Maternal nutrition literacy and childhood obesity in food-insecure and secure households

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Date
2025
Authors
Hashemzadeh, Maral
Akhlaghi, Masoumeh
Nabizadeh, Kiana
Kazemi, Asma
Miri, Hamid Heidarian
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Nature Research
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Abstract
This study examined whether maternal nutrition knowledge could help reduce the risk of obesity in children from food-insecure households compared to those from food-secure households. This cross-sectional study was performed on 327 mothers and their children. The children, aged 6–12 years, were recruited from primary schools throughout Shiraz, Iran. Food-insecurity and nutrition literacy were assessed using the Household Food-insecurity Access Scale (HFIAS) and a 60-item Food and Nutrition Literacy Assessment Tool (FNLAT), respectively. Logistic regression models were used to examine the association between children’s overweight/obesity and maternal food and nutritional literacy (FNL) across food-secure households and those facing varying degrees of food-insecurity. One hundred thirty-three participants were classified as mild, 28 as moderate, and 7 as severely food-insecure. The results showed that maternal FNL was significantly associated with a reduced risk of overweight/obesity in children (odds ratio (OR) 0.29, 95% confidence intervals (CI) 0.17–0.51). Only moderate/severe food-insecurity was associated with overweight/obesity (OR 4.64, 95% CI 1.75–12.29). Both in food-secure and food-insecure households, good FNL was associated with a significant reduction in overweight/obesity risk compared to poor FNL. The findings suggest that nutrition education programs may be particularly beneficial for children living in food-insecure households, and that these programs should be tailored to address the specific needs of this population.
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Keywords
Childhood obesity , Cross-sectional study , Food and nutrition literacy , Food-insecurity , Health improvement , Iran , Nutrition knowledge
Citation
Hashemzadeh, M., Akhlaghi, M., Nabizadeh, K., Kazemi, A. and Miri, H. H. (2025) 'Maternal nutrition literacy and childhood obesity in food-insecure and secure households', Scientific Reports, 15(1), p.11656. DOI: 10.1038/s41598-025-95044-4
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