Leis Trabazo, María RosauraJurado Castro, José ManuelLlorente Cantarero, Francisco JesúsAnguita Ruiz, AugustoRupérez, Azahara I.Bedoya Carpente, Juan JoséVázquez Cobela, RocíoAguilera, Concepción M.Bueno, GloriaGil Campos, Mercedes2020-10-302020-10-302020Leis, R.; Jurado-Castro, J.M.; Llorente-Cantarero, F.J.; Anguita-Ruiz, A.; Iris Rupérez, A.; Bedoya-Carpente, J.J.; Vázquez-Cobela, R.; Aguilera, C.M.; Bueno, G.; Gil-Campos, M. Cluster Analysis of Physical Activity Patterns, and Relationship with Sedentary Behavior and Healthy Lifestyles in Prepubertal Children: Genobox Cohort. Nutrients 2020, 12, 1288http://hdl.handle.net/10347/23507Sedentary habits during childhood are associated with adverse health outcomes. The aim of this work was to cluster lifestyle behaviors and metabolic biomarkers to establish different patterns in children. Their physical and sedentary activities were evaluated by accelerometry, and questionnaires that included lifestyle behaviors, such as adherence to a Mediterranean diet, anthropometry and blood biochemical markers. Cluster analysis was performed to establish different groups based on physical activity levels. A total of 489 children were finally selected. Cluster 1 included children with a mostly sedentary state, whereas Cluster 3 included the most active children and Cluster 2 included children that did not fit into either the sedentary or the highly active groups. In Cluster 3, 56% of children were in a sports club, and a lower percentage used electronic devices in their rooms compared to the other groups. Cluster 1 children exhibited higher insulin, HOMA-IR and triacylglycerides with respect to the other groups. No differences were found regarding adherence to a Mediterranean diet. The choice to practice an extracurricular sport could be an influencing factor to increase exercise and ensure an active lifestyle in children. Reducing or limiting screen time mainly in children’s rooms could contribute to an active lifestyleeng© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/)Atribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/ExerciseObesityMediterranean dietCardiovascular diseasesjournal article10.3390/nu120512882072-6643open access