RT Journal Article T1 Clustering of Dietary Patterns and Lifestyles Among Spanish Children in the EsNuPI Study † A1 Plaza-Díaz, Julio A1 Molina-Montes, Esther A1 Soto-Méndez, María José A1 Madrigal, Casandra A1 Hernández-Ruiz, Ángela A1 Valero, Teresa A1 Lara Villoslada, Federico A1 Leis, Rosaura A1 Martínez de Victoria, Emilio A1 Moreno, José Manuel A1 Ortega, Rosa M. A1 Ruiz-López, María Dolores A1 Varela-Moreiras, Gregorio A1 Gil, Ángel K1 Children K1 Cluster analysis K1 Dietary patterns K1 Physical activity K1 Sedentary behavior K1 Niño K1 Análisis por grupos K1 Conducta alimentaria K1 Physical activity K1 Conducta sedentaria AB Dietary patterns (DPs) are known to be tied to lifestyle behaviors. Understanding DPs and their relationships with lifestyle factors can help to prevent children from engaging in unhealthy dietary practices. We aimed to describe DPs in Spanish children aged 1 to <10 years and to examine their associations with sociodemographic and lifestyle variables. The consumption of toddler and young children milk formulas, enriched and fortified milk within the Spanish pediatric population is increasing, and there is a lack of evidence whether the consumption of this type of milk is causing an impact on nutrient intakes and if they are helping to reach the nutrient recommendations. Within the Nutritional Study in the Spanish Pediatric Population (EsNuPI), we considered two study cohorts and three different age groups in three year-intervals in each of them. The study cohort included 740 children in a representative sample of the urban non-vegan Spanish population and 772 children in a convenience cohort of adapted milk consumers (AMS) (including follow-on formula, toddler's milk, growing up milk, and fortified and enriched milks) who provided information about sociodemographics, lifestyle, and dietary habits; a food frequency questionnaire was used for the latter. Principal component analysis was performed to identify DPs from 18 food groups. Food groups and sociodemographic/lifestyle variables were combined through a hierarchical cluster algorithm. Three DPs predominated in every age group and study sample: a palatable energy-dense food dietary pattern, and two Mediterranean-like DPs. However, children from the AMS showed a predominant dietary pattern markedly related to the Mediterranean diet, with high consumption of cereals, fruits and vegetables, as well as milk and dairy products. The age of children and certain lifestyle factors, namely level of physical activity, parental education, and household income, correlated closely with the dietary clusters. Thus, the findings provide insight into designing lifestyle interventions that could reverse the appearance of unhealthy DPs in the Spanish child population. PB MDPI YR 2020 FD 2020-08-21 LK http://hdl.handle.net/10668/3896 UL http://hdl.handle.net/10668/3896 LA en NO Plaza-Díaz J, Molina-Montes E, Soto-Méndez MJ, Madrigal C, Hernández-Ruiz Á, Valero T, et al. Clustering of Dietary Patterns and Lifestyles Among Spanish Children in the EsNuPI Study †. Nutrients. 2020 Aug 21;12(9):2536 DS RISalud RD Apr 14, 2025