Dissertations / Theses on the topic 'Dutch eating behaviour questionnaire'

The Dutch Eating Behavior Questionnaire is an internationally widely used instrument assessing different eating styles that may contribute to weight gain and overweight: emotional eating, external eating, and restraint. This study aimed to evaluate the psychometric properties of the 30-item German version of the DEBQ including its measurement invariance across gender, age, and BMI-status in a representative German population sample. Furthermore, we examined the distribution of eating styles in the general population and provide population-based norms for DEBQ scales. A representative sample of the German general population (N = 2513, age > 14 years) was assessed with the German version of the DEBQ along with information on sociodemographic characteristics and body weight and height. The German version of the DEQB demonstrates good item characteristics and reliability (restraint: α = .92, emotional eating: α = .94, external eating: α = .89). The 3-factor structure of the DEBQ could be replicated in exploratory and confirmatory factor analyses and results of multi-group confirmatory factor analyses supported its metric and scalar measurement invariance across gender, age, and BMI-status. External eating was the most prevalent eating style in the German general population. Women scored higher on emotional and restrained eating scales than men, and overweight individuals scored higher in all three eating styles compared to normal weight individuals. Small differences across age were found for external eating. Norms were provided according to gender, age, and BMI-status. Our findings suggest that the German version of the DEBQ has good reliability and construct validity, and is suitable to reliably measure eating styles across age, gender, and BMI-status. Furthermore, the results demonstrate a considerable variation of eating styles across gender and BMI-status.

The World Health Organisation ([WHO], 2007) declared obesity as the public health threat of the 21st century. Currently, the Maltese adult population ranks as the heaviest in the Euro‐Mediterranean region. In response to a gap in Maltese research on the area of obesity and food consumption, this PhD aimed to gather local data to unearth behavioural‐psychological factors that could be implemented in local interventions. The focus of the PhD was narrowed to women with families based on literature that has identified motherhood as a salient point of transition that amplifies the weight trajectories for adult women. A mixed‐methods approach guided the methodology of the PhD programme with four studies carried out sequentially in two phases. The findings of the qualitative phase revealed that weight management for Maltese mothers was enmeshed with gender norm expectations surrounding motherhood. For mothers with a higher BMI, their relationship to food was a significant barrier to weight loss maintenance. Mothers with a lower BMI or who maintained their weight pointed at their food planning ability to manage their diet. The quantitative phase extended literature on the dimensional validity of the Dutch Eating Behaviour Questionnaire (DEBQ) (Van Strien et al., 1986) by reproducing its factor structure and ascertaining its reliability among Maltese women. This was the first validation of an eating behaviours assessment tool in Maltese and the first validation of the DEBQ in a Semitic language. Finally, Structured Equation Modelling revealed how food planning could act as a mediator to restrained and external eating styles to increase fruit and vegetable snacking and decrease high calorie snacking. In addition to the implications to theory, it is believed that these findings have worthy practical implications through tailored eating behaviour interventions, by targeting food planning to counterbalance the impact of external eating among Maltese mothers.

Ce travail a pour objectif d'identifier les conduites alimentaires de personnes obèses et normopondérales, grâce a des approches nutritionnelles et psychométriques. Dans un premier temps, une étude de validation en langue française de questionnaires étrangers a été entreprise. Deux outils valides et fiables ont été sélectionnés et utilisés dans des échantillons cliniques de sujets obèses (le Dutch Eating Behaviour Questionnaire DEBQ et le Three-Factor Eating Questionnaire TFEQ) et dans une cohorte familiale recrutée dans un centre de médecine préventive (DEBQ). Les résultats montrent que la restriction alimentaire concerne de nombreuses personnes de tout âge, présentant cependant différents profils de motivations. Chez les femmes, la restriction semble être une caractéristique courante, intégrée à la vie de tous les jours, non exclusivement dépendante de la corpulence et qui se concrétise par une réduction des apports énergétiques. Pour les hommes et les garçons, la surcharge pondérale parait être un facteur de motivation déterminant dans la restriction alimentaire. Les filles ont une position intermédiaire et paraissent adopter le comportement le plus cohérent: plus leur indice pondéral augmente, plus elles se restreignent et moins elles mangent. Néanmoins, certains sujets féminins sans problèmes objectifs de poids ont des scores de restriction élevés. Or, quand elle est associée à de hauts niveaux d'émotivité, la restriction peut augmenter le risque de survenue d'anomalies du comportement alimentaire, se traduisant par une augmentation des apports énergétiques. De plus, la restriction accentue le déséquilibre nutritionnel de la ration énergétique. Les résultats de cette thèse soulignent l'importance de l'analyse des conduites alimentaires et devraient contribuer à personnaliser les stratégies thérapeutiques et préventives dans l'obésité humaine

The Three-Factor-Eating-Questionnaire (TFEQ) is an established instrument to assess eating behaviour. Analysis of the TFEQ-factor structure was based on selected, convenient and clinical samples so far. Aims of this study were (I) to analyse the factor structure of the German version of the TFEQ and (II)—based on the refined factor structure—to examine the association between eating behaviour and the body mass index (BMI) in a general population sample of 3,144 middle-aged and older participants (40–79 years) of the ongoing population based cohort study of the Leipzig Research Center for Civilization Diseases (LIFE Health Study). The factor structure was examined in a split-half analysis with both explorative and confirmatory factor analysis. Associations between TFEQ-scores and BMI values were tested with multiple regression analyses controlled for age, gender, and education. We found a three factor solution for the TFEQ with an ‘uncontrolled eating’, a ‘cognitive restraint’ and an ‘emotional eating’ domain including 29 of the original 51 TFEQ-items. Scores of the ‘uncontrolled eating domain’ showed the strongest correlation with BMI values (partial r = 0.26). Subjects with scores above the median in both ‘uncontrolled eating’ and ‘emotional eating’ showed the highest BMI values (mean = 29.41 kg/m²), subjects with scores below the median in all three domains showed the lowest BMI values (mean = 25.68 kg/m²; F = 72.074, p<0.001). Our findings suggest that the TFEQ is suitable to identify subjects with specific patterns of eating behaviour that are associated with higher BMI values.

A substantial percentage of the UK population are overweight or obese, and research indicates that behaviours associated with energy intake rather than expenditure account for this weight gain. Aberrant eating behaviours have been associated with disturbances in peripheral signals of hunger and satiety, but it is not yet clear if these mechanisms underlie individual differences in appetite control. Thus, the objective of this thesis was to identify healthy weight adults who were likely to overeat (scoring high on the TFEQ-disinhibition scale) or eat less than desired (scoring high on the TFEQ-restraint scale), and to examine the eating behaviours and peripheral appetite signals associated with these eating styles. Experiments 1 and 2 confirmed that TFEQ-disinhibition predicts overeating and indicated that this overeating was dependent on physiological context. Furthermore, these studies suggested that TFEQ-restraint was a weak predictor of energy intake, and had no impact on the overeating associated with TFEQ-disinhibition. Consequently, Experiments 3 and 4 examined whether the TFEQ-disinhibition and TFEQ-restraint eating styles were associated with disturbances in leptin, ghrelin and PYY3-36, peripheral peptides that influence the experience of appetite. Together, these Experiments indicated that TFEQ-restraint predicts low fasting levels of PYY3-36 and that TFEQ-disinhibition predicts low post-meal leptin levels, suggesting that both these eating styles are related to weak signals of satiety. Furthermore, the interaction of TFEQ-restraint and TFEQ-disinhibition predicted post-meal ghrelin levels, with individuals scoring low on both the TFEQ-restraint and TFEQ-disinhibition scales having low post-meal levels of ghrelin, which is associated with weak hunger signals. Experiment 5 was designed to determine the real-world eating styles associated with TFEQ-restraint and TFEQ-disinhibition. This food diary study provided some evidence that TFEQ-restraint and TFEQ-disinhibition predicted patterns of energy intake, implying that the physiological findings from Experiment 3 and 4 reflected differences in habitual eating patterns. Alternately, it is equally as likely that the physiology associated with the TFEQ determined the inter-individual differences in eating styles. Further work is required to validate these interpretations.

Introduction: Currently, 1 in 7 children are classified as obese, which represents an obesity rate two times higher than that of the last 25 years. Part of the solution to address the positive energy balance underlying weight gain is to target the specific eating behaviours and factors that lead to food intake. One widely used tool to measure eating behaviour is the Three-Factor Eating Questionnaire (TFEQ). Objective: The primary objective of this study was to validate scores of the 21-item Child version of the Three-Factor Eating Questionnaire (TFEQ-R21 C), by examining validity evidence and reliability of TFEQ-R21 C responses in a sample of Canadian children and adolescents. The secondary aim was to examine the associations between the TFEQ-R21 C factors and body mass index (BMI) z-scores and food/taste preferences. Methods: The participants consisted of a sample of 158 children, 63 boys (mean age: 11.5 ± 1.6 years) and 95 girls (mean age: 11.9 ± 1.9 years), recruited from English schools in the Ottawa area. To assess eating behaviour, participants filled out the TFEQ-R21 C, the Power of Food Scale, and the Leeds Food Preference Questionnaire. Height and weight measurements were taken using a stadiometer and a digital scale. An exploratory factor analysis with oblique rotation and an item analysis were conducted to determine the factor structure and validity of the questionnaire. A median split on Cognitive Restraint (CR), Internal Uncontrolled Eating (UE 1), External Uncontrolled Eating (UE 2), and Emotional Eating (EE) was used to dichotomize factor-based scores into high and low categories for each factor, to allow for group comparisons. Bivariate correlations explored relationships between weight, BMI and BMI z-score, and food and taste preference, by sex and age group. To determine if BMI, BMI z-scores, and food/taste preferences were associated with factor scores of the TFEQ-R21 C, two-way ANOVAs were conducted. Results: The exploratory factor analysis replicated the Emotional Eating (EE) and Cognitive Restraint (CR) scales of the original TFEQ-R21, whereas the global factor of Uncontrolled Eating (UE) produced two subscales: Internal Uncontrolled Eating (UE 1) and External Uncontrolled Eating (UE 2). Item 17 did not load onto any of the factors and was subsequently removed. The four-factor model, with item 17 removed (FFEQ-R21 C: 20-item Child version Four-Factor Eating Questionnaire), accounted for 41.2% of the common variance in the data and showed good internal consistency (α= 0.81). The factors of UE 1 (r= 0.27, p<0.001), UE 2 (r= 0.36, p<0.0001), and CR (r= 0.20, p= 0.04) correlated significantly with EE. Younger children reported higher UE 1 scores [F(1,143)= 3.99, p=0.048, f2= 0.028] and CR scores [F(1,143)= 3.99, p= 0.001, f2= 0.089]. Boys who reported a high UE 1 scores had a significantly higher weight [F(1,58)= 6.44, p=0.014, f2= 0.117 ] and BMI z-scores [F(1,58)= 4.45, p=0.039, f2=0.083], compared to those who reported low UE 1 scores. Children with overweight or obesity [F(1,143)= 2.75, p<0.001. f2= 0.035] reported higher EE scores, compared to children of normal weight. Children with high UE 1 scores reported greater preference for high protein and fat foods, and high fat savoury (HFSA) and high fat sweet (HFSW) foods, compared to those with low UE 1 scores. Higher preference for high protein, fat, and carbohydrate foods, and HFSA, HFSW, and low fat savoury foods (LFSA) foods was found in children with high UE 2 scores, compared to those with low UR 2 scores. Children and adolescents with low CR scores reported greater preference for high protein, carbohydrate, and fat foods, compared to those who reported high CR scores. Discussion: This study showed adequate reliability and validity evidence of the TFEQ-R21 C scores, and that the questionnaire is best represented by a 20-item four-factor model in our sample. The FFEQ-R21 C was able to identify relevant eating behaviour traits associated with higher BMI z-scores and food preferences in both sexes and age groups, which were mainly in accordance with previous findings in children and adolescents. These results support the utility of the questionnaire for the assessment and identification of problematic eating behaviour and food preferences in the Canadian pediatric population. Younger children reported higher influence of the psychological constructs of eating behaviour (CR, UE 1, UE 2, and EE), compared to older children. This study provides preliminary evidence that FFEQ-R20 is a reliable and valid self-report tool to measure eating behaviour in children and adolescents to characterize those at higher risk for excess weight. However, further research is needed to examine the validity of the questionnaire in larger samples and in other geographical locations across Canada, as well as the inclusion of extraneous variables such as parental eating behaviour, socioeconomic status, and physical activity levels.

碩士
東吳大學
心理學系
105
Eating behavior is critical for obesity. The Dutch Eating Behavior Questionnaire (DEBQ) is a common tool for eating behavior assessment. In Taiwan, DEBQ is employed to assess eating behavior of children and teenagers. However, the reliability and validity of DEBQ for Taiwanese adults eating behavior assessment are unclear. This study explored the reliability and validity of the DEBQ for assessing on the adults in Taiwan. The DEBQ was used to identify the eating behavior of adults with normal weight, obesity, and those who undergo bariatric surgery. A total of 579 Taiwanese adults were recruited as the participants and divided into normal weight and obesity groups according to the Body Mass Index (BMI) cutoff points (BMI  27.5 kg/m2) for Asian populations defined by the World Health Organization. 53 bariatric surgery outpatients from a weight management center in a regional teaching hospital in Taipei City were recruited and divided into emotional and external eating groups. The results revealed that the DEBQ presented favorable internal consistency reliability and test-retest reliability when applied to Taiwanese adults. However, the results of exploratory factor analysis and confirmatory factor analysis were not ideal. Compared with the groups with normal weight and obesity, the group undergoing bariatric surgery exhibited a significantly higher restrictive eating behavior and significantly lower external eating behavior; nevertheless, no significant difference was observed in emotional eating behavior. The findings of this study may provide a guide for further research on clinical application.

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Over the past 30 years, the understanding of eating behaviour has been dominated by the concept of dietary restraint. However, the development of the Three Factor Eating Questionnaire introduced two other factors, Disinhibition and Hunger, which have not received as much recognition in the literature. The objective of this review was to explore the relationship of the Disinhibition factor with weight regulation, food choice and eating disorders, and to consider its aetiology. The review indicates that Disinhibition is an important eating behaviour trait. It is associated not only with a higher body mass index and obesity, but also with mediating variables, such as less healthful food choices, which contribute to overweight/obesity and poorer health. Disinhibition is also implicated in eating disorders and contributes to eating disorder severity. It has been demonstrated that Disinhibition is predictive of poorer success at weight loss, and of weight regain after weight loss regimes and is associated with lower self-esteem, low physical activity and poor psychological health. Disinhibition therefore emerges as an important and dynamic trait, with influences that go beyond eating behaviour and incorporate other behaviours which contribute to weight regulation and obesity. The characteristics of Disinhibition itself therefore reflect many components representative of a thrifty type of physiology. We propose that the trait of Disinhibition be more appropriately renamed as ¿opportunistic eating¿ or ¿thrifty behaviour¿.

Yes
Objective: To examine score validity and reliability of a Child version of the 21-item Three-Factor Eating Questionnaire (CTFEQ-R21) in a sample of Canadian children and adolescents and its relationship with body mass index (BMI) z-scores and food/taste preferences. Design: Cross-sectional study. Setting: School-based. Subjects: 158 children, 63 boys (11.5±1.6 years) and 95 girls (11.9±1.9 years). Results: The 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) and accounted for 41.2% of the total common variance, with good scale reliability. ANOVAs revealed that younger children reported higher UE 1 scores and CR scores compared to 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: This study suggests that the CFFEQ-R20 can be used to measure eating behaviour traits and associations with BMI z-scores and food/taste preferences in Canadian children and adolescents. Future research is needed to examine the validity of the questionnaire in larger samples and in other geographical locations, as well as the inclusion of extraneous variables such as parental eating or socio-economic status.

yes
Eating behaviour traits, namely Disinhibition and Restraint, have the potential to exert an effect on food intake and energy balance. The effectiveness of exercise as a method of weight management could be influenced by these traits. Fifty eight overweight and obese participants completed 12-weeks of supervised exercise. Each participant was prescribed supervised exercise based on an expenditure of 500 kcal/session, 5 d/week for 12-weeks. Following 12-weeks of exercise there was a significant reduction in mean body weight ( 3.26 ± 3.63 kg), fat mass (FM: 3.26 ± 2.64 kg), BMI ( 1.16 ± 1.17 kg/m2) and waist circumference (WC: 5.0 ± 3.23 cm). Regression analyses revealed a higher baseline Disinhibition score was associated with a greater reduction in BMI and WC, while Internal Disinhibition was associated with a larger decrease in weight, %FM and WC. Neither baseline Restraint or Hunger were associated with any of the anthropometric markers at baseline or after 12-weeks. Furthermore, after 12-weeks of exercise, a decrease in Disinhibition and increase in Restraint were associated with a greater reduction in WC, whereas only Restraint was associated with a decrease in weight. Post-hoc analysis of the sub-factors revealed a decrease in External Disinhibition and increase in Flexible Restraint were associated with weight loss. However, an increase in Rigid Restraint was associated with a reduction in %FM and WC. These findings suggest that exercise-induced weight loss is more marked in individuals with a high level of Disinhibition. These data demonstrate the important roles that Disinhibition and Restraint play in the relationship between exercise and energy balance.
BBSRC

yes
An increase in obesity is usually accompanied by an increase in eating disturbances. Susceptibility to these states may arise from different combinations of underlying traits: Three Factor Eating Questionnaire (TFEQ) Restraint and Disinhibition. Two studies were conducted to examine the interaction between these traits; one on-line study (n=351) and one laboratory-based study (n=120). Participants completed a battery of questionnaires and provided self-report measures of body weight and physical activity. A combination of high Disinhibition and high Restraint was associated with a problematic eating behaviour profile (EAT-26), and a higher rate of smoking and alcohol consumption. A combination of high Disinhibition and low Restraint was associated with a higher susceptibility to weight gain and a higher sedentary behaviour. These data show that different combinations of Disinhibition and Restraint are associated with distinct weight and behaviour outcomes.

Objectives: To investigate factors influencing consumption of traditional foods (e.g., wild game, fish) and concerns about environmental contaminants among schoolchildren of the Mushkegowuk Territory First Nations (Moose Factory, Fort Albany, Kashechewan, Attawapiskat, and Peawanuck). Study Design: Cross-sectional data collection from a Web-based Eating Behaviour Questionnaire (WEB-Q). Methods: Schoolchildren in grades 6-12 (n = 262) responded to four of the WEB-Q questions: (1) Do you eat game? (2) How often do you eat game? (3) How concerned are you about the environmental contaminants in the wild game and fish that you eat? (4) I would eat more game if...[ six response options]. Data were collected from 2004-2009. Hierarchical log-linear modelling (LLM) was used for analyses of multi-way frequency data. Results: Of the school children answering the specific questions: 174 consumed game; 95 reported concerns about contaminants in game; and 84 would increase their game consumption if it were more available in their homes. LLM revealed significant differences between communities; schoolchildren in Moose Factory consumed game ???rarely or never??? at greater than expected frequency, and fewer than expected consumed game ???at least once a day.??? Schoolchildren in Kashechewan had greater frequency of daily game consumption and few were concerned about contaminants in game. Using LLM, we found that sex was an insignificant variable and did not affect game consumption frequency or environmental contaminant concern. Conclusion: The decreasing importance of the traditional diet was most evident in Moose Factory, possibly due to its more southerly location relative to the other First Nations examined.