The Effect of a Nondiet Educational Approach on Dietetic Students' Eating Attitudes and Behaviors

Objective: Disordered eating attitudes and behaviors play a critical role in pediatric overweight and obesity and are important to measure in research and practice with this population. Disordered eating attitudes and behaviors in youth are commonly measured using the Children's Eating Attitudes Test (ChEAT), which has not been psychometrically evaluated for use with youth with overweight and obesity. As such, it currently unknown whether the ChEAT provides a reliable measurement of a single underlying construct when applied in this population. Methods: Data from 400 treatment-seeking youth (aged 8 to 18) with overweight and obesity were drawn from two sites in the southern United States (54% female, 57% White). Psychometric properties of the ChEAT were evaluated in this combined sample using confirmatory bifactor modeling. Results: A confirmatory bifactor model with five group factors provided the best fit to the data and was used to generate numerous psychometric coefficients. The explained common variance (.36), omega hierarchical (.58), factor determinacy (.86), and construct replicability (.70) coefficients were all lower than recommended cutoff criteria. Both multidimensionality and excessive residual variance contributed to the ChEAT's poor psychometric performance in this sample. Conclusions: The ChEAT displayed marked psychometric problems in a large and diverse sample of youth with overweight and obesity. Its common variance was not unidimensional, its unit-weighted total score was not a reliable indicator of a broad central construct, and its optimally weighted total score was not likely to replicate across studies. We recommend using alternatives to the ChEAT when conducting research and practice with youth with overweight and obesity.

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The paths to children’s disordered eating: The implications of BMI, weight-related victimization, body dissatisfaction and parents’ disordered eating

Clinical Psychology in Europe ◽

10.32872/cpe.v2i1.2689 ◽

2020 ◽

Vol 2 (1) ◽

Author(s):

Marilou Côté ◽

Maxime Legendre ◽

Annie Aimé ◽

Marie-Christine Brault ◽

Jacinthe Dion ◽

...

Keyword(s):

Body Dissatisfaction ◽

Disordered Eating ◽

Indirect Effect ◽

Cross Sectional Study ◽

Eating Attitudes ◽

Cross Sectional ◽

Mediating Role ◽

Attitudes And Behaviors ◽

And Behaviors ◽

Disordered Eating Attitudes

Background Being the target of peer victimization is frequent among children categorized as overweight and obese and is thought to play a central role in disordered eating behavior development. In accordance with a previous theoretical model, this cross-sectional study aimed to replicate among children the mediating role of weight-related victimization from peers and body dissatisfaction in the association between body mass index (BMI) and children’s disordered eating attitudes and behaviors (CDEAB), while also taking into account the contribution of parents’ disordered eating attitudes and behaviors (PDEAB). Methods Participants were 874 children aged between 8 and 12 years old who were recruited in elementary schools. Height and weight were measured and used to calculate BMI. Self-reported questionnaires were used to measure weight-related victimization, body dissatisfaction, CDEAB and PDEAB. Results For both girls and boys, a path analysis showed no direct effect of BMI on CDEAB, but a significant indirect effect was found, indicating that weight-related victimization and body dissatisfaction mediated this relationship. In addition, the indirect effect of weight-related victimization and body dissatisfaction remained significant even when controlling for PDEAB. Conclusion While weight itself appears to be insufficient to explain CDEAB, weight-related victimization may lead children to see their weight as problematic and develop disordered attitudes and behaviors toward eating. This suggests that weight-related victimization from peers and body dissatisfaction must be taken seriously and that preventive and intervention efforts must be pursued.

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