Association of household food insecurity with overweight and obesity in children and adolescent with disabilities


Atan R. M., ARSLAN S., Tari Selcuk K.

Research in Developmental Disabilities, cilt.168, 2026 (SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 168
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.ridd.2025.105199
  • Dergi Adı: Research in Developmental Disabilities
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, BIOSIS, CINAHL, Education Abstracts, Educational research abstracts (ERA), EMBASE, MEDLINE, Psycinfo
  • Anahtar Kelimeler: Abdominal obesity, Children and adolescents with disabilities, Food insecurity, Obesity, Overweight
  • Bursa Uludağ Üniversitesi Adresli: Evet

Özet

Household food insecurity is associated with an increased risk of obesity in children and adolescents. Households that include children and adolescents with disabilities may be more vulnerable to food insecurity. This study aimed to investigate the relationship between household food insecurity and general and abdominal obesity in children and adolescents with disabilities. In this cross-sectional study, data was collected through face-to-face interviews from 106 parents and children/adolescents. To collect the data, the Descriptive Information Form and the Household Food Insecurity Access Scale were used. Body weight, height and waist circumference (WC) of children/adolescents were measured by the researchers. Body Mass Index Z score (BMIz), WC Z score (WCz) and waist-to-height ratio (WHtR) were calculated. The significance level of statistical tests was accepted as p < 0.05. Approximately 37.0 % of households were at risk of food insecurity. According to BMIz, approximately 19.0 % of the children and adolescents were overweight and 29.0 % were obese. Children and adolescents with WCz> +1 SD and WHtR≥ 0.5 were 46.2 % and 50.0 %, respectively. After adjusting for potential confounders, moderate and severe food insecurity was associated with higher odds of overweight and obesity according to the BMIz (AOR: 6.48, 95 % CI: 1.76;23.90, p:0.005), and WCz (AOR: 9.41, 95 % CI: 2.24;39.47, p:0.002). It was also associated with higher rates of abdominal obesity according to the WHtR (AOR: 7.12, 95 % CI: 1.74;29.20, p:0.006). Moderate/severe household food insecurity was found to be significantly associated with increased odds of general and abdominal obesity in children and adolescents with disabilities.