Abstract

Citation

Yabsley JL, Gunnell KE, Bryant EJ, Drapeau V, Thivel D, Adamo KB, Chaput JP. Validation of a child version of the Three-Factor Eating Questionnaire in a Canadian sample: a psychometric tool for the evaluation of eating behaviour. Public Health Nutr 2018 Dec 27: 1-13. Epub 2018 Dec 27.

Abstract

OBJECTIVE: To 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. DESIGN: Cross-sectional study. SETTING: School-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). RESULTS: Exploratory 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. CONCLUSIONS: The 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.

Full Text

The full text is available at https://dx.doi.org/10.1017/S136898001800349X

At A Glance

Individual Dietary Behavior Variables

Behavior
Restraint/Disinhibition
Emotional Eating

Domain(s)

Individual Dietary Behavior

Measure Type

Questionnaire

Measure Availability

Measure included in article

Number of Items

21 Reported

Study location

Not Reported

Ottawa, Canada

Languages

English

Information about Development of Measure

The child version of the Three-Factor Eating Questionnaire (CTFEQR21) is based on the adult version of the questionnaire, modified for children and adolescents. The CTFEQ-R21 was designed to measure three eating behaviors: cognitive restraint, uncontrolled eating, emotional eating.

Study Design

Study Participants

Age

6 - 11 Years

12 - 18 Years

Sex

Female

Male

Race/Ethnicity

Not reported

Predominantly Low-income/Low-SES

Not reported

Sample Size

158

Study Design

Design Type

Instrument/Method Development Without Validation/Reliability

Health Outcomes Assessed

None

Obesity Measures

BMI Z-score

BMI Measured or Self-reported

Measured height

Measured weight

Covariates

Not reported

Data Reported on Race/Ethnicity

Not applicable

Data Reported on SES

Not applicable

SES-related Variables

Not applicable

How To Use

Administration

Who Administered

Self-administered

How Administered

In-person

Time Required

20 to 25 minutes

Training Required

Yes, time not reported

Instructions on Use

Instructions on instrument use included in article

Data Analysis

Data Collection/Analysis Costs

Not reported

Data Collection/Protocol

The study was conducted on one single occasion in the classroom at the school, between nine and eleven o'clock in the morning to reduce the effects of appetite on self-reported eating behavior traits and food preferences. Participants were asked to self-complete two short questionnaires, and received verbal and written instructions on how to complete the questionnaires.

Instructions on Data Analysis

Instructions on analysis included in article

Validity (0)

There are no validity tests reported for this measure.

Reliability (0)

There are no reliability tests reported for this measure.