The prevalence of overweight and obesity and its determinants in children with and without disabilities
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Updated: Jun 6, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Judith E Neter1, Dieuwke F Schokker, Elske de Jong
1Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University Amsterdam/Windesheim University of Applied Sciences, Zwolle, the Netherlands. judith.neter@falw.vu.nl
Insights
Children with disabilities have a significantly higher prevalence of overweight and obesity compared to their non-disabled peers. This highlights an urgent need for targeted healthy lifestyle interventions for disabled children.
Area of Science:
- Pediatric Health
- Disability Studies
- Public Health Nutrition
Background:
- Overweight and obesity are significant global health concerns in childhood.
- Children with disabilities may face unique challenges influencing their health behaviors.
- Understanding disparities in health is crucial for developing equitable interventions.
Purpose of the Study:
- To compare overweight and obesity prevalence in primary school children with and without disabilities.
- To assess differences in nutrition and physical activity behaviors between these groups.
Main Methods:
- Cross-sectional study involving 4072 non-disabled and 85 disabled primary school children in Zwolle, Netherlands.
- Objective measurements of height and body weight.
- Parental questionnaires on child's nutrition and physical activity behavior.
- Statistical analysis using chi-squared tests and ANOVA.
Main Results:
- Prevalence of overweight was 30.6% and obesity was 10.6% in disabled children, 3-6 times higher than in non-disabled children (P < .001).
- Statistically significant differences were observed in nutrition and physical activity behaviors between disabled and non-disabled children.
Conclusions:
- Disabled children exhibit a substantially higher prevalence of overweight and obesity.
- There are notable differences in lifestyle behaviors between disabled and non-disabled children.
- Interventions promoting healthy lifestyles are critically needed to address overweight and obesity in disabled children.
Objectives:
To compare the prevalence of overweight and obesity and nutrition and physical activity behavior between primary school children with and without disabilities.
Study Design:
Body weight and height were measured in 4072 children from regular primary schools in the city of Zwolle, the Netherlands, and in 85 children from a school for children with disabilities. Furthermore, parents completed a questionnaire on the child's nutrition and physical activity behavior. A χ(2) analysis was used to test categorical variables between groups, and analysis of variance was used for continuous variables.
Results:
The prevalence of overweight and obesity among disabled children was 30.6% and 10.6%, respectively, which is three and six times higher than in nondisabled children (P < .001). Furthermore, our study shows statistically significant differences in nutrition and physical activity behavior between disabled and nondisabled children.
Conclusions:
There is a need to promote a healthy lifestyle and to reduce the prevalence of overweight and obesity in disabled children.
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