How Body Mass Index Compromises Care of Patients With Disabilities

doi:10.1001/amajethics.2023.545

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…A longitudinal cohort study in Malawi showed that children with disabilities also have significantly higher mortality rates from severe acute malnutrition than children without disabilities (mortality HR 2.29, 95% CI 1.51 to 3.45). 5 Further, while some types of impairments may make the use of standardised measures of nutritional status invalid (eg, growth restriction or limb difference), 6 these conditions do not occur at sufficiently high prevalence to distort estimates drawn from large samples. Indeed, previous descriptive analysis of the Multiple Indicator Cluster Survey (MICS) has shown that children with functional difficulty in the walking, playing and fine motor domains have the highest prevalence of stunting, wasting and underweight.…”

Section: Introductionmentioning

confidence: 99%

Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

Rotenberg,

Chen,

Hunt

et al. 2024

BMJNPH

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IntroductionA key Sustainable Development Goal target is to eliminate all forms of malnutrition. Existing evidence suggests children with disabilities are at greater risks of malnutrition, exclusion from nutrition programmes and mortality from severe acute malnutrition than children without disabilities. However, there is limited evidence on the nutritional outcomes of children with disabilities in large-scale global health surveys.MethodsWe analysed Multiple Indicator Cluster Survey data from 30 low and middle-income countries to compare nutritional outcomes for children aged 2–4 years with and without disabilities. We estimated the adjusted prevalence ratios for stunting, wasting and underweight comparing children with and without disabilities by country and sex, using quasi-Poisson models with robust SEs. We accounted for the complex survey design, wealth quintile, location and age in the analyses. We meta-analysed these results to create an overall estimate for each of these outcomes.ResultsOur analyses included 229 621 children aged 2–4 across 30 countries, including 15 071 children with disabilities (6.6%). Overall, children with disabilities were more likely to be stunted (adjusted risk ratio (aRR) 1.16, 95% CI 1.11 to 1.20), wasted (aRR 1.28, 95% CI 1.18 to 1.39) and underweight (aRR 1.33, 95% CI 1.17, 1.51) than children without disabilities. These patterns were observed in both girls and boys with disabilities, compared with those without.ConclusionChildren with disabilities are significantly more likely to experience all forms of malnutrition, making it critical to accelerate efforts to improve disability inclusion within nutrition programmes. Ending all forms of malnutrition will not be achievable without a focus on disability.

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Section: Introductionmentioning

confidence: 99%

Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

Rotenberg,

Chen,

Hunt

et al. 2024

BMJNPH

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Exploring Effects of Food Shaming on Consumers’ Food-Related Attitudes and Behaviors

Broome,

Kaplan,

McCullars

et al. 2024

Nutr Today

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Objective To compare attitudes and behaviors of American adults who have experienced food shaming versus those who have not. Design This was an online survey of 2003 US adults, followed by an additional 5 one-on-one in-depth interviews, for a total of 2008. Data were collected between September and November 2022. Participants US adults (n = 2008) recruited via commercial research panels. Main Outcome Measures Prevalence of food shaming, and attitudes and behaviors among adults who have experienced food shaming versus those who have not. Analysis χ 2 and analysis of covariance investigating associations between experience with food shaming and food-related attitudes and behaviors, controlling for body mass index where possible. Results Nearly 3 in 10 American adults report that they have experienced food shame. Experiencing food shame correlates with higher guilt and shame, greater likelihood to engage in regimented eating, and more prevalent, as well as negative, emotions around food and imagined interactions with food and nutrition professionals. Conclusions and Implications Food shaming is a phenomenon with wide-reaching impacts on attitudes and behaviors. We expect that this innovative study will inform registered dietitian nutritionists and other health professionals to help people develop healthy, sustainable relationships with food.

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Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

Rotenberg,

Chen,

Hunt

et al. 2023

Preprint

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Introduction: A key Sustainable Development Goal target is to eliminate all forms of malnutrition. Existing evidence suggests children with disabilities are at greater risks of malnutrition, exclusion from nutrition programmes, and mortality from severe acute malnutrition than children without disabilities. However, there is limited evidence on the nutritional outcomes of children with disabilities in large-scale global health surveys. Methods: We analysed Multiple Indicator Cluster Survey (MICS) data from 30 low and middle-income countries (LMICs) to compare nutritional outcomes for children aged 2 to 4 years with and without disabilities. We estimated the adjusted prevalence ratios for stunting, wasting, and underweight comparing children with and without disabilities by country and sex, using quasi-Poisson models with robust standard errors. We accounted for the complex survey design, wealth quintile, location, and age in the analyses. We meta-analysed these results to create an overall estimate for each of these outcomes. Results: Our analyses included 229,621 children aged 2-4 across 30 countries, including 15,071 children with disabilities (6.6%). Overall, children with disabilities were more likely to be stunted (aRR: 1.16, 95% C.I.: 1.11, 1.20), wasted (aRR: 1.28, 95% C.I.: 1.18, 1.39), and underweight (aRR: 1.33, 95% C.I.: 1.17, 1.51) than children without disabilities. These patterns were observed in both girls and boys with disabilities, compared to those without. Conclusion: Children with disabilities are significantly more likely to experience all forms of malnutrition, making it critical to accelerate efforts to improve disability-inclusion within nutrition programmes. Ending all forms of malnutrition will not be achievable without a focus on disability.

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How Body Mass Index Compromises Care of Patients With Disabilities

Cited by 3 publications

References 11 publications

Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

Exploring Effects of Food Shaming on Consumers’ Food-Related Attitudes and Behaviors

Are children with disabilities more likely to be malnourished than children without disabilities? Evidence from the Multiple Indicator Cluster Surveys in 30 countries

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