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
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
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DOI：
10.1016/j.physbeh.2016.08.015
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发表时间：
2016-10-15
影响因子：
2.9
通讯作者：
Ara, I.
中科院分区：
文献类型：
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作者：
Martin-Garcia, M.;Vila-Maldonado, S.;Ara, I.
目的：本研究的主要目的是评估21项三因素进食问卷西班牙语版在儿童青少年中的因素结构和信度，分析进食行为、身体成分与心血管健康状况之间的关系。研究对象：参加本次研究的儿童青少年有192人，其中男103人，年龄8.8~16.8岁，体重指数13.2~41.1 kg/m(2)。测量：身体成分(DXA)、人体测量学(体质量、身高和体重指数)、心血管健康(自行车功率仪增量测试)和进食行为(TFEQ-R21C)。结果：验证性因素分析证实了原TFEQ-R21的三个因素：不受控制的进食(谎言)、情绪进食(EE)和认知约束(CR)。问卷的内部一致性信度(克朗巴赫α系数)为0.73。体重指数(F-2，F-189=3.5，p=0.032)和总脂肪质量(F-2，F-189=3.6，p=0.029)差异有统计学意义(得分最低的儿童体重指数和脂肪质量也较低)。心血管健康状况(通过相对VO2峰值来衡量)因测谎和CR评分而异。“健康”组(体重正常且相对VO2峰值最高者)的CR(F-3，F-160=3.07，p=0.030)和UE(F-3，F-165=3.86，p=0.011)显著低于“不健康”组(体重不正常，相对VO2峰值也不够高)。结论：根据问卷的心理测量学分析，TFEQ-R21C是评估西班牙儿童饮食行为的有效工具。有必要进行进一步的研究，以了解饮食行为与其他与健康有关的行为之间的联系，如体力活动、时间或心血管健身。(C)2016 Elsevier Inc.保留所有权利。
Objective: The main purpose of the present study is to assess the factor structure and reliability of the Spanish version of the 21-item Three Factor Eating Questionnaire (TFEQ-R21C) in children and adolescents and to analyze the relationships between eating behaviors, body composition and cardiovascular fitness.Subjects: A total of 192 children and adolescents took part in this study (89 boys and 103 girls; aged from 8.8 to 16.8 years old and with body mass index (BMI) ranging from 13.2 to 41.1 kg/m(2)). None of them had either a history of psychological or eating disorders.Measurements: Body composition (dual-energy X-ray absorptiometry-DXA), anthropometrics (body mass, height and BMI), cardiovascular fitness (cyclo-ergometer incremental test) and eating behaviors (TFEQ-R21C) were determined in all participants.Results: The confirmatory factor analysis corroborated the same three factors of the original TFEQ-R21: Uncontrolled Eating (LIE), Emotional Eating (EE) and Cognitive Restraint (CR). The internal-consistency reliability (Cronbach's alpha coefficient) for the questionnaire was 0.73. Significant differences were found in BMI (F-2,F-189 = 3.50, p = 0.032) and total fat mass (TFM) (F-2,F-189 = 3.60, p = 0.029) between tertiles of the CR scale (children who had the lowest scores, also had lower BMI and fat mass). Cardiovascular fitness (measured by relative VO2 peak) differs depending on the LIE and CR scores. The "healthy" group (those who were normal-weight and had also the highest relative VO2 peak) showed a significant lower CR (F-3,F-160 = 3.07, p = 0.030) and higher UE (F-3,F-165 = 3.86, p = 0.011) than the "unhealthy" group (those who were neither normal-weight nor had adequate relative VO2 peak).Conclusions: According to the psychometric analysis of the questionnaire, the TFEQ-R21C is a valid and useful tool to assess eating behaviors in Spanish child population. Further research is necessary to understand the links between eating behaviors and other health-related behaviors such as physical activity time or cardiovascular fitness. (C) 2016 Elsevier Inc. All rights reserved.