RT Journal Article T1 Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort A1 Garcidueñas Fimbres, Tany Elizabeth A1 Leis Trabazo, María Rosaura A1 Vázquez Cobela, Rocío A1 Babío, Nancy K1 Lifestyle behaviors K1 Eating speed K1 Childhood obesity K1 Cardiometabolic risk K1 CORALS AB To assess the associations between the adherence to a composite score comprised of 6 healthy lifestyle behaviors and its individual components with several cardiometabolic risk factors in Spanish preschool children. Cross-sectional analyses were conducted in 938 participants included in the CORALS cohort aged 3–6 years. Six recognized healthy lifestyle behaviors (breastfeeding, sleep duration, physical activity, screentime, adherence to the Mediterranean diet, and eating speed) were assessed in a composite score. Multiple linear and logistic regression models were fitted to assess the associations with cardiometabolic risk factors (weight status, waist circumference, fat mass index, blood pressure, fasting plasma glucose, and lipid profile). In the adjusted multiple linear and logistic regression models, compared with the reference category of adherence to the healthy lifestyle behavior composite score, those participants in the category of the highest adherence showed significant decreased prevalence risk of overweight or obesity [OR (95% CI), 0.4 (0.2, 0.6)] as well as significant lower waist circumference, fat mass index (FMI), systolic blood pressure and fasting plasma glucose concentration [β (95% CI), − 1.4 cm (− 2.5, − 0.4); − 0.3 kg/m2 (− 0.5, − 0.1); and − 3.0 mmHg (− 5.2, − 0.9); − 1.9 mg/dL (− 3.5, − 0.4), respectively]. Slow eating speed was individually associated with most of the cardiometabolic risk factors. Conclusions: Higher adherence to the healthy lifestyle behavior composite score was associated with lower waist circumference, FMI, other cardiometabolic risk factors, and risk of overweight or obesity in Spanish preschool children. Further studies are required to confirm these associations. PB Springer SN 1432-1076 SN 0340-6199 SN 10.1007/s00431-023-05389-z YR 2024 FD 2024-01-23 LK https://hdl.handle.net/10347/45404 UL https://hdl.handle.net/10347/45404 LA eng NO Garcidueñas-Fimbres, T. E., Gómez-Martínez, C., Pascual-Compte, M., Jurado-Castro, J. M., Leis, R., Moreno, L. A., Navas-Carretero, S., Codoñer-Franch, P., Echeverria, A. M., Pastor-Villaescusa, B., López-Rubio, A., García, S. M., De Miguel-Etayo, P., Martínez, J. A., Aguayo, I. V., Vázquez-Cobela, R., Escribano, J., Miguel-Berges, M. L., De La Torre-Aguilar, M. J., Gil-Campos, M., … Babio, N. (2024). Adherence to a healthy lifestyle behavior composite score and cardiometabolic risk factors in Spanish children from the CORALS cohort. European journal of pediatrics, 183(4), 1819–1830. https://doi.org/10.1007/s00431-023-05389-z NO Open Access funding provided thanks to the CRUECSIC agreement with Springer Nature. NO This study was supported by CONAHCYT (769789 to TEG-F) and the University of Rovira i Virgili (2020PMF-PIPF-37 to CG-M). NO JS-S, senior author of this study, is partially supported by ICREA under the ICREA Academia program. Funds for the establishment of the CORALS cohort in the first year of the study (2019) were provided by an agreement between the Danone Institute from Spain and the CIBEROBN NO This study was also supported partially by the Generalitat Valenciana (PROMETEO 21/2021) and the Department of Education, Gobierno de Navarra (0000-RES1-2020–000338). DS Minerva RD 28 abr 2026