The Spanish version of the Three Factor Eating Questionnaire-R21 for children and adolescents (TFEQ-R21C): Psychometric analysis and relationships with body composition and fitness variables

AbstractObjectiveTo examine score validity and reliability of a child version of the twenty-one-item Three-Factor Eating Questionnaire (CTFEQ-R21) in a sample of Canadian children and adolescents and its relationship with BMI Z-score and food/taste preferences.DesignCross-sectional study.SettingSchool-based.ParticipantsChildren (n 158), sixty-three boys (mean age 11·5 (sd 1·6) years) and ninety-five girls (11·9 (sd 1·9) years).ResultsExploratory factor analysis revealed that the CTFEQ-R21 was best represented by four factors with item 17 removed (CFFEQ-R20), representing Cognitive Restraint (CR), Cognitive Uncontrolled Eating (UE 1), External Uncontrolled Eating (UE 2) and Emotional Eating (EE), accounting for 41·2 % of the total common variance with good scale reliability. ANOVA revealed that younger children reported higher UE 1 and CR scores than older children, and boys who reported high UE 1 scores had significantly higher BMI Z-scores. Children with high UE 1 scores reported a greater preference for high-protein and -fat foods, and high-fat savoury (HFSA) and high-fat sweet (HFSW) foods. Higher preference for high-protein, -fat and -carbohydrate foods, and HFSA, HFSW and low-fat savoury foods was found in children with high UE 2 scores.ConclusionsThe study suggests that the CFFEQ-R20 can be used to measure eating behaviour traits and associations with BMI Z-score and food/taste preferences in Canadian children and adolescents. Future research is needed to examine the validity of the questionnaire in larger samples and other geographical locations, as well as the inclusion of extraneous variables such as parental eating or socio-economic status.

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Exploring the Relationship between Body Composition and Eating Behavior Using the Three Factor Eating Questionnaire (TFEQ) in Young New Zealand Women

Nutrients ◽

10.3390/nu8070386 ◽

2016 ◽

Vol 8 (7) ◽

pp. 386 ◽

Cited By ~ 13

Author(s):

Rozanne Kruger ◽

Jacqui De Bray ◽

Kathryn Beck ◽

Cathryn Conlon ◽

Welma Stonehouse

Keyword(s):

Body Composition ◽

New Zealand ◽

Eating Behavior ◽

Three Factor Eating Questionnaire ◽

The Relationship ◽

Three Factor

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Psychometric analysis of the Three-Factor Eating Questionnaire-R21: results from a large diverse sample of obese and non-obese participants

International Journal of Obesity ◽

10.1038/ijo.2009.74 ◽

2009 ◽

Vol 33 (6) ◽

pp. 611-620 ◽

Cited By ~ 186

Author(s):

J C Cappelleri ◽

A G Bushmakin ◽

R A Gerber ◽

N K Leidy ◽

C C Sexton ◽

...

Keyword(s):

Psychometric Analysis ◽

Three Factor Eating Questionnaire ◽

Three Factor

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Psychometric Properties of Spanish Version of the Three-Factor Eating Questionnaire-R18 (Tfeq-Sp) and Its Relationship with Some Eating- and Body Image-Related Variables

Nutrients ◽

10.3390/nu6125619 ◽

2014 ◽

Vol 6 (12) ◽

pp. 5619-5635 ◽

Cited By ~ 32

Author(s):

Ignacio Jáuregui-Lobera ◽

Patricia García-Cruz ◽

Rocío Carbonero-Carreño ◽

Alejandro Magallares ◽

Inmaculada Ruiz-Prieto

Keyword(s):

Body Image ◽

Psychometric Properties ◽

Spanish Version ◽

Three Factor Eating Questionnaire ◽

Three Factor

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Three Factor Eating Questionnaire

PsycTESTS Dataset ◽

10.1037/t02178-000 ◽

1985 ◽

Author(s):

Albert J. Stunkard ◽

Samuel Messick

Keyword(s):

Three Factor Eating Questionnaire ◽

Three Factor

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Effectiveness of a Multidisciplinary Lifestyle Intervention to Reduce Obesity among Children and Adolescents

Dhaka Shishu (Children) Hospital Journal ◽

10.3329/dshj.v35i2.49691 ◽

2020 ◽

Vol 35 (2) ◽

pp. 111-118

Author(s):

Md Rizwanul Ahsan ◽

Sabrina Makbul ◽

Probir Kumar Sarkar

Keyword(s):

Body Composition ◽

Body Weight ◽

Children And Adolescents ◽

Physical Performance ◽

Cardiometabolic Risk ◽

Dietary Habits ◽

Obese Children ◽

Height Ratio ◽

Waist To Height Ratio ◽

Family Based

Background: Now a days unhealthy lifestyle primarily responsible for the dramatic increase obesity among children and adolescents. Objective: The purpose of the study is to see the effects of a multidisciplinary lifestyle intervention to reduce obese children and adolescents. The main outcome was cardiometabolic risk based on the waist-to-height ratio (WHTR) measurement. Secondary outcomes were (1) changes in body composition; (2) adherence to a Mediterranean diet; and (3) physical performance. Methods: The study involved 64 overweight/obese children or adolescents conducted at Dhaka Shishu Hospital from October 2017 to September 2018. The intervention was multidisciplinary including nutrition, exercise, and psychological aspects based on a family-based approach; it was delivered for six months for children and three months for adolescents. Before and after the intervention, several anthropometric measures height, body weight, body mass index (BMI), waist circumference, and body composition, cardiometabolic risk index waist-to-height ratio (WHTR), and dietary habits of the participants and their families were evaluated. In addition, a set of functional motor fitness tests was performed to evaluate physical performance measures. Results: After the intervention both children and adolescents showed a significant reduction in body weight, BMI, waist circumference, fat mass, and WHTR index and an improvement of fat-free mass, adherence to the Mediterranean diet, and physical fitness performance. Conclusion: A short term family-based multidisciplinary approach is effective in ameliorating the health status, dietary habits, and physical performance in children and adolescents. DS (Child) H J 2019; 35(2) : 111-118

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Examination of the Eating Behavior of the Hungarian Population Based on the TFEQ-R21 Model

Nutrients ◽

10.3390/nu12113514 ◽

2020 ◽

Vol 12 (11) ◽

pp. 3514

Author(s):

Zoltán Szakály ◽

Bence Kovács ◽

Márk Szakály ◽

Dorka T. Nagy-Pető ◽

Tímea Gál ◽

...

Keyword(s):

Eating Behavior ◽

Emotional Eating ◽

Population Based ◽

Eating Attitudes ◽

Multivariate Statistical ◽

Confirmatory Factor Analyses ◽

Reduction Techniques ◽

Three Factor Eating Questionnaire ◽

And Cluster Analysis ◽

Three Factor

Several theories have emerged to study types of eating behavior leading to obesity, but most of the applied models are mainly related to food choice decisions and food consumer behavior. The purpose of this paper was to examine the eating attitudes of Hungarian consumers by applying the Three-Factor Eating Questionnaire (TFEQ-R21). The national representative questionnaire involved 1000 individuals in Hungary in 2019. Several multivariate statistical techniques were applied for the data analysis: exploratory and confirmatory factor analyses, multivariate data reduction techniques, and cluster analysis. This study successfully managed to distinguish the following factors: emotional eating, uncontrolled eating, and cognitive restraint. By using the factors, five clusters were identified: Uncontrolled Emotional Eaters; Overweight, Uncontrolled Eaters; Controlled, Conscious Eaters; the Uninterested; and the Rejecters; all of these could be addressed by public health policy with individually tailored messages. The empirical results led to rejection of the original Three-Factor Eating Questionnaire (TFEQ-R21), while the TFEQ-R16 model could be validated on a representative sample of adults, for the first time in Hungary.

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Decreased Muscle-to-Fat Mass Ratio Is Associated with Low Muscular Fitness and High Alanine Aminotransferase in Children and Adolescent Boys in Organized Sports Clubs

Journal of Clinical Medicine ◽

10.3390/jcm10112272 ◽

2021 ◽

Vol 10 (11) ◽

pp. 2272

Author(s):

Kai Ushio ◽

Yukio Mikami ◽

Hiromune Obayashi ◽

Hironori Fujishita ◽

Kouki Fukuhara ◽

...

Keyword(s):

Body Composition ◽

Children And Adolescents ◽

Fat Mass ◽

Alanine Aminotransferase ◽

Mass Ratio ◽

Adolescent Boys ◽

Muscular Fitness ◽

Children And Adolescent ◽

Sports Clubs ◽

Fat Mass Ratio

Decreased muscle-to-fat mass ratio (MFR) is associated with pediatric nonalcoholic fatty liver disease (NAFLD) and may reduce muscular fitness. Regular exercise in sports clubs has not led to reductions in obesity in children and adolescents; they may have decreased MFR. Decreased MFR could cause reduced muscular fitness, which may put them at risk for NAFLD development. We investigated whether MFR is related to muscular fitness and serum alanine aminotransferase (ALT), to determine whether MFR could be used to screen for NAFLD in children and adolescent boys belonging to sports clubs. Altogether, 113 participants (aged 7–17 years) who underwent body composition, laboratory, and muscular fitness measurements during a medical checkup were divided into tertiles according to their MFR. Lower extremity muscular fitness values were significantly decreased in the lowest MFR tertile (p < 0.001); conversely, serum ALT levels were significantly increased (p < 0.01). Decreased MFR significantly increased the risk of elevated ALT, which requires screening for NAFLD, after adjusting for age, obesity, muscular fitness parameters, and metabolic risk factors (odds ratio = 8.53, 95% confidence interval = 1.60–45.6, p = 0.012). Physical fitness and body composition assessments, focusing on MFR, can be useful in improving performance and screening for NAFLD in children and adolescents exercising in sports clubs.

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