Insufficient or a lack of sight jeopardises the nutritional status of individuals with visual disability, making them vulnerable to overweight and obesity. Correspondingly, this review examines the prevalence, associated factors, and distinct challenges that individuals experience in achieving optimal nutrition, as well as the suitable interventions to address overweight and obesity in this population. In particular, the prevalence of overweight and obesity in this population from previous studies ranged between 29.3% and 77.7%. Concurrently, sociodemographic factors that include age, sex, living accommodation, level of education, employment status, monthly income, marital status, level of visual impairment, affinity for food and eating, self-reported general health, involvement in physical activity, consumption of food supplements, and water consumption are among the aspects associated with overweight and obesity in this population. However, dietary intake involving macronutrients and micronutrients among individuals with visual disabilities is not in line with the recommended consumption. The diet also lacks variety, in addition to having unusual mealtimes and erratic eating patterns. Furthermore, the effects of food on health are often not given priority when it is consumed. At the same time, nutritional challenges are often encountered during the process of buying or shopping for food, when preparing and cooking meals, and when eating out. Thus, effective nutritional interventions to address overweight and obesity in this population need to consider both personal and environmental factors, as well as address participation restrictions and activity limitations. In essence, individuals with visual disability need to be empowered about the issues of malnutrition, especially regarding overweight and obesity, which are prominent in this population. Their environment should be enabled to support a healthy lifestyle to achieve the goal of optimum health and well-being.
KEYWORDS:
Overweight; Obesity; Visual disability; Inclusivity; Universal health coverage
Ahmad, N. A., Mohamad Kasim, N., Mahmud, N. A., Mohd Yusof, Y., Othman, S., Chan, Y. Y., Abd Razak, M.A., Yusof, M., Omar, M., Abdul Aziz, F. A., Jamaluddin, R., Ibrahim Wong, N. & Aris, T. 2017. Prevalence and determinants of disability among adults in Malaysia: results from the National Health and Morbidity Survey (NHMS) 2015. BMC Public Health, 17(1), 756.
AFB (American Foundation for the Blind). 2024. Low Vision and Legal Blindness Terms and Descriptions (https://www.afb.org/blindness-and-low-vision/eye-conditions/low-vision-and-legal-blindness-terms-and-descriptions). Last accessed on 24 November 2025.
Agurs-Collins, T., Alvidrez, J., Ferreira, S. E., Evans, M., Gibbs, K., Kowtha, B., Pratt, C., Reedy, J., Shams-White, M. & Brown, A. GM. 2024. Perspective: Nutrition Health Disparities Framework: A Model to Advance Health Equity. Advances in Nutrition, 15(4), 100194.
Baker, S. M., Stephens, D. L. & Hill, R. P. 2002. How can retailers enhance accessibility: giving consumers with visual impairments a voice in the marketplace. Journal of Retailing and Consumer Services, 9(4), 227–239.
Ashikali, E.M. & Dittmar, H. 2010. Body image and restrained eating in blind and sighted women: A preliminary study. Body Image, 7(2), 172–175.
Balconi, M., Acconito, C. & Angioletti, L. 2022. Emotional Effects in Object Recognition by the Visually Impaired People in Grocery Shopping. Sensors, 22(21), 8442.
Bilyk, M. C., Sontrop, J. M., Chapman, G. E., Barr S. I. & Mamer, L. 2009. Food experiences and eating patterns of visually impaired and blind people. Canadian Journal of Dietetic Practice and Research, 70(1), 13–18.
Bozkir, Ç., Özer, A. & Pehlivan, E. 2016. Prevalence of obesity and affecting factors in physically disabled adults living in the city centre of Malatya’. BMJ Open, 6, p. 10289.
Cambridge Dictionary. 2025. affinity (https://dictionary.cambridge.org/dictionary/english/affinity). Last accessed on 24 November 2025.
Capella-Mcdonnall, M. 2007. The Need for Health Promotion for Adults Who Are Visually Impaired. Journal of Visual Impairment & Blindness, 101(3), 133–145.
CDC (Centers for Disease Control and Prevention). 2025. Disability and Health Overview (https://www.cdc.gov/disability-and-health/about/?CDC_AAref_Val=https://www.cdc.gov/ncbddd/disabilityandhealth/disability.html). Last accessed on 24 November 2025.
Chang, T., Ravi, N., Plegue, M. A., Sonneville, K. R. & Davis, M. M. 2016. Inadequate hydration, BMI, and obesity among US adults: NHANES 2009-2012. Annals of Family Medicine, 14(4), 320–324.
Chew, F. L. M., Salowi, M. A., Mustari, Z., Husni, M. A., Hussein, E., Adnan, T. H., Ngah, N. F., Limburg, H. & Goh, P. P. 2018. Estimates of visual impairment and its causes from the national eye survey in Malaysia (NESII). PLoS ONE, 13(6), e0198799.
Chin, S. H., Kahathuduwa, C. N. & Binks, M. 2016. Physical activity and obesity: what we know and what we need to know. Obesity Reviews, 17(12), 1226–1244.
de Boer, A. & Schrijnemaekers, A. 2023. Food Information Is Mostly Not Well Accessible to Consumers with a Visual Impairment - An Exploratory Phenomenological Study. Proceedings, 91(1), 184.
de Faria, M. D., da Silva, J. F. & Ferreira, J. B. 2012. The visually impaired and consumption in restaurants. International Journal of Contemporary Hospitality Management, 24(5), 721–734.
Depuy, J., Molina-Morales, J., Conover, A. J. & Jerome, G. J. 2023. Accessible weight loss program for adults who are legally blind: A pilot study. Disability and Health Journal, 16(4), 101502.
Flores, A., Draper, J. L., Garcia, M. A. S., Salvador, R. M. R., Samonte, K. A. L. & Palomo, K. C. 2017. Nutritional Status of Blind Adults in a Community for Persons with Disabilities (PWD) in Quezon City, Philippines. Journal of the Nutritionist-Dieticians’ Association of the Philippines, 31(1 & 2).
Hassan, S., Egbuna, C., Tijjani, H., Ifemeje, J. C., Olisah, M. C., Patrick-Iwuanyanwu, K. C., Onyeike, P. C. & Ephraim-Emmanuel, B. C. 2020. Dietary Supplements: Types, Health Benefits, Industry and Regulation. In: Egbuna, C. & Dable-Tupas, G. (Eds.). Functional Food and Nutraceuticals. Cham: Springer Nature Switzerland.
Hollis-Hansen, K., Vogelzang, J., Bode, B., Markworth, A., Rivera, R. L., Heydarian, N., Russell, R. & Emily Watt Clarke, E. W. 2024. The Need to Prioritise People With Disabilities in Nutrition Education. Journal of Nutrition Education and Behavior, 56(3), 119–120.
IAPB (International Agency for the Prevention of Blindness). 2025. Global data - How many people have sight loss? (https://visionatlas.iapb.org/global-data/). Last accessed on 24 November 2025.
JKM (Jabatan Kebajikan Masyarakat). 2023. Pendaftaran Orang Kurang Upaya (OKU) – Kategori OKU (https://www.jkm.gov.my/main/article/pendaftaran-orang-kurang-upaya-oku). Last accessed on 24 November 2025.
Jones, N. & Bartlett, H. 2018. The impact of visual impairment on nutritional status: A systematic review. British Journal of Visual Impairment, 36(1), 17–30.
Jones, N. & Bartlett, H. E. 2020. Comparison of the eating behaviour and dietary consumption in older adults with and without visual impairment. British Journal of Nutrition, 123(6), 712–720.
Jones, N., Bartlett, H. E. & Cooke, R. 2019. An analysis of the impact of visual impairment on activities of daily living and vision-related quality of life in a visually impaired adult population. British Journal of Visual Impairment, 37(1), 50–63.
Kesari, A. & Noel, J. Y. 2023. Nutritional Assessment (https://www.ncbi.nlm.nih.gov/books/NBK580496/). Last access on 15 November 2025.
Khattab, D. A., Buelow, J. & Saccuteli, D. 2015. Understanding the barriers: Grocery stores and visually impaired shoppers. Journal of Accessibility and Design for All, 5(2), 157–173.
Kocourkova, J., Soltysova, M., Mohaplova, M. & Hrdlicka, M. 2011. Anorexia nervosa in a blind girl. Neuroendocrinology Letters, 32(6), 748–750.
Kostyra, E., Zakowska-Biemans, S., Sniegocka, K. & Piotrowska, A. 2017. Food shopping, sensory determinants of food choice and meal preparation by visually impaired people. Obstacles and expectations in daily food experiences. Appetite, 113, 14–22.
Li, F.M., Dorst, J., Cederberg, P. & Carrington, P. 2021. Non-Visual Cooking: Exploring Practices and Challenges of Meal Preparation by People with Visual Impairments. ASSETS 2021: The 23rd International ACM SIGACCESS Conference on Computers and Accessibility. 18-22 October, 2021, Virtual Event, USA. pp 1-18.
Li, F.M., Liu, M. X., Kane, S.K. & Carrington, P. 2024. A Contextual Inquiry of People with Visual Impairments in Cooking. Proceedings of the CHI Conference on Human Factors in Computing Systems, May 11-16, 2024, Honolulu, Hawaii. pp 1-14.
Mendez, I., Kim, M., Lundeen, E. A., Loustalot, F., Fang, J. & Saaddine, J. 2022. Cardiovascular Disease Risk Factors in US Adults with Vision Impairment. Preventing Chronic, 19, E43.
MOH (Ministry of Health Malaysia). 2016. National Plan of Action for Nutrition of Malaysia III (2016-2025). Putrajaya: National Coordinating Committee on Food and Nutrition (NCCFN).
MOH (Ministry of Health Malaysia). 2020. Nutrition Research Priorities in Malaysia for 12th Malaysia Plan (2021-2025). Putrajaya: Technical Working Group on Nutrition Research for National Coordinating Committee on Food and Nutrition (NCCFN).
National Nutrition Council Region IX. 2025. Overweight and Obesity Remain a Serious Health Concern in the Philippines (https://nnc.gov.ph/mindanao-region/overweight-and-obesity-remain-a-serious-health-concern-in-the-philippines/). Last accessed on 24 November 2025.
Ng, S., Swinburn, B., Kelly, B., Vandevijvere, S., Yeatman, H., Ismail, M.N. & Karupaiah, T. 2018. Extent of implementation of food environment policies by the Malaysian Government: gaps and priority recommendations. Public Health Nutrition, 21(18), 3395-3406.
Nor Hanipah, Z., Abdul Ghani, R. & Mohd Efendy Goon, M. D. 2025. ACTION Malaysia—perception and barriers to obesity management among people with obesity and healthcare professionals in Malaysia. BMC Public Health, 25(1), 835.
Mohamed Elshafie, M. 2024. Diet Quality and Nutritional Status among Visually Impaired and Blind University Students. Medical Journal of Cairo University, 92(1), 71–78.
Reddy, S. C., Tajunisah, I., Low, K. P. & Karmila, A. B. 2008. Prevalence of eye diseases and visual impairment in urban population-A study from University of Malaya Medical Centre. Malaysian Family Physician, 3(1), 25–28.
Rimmer, J. H. & Rowland, J. L. 2008. Health Promotion for People with Disabilities: Implications for Empowering the Person and Promoting Disability-Friendly Environments. American Journal of Lifestyle Medicine, 2(5), 409–420.
Roebothan, B. V. 1999. Preliminary Assessment of Nutritional Status in a Group of Persons with Visual Impairments. Nutrition Research, 19(12), 1731–1740.
Rutishauser, I. H. 2005. Dietary intake measurements. Public Health Nutrition, 8(7a), 1100–1107.
Sahingoz, S. A. 2012. Visually Impaired Consumers and Food Shopping. British Journal of Humanities and Social Sciences, 7(1), 63-74.
Stevens, R., Bartlett, H. & Cooke, R. 2015. Dietary analysis and nutritional behaviour in people with and without age-related macular disease. Clinical Nutrition ESPEN, 10(3), e112–e117.
Tang, K. X. H., Iqbal, T., Lott, P. P. W. & Reddy, S. C. 2024. Prevalence of visual impairment and eye diseases in Malaysia: A cross-sectional prospective study at the University of Malaya Medical Centre. Malaysian Family Physician, 19, 30. PMID: 38855397.
UN DESA (United Nations Department of Economic and Social Affairs). 2025. Disability Laws and Acts by Country/ Area (https://www.un.org/development/desa/disabilities/disability-laws-and-acts-by-country-area.html). Last accessed on 24 November 2025.
Vij, V. A. K. & Joshi, A. S. 2014. Effect of excessive water intake on body weight, body mass index, body fat, and appetite of overweight female participants. Journal of Natural Science, Biology and Medicine, 5(2), 340–344.
WHO (World Health Organization). 2018. National Household Health Survey in Turkey – Prevalence of Non-communicable Health Disease Risk Factors 2017. Ankara: WHO Regional Office for Europe.
WHO (World Health Organization). 2019. World report on vision. Geneva: World Health Organization.
WHO (World Health Organization). 2024. Designing Disability-Inclusive Health Systems (https://www.who.int/news-room/feature-stories/detail/designing-disability-inclusive-health-systems). Last accessed on 24 November 2025.
WHO (World Health Organization). 2025. Malnutrition (https://www.who.int/news-room/questions-and-answers/item/malnutrition). Last accessed on 24 November 2025.
Zainal, M., Ismail, S. M., Ropilah, A. R., Elias, H., Arumugam, G., Alias, D., Fathilah, J., Lim, T. O., Ding, L. M. & Goh, P. P. 2002. Prevalence of blindness and low vision in Malaysian population: results from the National Eye Survey 1996. British Journal of Ophthalmology, 86(9), 951–956.