{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T14:02:08Z","timestamp":1787580128353,"version":"build-2736575974"},"reference-count":76,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015595","name":"GHR Foundation","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015595","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Inclusive nutrition services and data on children with disabilities living in low- and middle-income countries remain limited. We estimated the prevalence of undernutrition and described feeding practices and difficulties among children with disabilities ages birth to 10 years at a rehabilitation hospital in Uganda and identified barriers and opportunities for inclusive nutrition. Methods: This cross-sectional study enrolled 428 children. Data included demographics, weight, height, mid\u2013upper arm circumference (MUAC), hemoglobin levels, risk for feeding difficulties, caregiver-reported feeding practices, and functional difficulties complemented by 32 caregiver and stakeholder interviews. Undernutrition was defined using WHO z-scores, MUAC, and anemia cutoffs. Associations were examined using Pearson\u2019s chi-squared tests and adjusted odds ratios from logistic regression. Results: Over half of participants were boys (56.1%) and 65.9% were &lt;24 months old. Common conditions included cleft lip\/palate (55.4%) and cerebral palsy (38.6%). Undernutrition was prevalent: 45.2% were underweight, 38.3% stunted, 16.1% wasted (by MUAC), and 39.5% anemic. Being at risk for feeding difficulties (67.2% of children) increased the odds of underweight [AOR = 2.28 (1.23\u20134.24)], stunting [2.46 (1.26\u20134.79)], and wasting [2.43 (1.10\u20135.35)] after adjusting for covariates. Bottle-feeding increased the odds of stunting [3.09 (1.24\u20137.70)] in infants with cleft lip\/palate &lt; 12 months old. Poor access to services, food insecurity, and feeding challenges were key barriers to optimal nutrition. Most caregivers reported using practices that support responsive feeding. Conclusions: Reported barriers to services and high levels of undernutrition, strongly linked to feeding difficulties, underscore the need for targeted feeding interventions and better access to inclusive nutrition services in Uganda.<\/jats:p>","DOI":"10.3390\/nu18020200","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T12:56:55Z","timestamp":1767877015000},"page":"200","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Undernutrition and Feeding Difficulties Among Children with Disabilities in Uganda: A Cross-Sectional Study"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4326-0067","authenticated-orcid":false,"given":"Zeina","family":"Makhoul","sequence":"first","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moses Fisha","family":"Muhumuza","sequence":"additional","affiliation":[{"name":"CoRSU Rehabilitation Hospital, Kisubi P.O. Box 46, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bella","family":"Kyarisiima","sequence":"additional","affiliation":[{"name":"CoRSU Rehabilitation Hospital, Kisubi P.O. Box 46, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grace","family":"Amongin","sequence":"additional","affiliation":[{"name":"CoRSU Rehabilitation Hospital, Kisubi P.O. Box 46, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Nakibirango","sequence":"additional","affiliation":[{"name":"CoRSU Rehabilitation Hospital, Kisubi P.O. Box 46, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"Moore","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5404-1436","authenticated-orcid":false,"given":"Daniella","family":"Akellot","sequence":"additional","affiliation":[{"name":"Deval Consultancy Services Ltd., Wakiso P.O. Box 256, Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8215-6448","authenticated-orcid":false,"given":"Lutgard","family":"Musiime","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen","family":"Alupo","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorna Mary","family":"Namususwa","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela","family":"Magero","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Miller","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1688-3288","authenticated-orcid":false,"given":"Douglas","family":"Taren","sequence":"additional","affiliation":[{"name":"SPOON, Portland, OR 97210, USA"},{"name":"Section of Nutrition, Department of Pediatrics, School of Medicine, University of Colorado, Aurora, CO 80045, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"ref_1","unstructured":"UNICEF (2021). 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