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

Ignacio Jáuregui-Lobera, Patricia García-Cruz, Rocío Carbonero-Carreño, Alejandro Magallares, Inmaculada Ruiz-Prieto, Ignacio Jáuregui-Lobera, Patricia García-Cruz, Rocío Carbonero-Carreño, Alejandro Magallares, Inmaculada Ruiz-Prieto

Abstract

The aims of this study were to analyze the psychometric properties of the Spanish version of the Three-Factor Eating Questionnaire-R18 (TFEQ-SP), as well as determine its validity by evaluating the relationship of the TFEQ-SP with different parameters related to body mass index, weight perception, perception of physical fitness, self-esteem, and food intake, as well as with weight control-related variables. A total of 281 participants (aged 18.38 ± 6.31) were studied. The factor analysis yielded three factors: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). The internal consistency of the TFEQ-SP was determined by means of Cronbach's α coefficient, with values ranging between 0.75 and 0.87. Higher scores on CR were found in women (p < 0.5), overweight/obese participants (p < 0.001), participants with lower self-esteem (p < 0.05), participants who overestimated their weight (p < 0.001), participants who weighed themselves frequently (p < 0.001) and those who were about to go on a diet (p < 0.001). Higher EE scores were found in participants with lower self-esteem scores (p < 0.05), among participants with a poorer perception of their physical fitness (p < 0.01) and when participants were about to diet (p < 0.05). Higher scores on UE were observed in case of poorer perception of physical fitness (p < 0.05). The validation study of the TFEQ-SP meets the requirements for measuring the three different facets of eating behavior: CR, UE, and EE.

References

    1. De Lauzon B., Romon M., Deschamps V., Lafay L., Borys J.M., Karlsson J., Ducimetière P., Charles M.A., Fleurbaix Laventie Ville Sante Study Group The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. J. Nutr. 2004;134:2372–2380.
    1. Karlsson J., Persson L.O., Sjöström L., Sullivan M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and women. Results from the Swedish Obese Subjects (SOS) study. Int. J. Obesity Relat. Metab. Disord. 2000;24:1715–1725.
    1. Allison D.B., Heshka S. Emotion and eating in obesity? A critical analysis. Int. J. Eat. Disord. 1993;13:289–295. doi: 10.1002/1098-108X(199304)13:3<289::AID-EAT2260130307>;2-X.
    1. Herman C.P., Polivy J. Anxiety, restraint, and eating behavior. J. Abnorm. Psychol. 1975;84:666–672. doi: 10.1037/0021-843X.84.6.666.
    1. Stunkard A.J., Messick S. The Three-Factor Eating Questionnaire to measure dietary restraint, disinhibition and hunger. J. Psychosom. Res. 1985;29:71–83. doi: 10.1016/0022-3999(85)90010-8.
    1. Van Strien T., Frijters J.E.R., Bergers G.P.A., Defares P.B. The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int. J. Eat. Disord. 1986;5:295–315.
    1. Drewnowski A., Almiron-Roig E., Marmonier C., Lluch A. Dietary energy density and body weight: Is there a relationship? Nutr. Rev. 2004;62:403–413. doi: 10.1111/j.1753-4887.2004.tb00012.x.
    1. Hill J.O., Prentice A.M. Sugar and body weight regulation. Am. J. Clin. Nutr. 1995;62:264S–274S.
    1. Schousboe K., Willemsen G., Kyvik K.O., Mortensen J., Boomsma D.I., Cornes B.K., Davis C.J., Fagnani C., Hjelmborg J., Kaprio J., et al. Sex differences inheritability of BMI: A comparative study of results from twin studies in eight countries. Twin Res. 2003;6:409–421. doi: 10.1375/136905203770326411.
    1. Keskitalo K., Silventoinen K., Tuorila H., Perola M., Pietiläinen K.H., Rissanen A., Kaprio J. Genetic and environmental contributions to food use patterns of young adult twins. Physiol. Behav. 2008;93:235–242. doi: 10.1016/j.physbeh.2007.08.025.
    1. Van den Bree M.B., Eaves L.J., Dwyer J.T. Genetic and environmental influences on eating patterns of twins aged ≥50 y. Am. J. Clin. Nutr. 1999;70:456–465.
    1. Keskitalo K., Tuorila H., Spector T.D., Cherkas L.F., Knaapila A., Kaprio J., Silventoinen K., Perola M. The Three-Factor Eating Questionnaire, body mass index, and responses to sweet and salty fatty foods: A twin study of genetic and environmental associations. Am. J. Clin. Nutr. 2008;88:263–271.
    1. Stunkard A., Stellar E. Eating and its disorders. In: Cash T., Pruzinsky T., editors. Body Images. Guilford Press; New York, NY, USA: 1990. pp. 3–20.
    1. Ma Y., Olendzki B.C., Pagoto S.L., Hurley T.G., Magner R.P., Ockene I.S., Schneider K.L., Merriam P.A., Hébert J.R. Number of 24-h diet recalls needed to estimate energy intake. Ann. Epidemiol. 2009;19:553–559. doi: 10.1016/j.annepidem.2009.04.010.
    1. DIAL 1.0 Program for Diets Evaluation and Feeding Data Management. DIAL 1.0 Program for Diets Evaluation and Feeding Data Management. ALCE Ingeniería. Madrid. ALCE Ingeniería. Madrid. 2008. [(accessed on 10 March 2014)]. Available online: .
    1. International Physical Activity Questionnaire (IPAQ) (Short Version) [(accessed on 19 March 2013)]. Available online: .
    1. Rosenberg M. Society and the Adolescent Self-Image. Princeton University Press; Princeton, NJ, USA: 1965.
    1. Vázquez A.J., Jiménez R., Vázquez-Morejón R. Escala de autoestima de Rosenberg: Fiabilidad y validez en población clínica española. Apuntes. Psicol. 2004;22:247–255.
    1. Horn J.L. A rationale and test for the number of factors in factor analysis. Psychometrika. 1965;30:179–185. doi: 10.1007/BF02289447.
    1. Cota A.A., Longman R.S., Holden R.R., Fekken G.C., Xinaris S. Interpolating 95th percentile eigenvalues from random data: An empirical example. Educ. Psychol. Meas. 1993;53:585–596. doi: 10.1177/0013164493053003001.
    1. Glorfeld L.W. An improvement on Horn’s parallel analysis methodology for selecting the correct number of factors to retain. Educ. Psychol. Meas. 1995;55:377–393. doi: 10.1177/0013164495055003002.
    1. Hayton J.C., Allen D.G., Scarpello V.G. Factor retention decisions in exploratory factor analysis: A tutorial on parallel analysis. Organ. Res. Methods. 2004;7:191–205. doi: 10.1177/1094428104263675.
    1. Hyland M.E., Irvine S.H., Thacker C., Dann P.L., Dennis I. Psychometric analysis of the Stunkard-Messick Eating Questionnaire (SMEQ) and comparison with the Dutch Eating Behavior Questionnaire (DEBQ) Curr. Psychol. Res. Rev. 1989;8:228–233. doi: 10.1007/BF02686751.
    1. Ganley R.M. Emotional eating and how it relates to dietary restraint, disinhibition, and perceived hunger. Int. J. Eat. Disord. 1988;7:635–647. doi: 10.1002/1098-108X(198809)7:5<635::AID-EAT2260070507>;2-K.
    1. Bryant E.J., King N.A., Blundell J.E. Disinhibition: Its effect on appetite and weight regulation. Obesity Rev. 2008;9:409–419. doi: 10.1111/j.1467-789X.2007.00426.x.
    1. Grilo C.M., Shiffman S., Wing R.R. Relapse crises and coping among dieters. J. Consult. Clin. Psychol. 1989;57:488–495. doi: 10.1037/0022-006X.57.4.488.
    1. Anglé S., Engblom J., Eriksson T., Kautiainen S., Saha M.T., Lindfors P., Lehtinen M., Rimpelä A. Three Factor Eating Questionnaire-R18 as a measure of cognitive restraint, uncontrolled eating and emotional eating in a sample of young Finnish females. Int. J. Behav. Nutr. Phys. Act. 2009;6:41. doi: 10.1186/1479-5868-6-41.
    1. Elfhag K., Linné Y. Gender differences in associations of eating pathology between mothers and their adolescent offspring. Obesity Res. 2005;13:1070–1076. doi: 10.1038/oby.2005.125.
    1. Provencher V., Drapeau V., Tremblay A., Després J.P., Lemieux S. Eating behaviors and indexes of body composition in men and women from the Québec family study. Obesity Res. 2003;11:783–792. doi: 10.1038/oby.2003.109.
    1. Megalakaki O., Mouveaux M., Hubin-Gayte M., Wypych L. Body image and cognitive restraint are risk factors for obesity in French adolescents. Eat. Weight Disord. 2013;18:289–295. doi: 10.1007/s40519-013-0027-x.
    1. Provencher V., Bégin C., Gagnon-Girouard M.P., Gagnon H.C., Tremblay A., Boivin S., Lemieux S. Defined weight expectations in overweight women: Anthropometrical, psychological and eating hehavioral correlates. Int. J. Obesity (Lond.) 2007;31:1732–1738.
    1. Provencher V., Drapeau V., Tremblay A., Després J.P., Bouchard C., Lemieux S. Québec Family Study. Eating behaviours, dietary profile and body composition according to dieting history in men and women of the Québec Family Study. Br. J. Nutr. 2004;91:997–1004. doi: 10.1079/BJN20041115.
    1. Niemeier H.M., Phelan S., Fava J., Wing R.R. Internal disinhibition predicts weight regain following weight loss and weight loss maintenance. Obesity (Silver Spring) 2007;15:2485–2494. doi: 10.1038/oby.2007.295.
    1. Bryant E.J., Caudwell P., Hopkins M., King N.A., Blundell J.E. Psycho-markers of weight loss. The roles of TEFQ Dishinibition and Restraint in exercise-induced weight management. Appetite. 2012;58:234–241. doi: 10.1016/j.appet.2011.09.006.
    1. Quick V., Loth K., MacLehose R., Linde J.A., Neumark-Sztainer D. Prevalence of adolescents’ self-weighing behaviors and associations with weight-related behaviors and psychological well-being. J. Adolesc. Health. 2013;52:738–744. doi: 10.1016/j.jadohealth.2012.11.016.
    1. Provencher V., Bégin C., Piché M.E., Bergeron J., Corneau L., Weisnagel S.J., Nadeau A., Lemieux S. Disinhibition, as assessed by the Three-Factor Eating Questionnaire, is inversely related to psychological well-being in postmenopausal women. Int. J. Obesity (Lond.) 2007;31:315–320. doi: 10.1038/sj.ijo.0803405.
    1. Fagundo A.B., de la Torre R., Jiménez-Murcia S., Agüera Z., Granero R., Tárrega S., Botella C., Baños R., Fernández-Real J.M., Rodríguez R., et al. Executive functions profile in extreme eating/weight conditions: From anorexia nervosa to obesity. PLoS One. 2012;7:e43382. doi: 10.1371/journal.pone.0043382.
    1. Sundgot-Borgen J., Larsen S. Pathogenic weight-control methods and self-reported eating disorders in female elite athletes and controls. Scand. J. Med. Sci. Sports. 1993;3:150–155. doi: 10.1111/j.1600-0838.1993.tb00379.x.
    1. Fogelholm M., Hiilloskorpi H. Weight and diet concerns in Finnish female and male athletes. Med. Sci. Sports Exerc. 1999;31:229–235. doi: 10.1097/00005768-199902000-00005.
    1. Werner A., Thiel A., Schneider S., Mayer J., Giel K.E., Zipfel S. Weight-control behaviour and weight-concerns in young elite athletes—A systematic review. J. Eat. Disord. 2013;1:18. doi: 10.1186/2050-2974-1-18.
    1. Jáuregui-Lobera I., Estébanez S., Santiago Fernández M.J., Alvarez Bautista E., Garrido O. Coping strategies in eating disorders. Eur. Eat. Disord. Rev. 2009;17:220–226. doi: 10.1002/erv.920.

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