• Toward a Romanian version of the Three Factor Eating Questionnaire–R21 for children and adolescents (CTFEQr21): Preliminary psychometric analysis and relation with body composition

      Steff, M.; Verney, J.; Marinau, M.; Perte, S.; Pereira, B.; Bryant, Eleanor J.; Drapeau, V.; Chaput, J.P.; Courteix, D.; Thivel, D. (2019)
      Purpose. The aim of this study was to develop and validate a Romanian version of the three factor eating questionnaire-r21 for children and adolescents (ctfeqr21), and to assess its psychometric properties and factor structure. Associations between this version of the ctfeqr21 and anthropometric measures as well as body composition were also examined. Design and methods. 153 children and adolescents (68 boys and 95 girls; 10.8 ± 3.5 years) took part in this study (bmi of 17.7 ± 3.1 kg/m²). The participants were first interviewed to ascertain their understanding of the ctfeq-r21 and were then asked to self-complete the questionnaire. Height and weight were measured and body composition assessed using bio impedance analyzers (Tanita MC 780). Results. The CTFEQr21 showed satisfactory internal consistency (cronbach’s α=0.78). Cronbach’s alpha coefficients were 0.55 for CR, 0.75 for UE, and 0.76 for EE separately. UE and EE were found to be significantly correlated (r=0.54, p<0.05). The three factors explained 43% of the total variance. Correlation between CR, UE and EE with body weight, BMI and FFM were significant but low to moderate with coefficients ranging from 0.20 to 0.37. The higher the CR, UE and EE tertiles, the higher the weight, fat mass (kg) and fat-free mass values. Conclusions. According to the psychometric analysis of the questionnaire, the proposed version of the CTFEQr21 proposed here is a satisfactory tool to assess eating behaviors in Romanian child population that remains to be further developed.
    • Validation of a child version of the three-factor eating questionnaire in a Canadian sample - a psychometric tool for the evaluation of eating behaviour

      Yabsley, J.; Gunnell, K.E.; Bryant, Eleanor J.; Drapeau, V.; Thivel, D.; Adamo, K.B.; Chaput, J-P. (2019-03)
      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.