front. Public Health, 12.","DOI":"10.3389\/fpubh.2024.1387638"},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Santos, M.D., Ferrari, G., Drenowatz, C., Estivaleti, J.M., de Victo, E.R., de Oliveira, L.C., and Matsudo, V. (2022). Association between breastfeeding, parents\u2019 body mass index and birth weight with obesity indicators in children. BMC Pediatr., 22.","DOI":"10.1186\/s12887-022-03641-3"},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Chou, Y.C., Cheng, F.S., Weng, S.H., Yen, Y.F., and Hu, H.Y. (2024). Impact of household income on the risk of overweight and obesity over time among preschool-aged children: A population-based cohort study. BMC Public Health, 24.","DOI":"10.1186\/s12889-024-18010-1"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/12\/2006\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:52:25Z","timestamp":1760032345000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/17\/12\/2006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,15]]},"references-count":39,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,6]]}},"alternative-id":["nu17122006"],"URL":"https:\/\/doi.org\/10.3390\/nu17122006","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,15]]}}}