{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:14:57Z","timestamp":1790709297147,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cystic fibrosis (CF) is a genetic disorder that necessitates high\u2010calorie, protein\u2010rich diets, leading to nutritional deficiencies. Food insecurity (FI) poses a significant challenge for people with CF (pwCF), impacting their ability to maintain the necessary dietary intake. This study aims to explore FI and dietary patterns among pwCF in Turkey.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional study involving 290 pwCF from the Marmara University Selim \u00c7\u00f6remen Cystic Fibrosis Center was conducted between April 2023 and February 2024. The \u201cUS Household Food Security Survey Module\u201d and the \u201cYour Current Life Situation\u201d survey were used to assess FI and socioeconomic status among the participants. Nutritional data, including BMI, FEV1 values, and dietary intake, were recorded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the participants, 52.7% were female, with a mean age of 13.3\u2009\u00b1\u20098.1 years. FI was detected in 46.8% of pwCF, with 18% facing very low food security. Higher income levels were associated with better food security (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.008). Nutritional inadequacies were observed even among food\u2010secure individuals, particularly in the consumption of legumes, nuts, and fish. BMI and BMI percentile values were significantly lower in the very low FS group compared to the high FS group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.03 and\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02, respectively).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ensuring adequate nutrition and calorie intake is crucial for pwCF. Our study highlights significant FI among pwCF in Turkey, with income levels influencing food security status. Nutritional inadequacies persist even among those classified as food secure. Based on these findings, targeted nutritional support will be provided to those in need to improve overall health and well\u2010being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71101","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T02:15:04Z","timestamp":1746497704000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Feeding the Need: A Study on Food Security Among People With Cystic Fibrosis in Turkey"],"prefix":"10.1002","volume":"60","author":[{"given":"Damla","family":"Kocaman","sequence":"first","affiliation":[{"name":"Nutrition and Dietetics Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1964-4263","authenticated-orcid":false,"given":"Ceren Ay\u00e7a","family":"Y\u0131ld\u0131z","sequence":"additional","affiliation":[{"name":"Division of Pediatric 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Kalyoncu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2146-3966","authenticated-orcid":false,"given":"Merve","family":"Sel\u00e7uk Balc\u0131","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eeyda","family":"Karabulut","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0228-9832","authenticated-orcid":false,"given":"P\u0131nar","family":"Ergenekon","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasemin","family":"G\u00f6kdemir","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ela","family":"Erdem Eralp","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fazilet","family":"Karako\u00e7","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00fclent","family":"Karada\u011f","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology Marmara University School of Medicine Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.25587"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu15030479"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14132573"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/jn\/138.3.604"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00348"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13113996"},{"issue":"3","key":"e_1_2_10_8_1","first-page":"246","article-title":"Consensus Report on Nutrition for Pediatric Patients With Cystic Fibrosis","volume":"35","author":"Borowitz D.","year":"2002","journal-title":"Journal of Pediatric Gastroenterology and 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S.Institute Haziran 2023 A\u00e7l\u0131k ve Yoksulluk S\u0131n\u0131r\u0131 Raporu (Turkish 2023) https:\/\/www.turkis.org.tr\/turk-is-haziran-2023-aclik-ve-yoksulluk-siniri\/."},{"key":"e_1_2_10_14_1","unstructured":"A.Coleman\u2010Jensen M. P.Rabbitt C. A.Gregory andA.Singh Household Food Security in the United States in 2011. U.S. Department of Agriculture Economic Research Service Economic Research Report 141 (2012) https:\/\/www.ers.usda.gov\/media\/8271\/hh2012.pdf."},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/18-089"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/JAC.0000000000000221"},{"key":"e_1_2_10_17_1","unstructured":"\u201cT\u00fcrkiye Beslenme Rehberi (T\u00dcBER) Ankara \u201d Republic of Turkey Ministry of Health 2022."},{"key":"e_1_2_10_18_1","unstructured":"The Economist Intelligence Unit Global Food Security Index 2022: An Annual Measure of the State of Food Security Across 113 Countries(Global Food Security Index 2022) https:\/\/www.unccd.int\/resources\/knowledge-sharing-system\/global-food-security-index."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2023.01.002"},{"issue":"2","key":"e_1_2_10_20_1","first-page":"117","article-title":"Food Insecurity: Experience in a Tertiary Health Center in Turkey","volume":"67","author":"Hakan Bucak I.","year":"2015","journal-title":"Minerva Pediatrica"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.17233\/sosyoekonomi.2022.03.10"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rppede.2016.02.001"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcf.2023.08.006"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.26339"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2019.01.003"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71101","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.71101","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71101","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T10:03:30Z","timestamp":1771409010000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71101"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1002\/ppul.71101"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71101","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"assertion":[{"value":"2024-08-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-15","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71101"}}