瑞典学龄前儿童肥胖相关的饮食行为模式及其与年龄、性别、相对体重和父母体重的关系——儿童饮食行为问卷的因子验证。

Obesity related eating behaviour patterns in Swedish preschool children and association with age, gender, relative weight and parental weight--factorial validation of the Children's Eating Behaviour Questionnaire.

机构信息

Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Karolinska University Hospital Huddinge, SE 141 86 Stockholm, Sweden.

出版信息

Int J Behav Nutr Phys Act. 2011 Dec 8;8:134. doi: 10.1186/1479-5868-8-134.

DOI:10.1186/1479-5868-8-134

PMID:22152012

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3286377/

Abstract

BACKGROUND

The Children's Eating Behaviour Questionnaire (CEBQ) is a multi-dimensional, parent-reported questionnaire measuring children's eating behaviours related to obesity risk, i.e. 'enjoyment of food', 'food responsiveness', 'slowness in eating' and 'satiety responsiveness'. It has not previously been validated in a Swedish population, neither on children under the age of 2 years. In the present study we examined the factor structure and the reliability of the Swedish version of the CEBQ, for use in an obesity intervention programme targeting preschool children 1-6 years. Further, the associations between eating behaviours and children's age, gender and relative weight (BMI SDS) and parental weight were investigated.

METHODS

Parents to 174 children aged 1-6 years (50% girls, mean age 3.8 years), recruited from five kindergartens in Stockholm, completed the Swedish version of the CEBQ. Data on children's weight and height, parental weight, height and educational level was collected. Children's relative weight was calculated for a subpopulation (mean BMI SDS -0.4, n = 47). Factorial validation (Principal Component Analysis) on all CEBQ items was performed. Differences in eating behaviours by age, gender and parental weight were examined. Correlations between eating behaviours and the child's BMI SDS were analysed controlling for age, gender, parental weight and education in linear regression analyses.

RESULTS

The factor analysis revealed a seven factor solution with good psychometric properties, similar to the original structure. The behaviour scales 'overeating'/'food responsiveness', 'enjoyment of food' and 'emotional undereating' decreased with age and 'food fussiness' increased with age. Eating behaviours did not differ between girls and boys. The children's relative weight was not related to any of the eating behaviours when controlling for age, gender, parental weight and education, and only associated with parental weight status.

CONCLUSIONS

Our results support the use of the CEBQ as a psychometric instrument for assessing children's eating behaviours in Swedish children aged 1-6 years. Measuring obesity related eating behaviours in longitudinal and interventional studies would offer opportunities for studying causal effects of eating behaviours in the development of obesity in children.

摘要

背景

儿童饮食行为问卷（CEBQ）是一种多维的、由家长报告的问卷，用于测量与肥胖风险相关的儿童饮食行为，即“对食物的享受”、“食物反应性”、“进食缓慢”和“饱腹感反应性”。它以前没有在瑞典人群中进行过验证，也没有在 2 岁以下的儿童中进行过验证。在本研究中，我们检验了用于针对 1-6 岁学龄前儿童的肥胖干预计划的瑞典版 CEBQ 的因子结构和可靠性。此外，还研究了饮食行为与儿童年龄、性别和相对体重（BMI SDS）以及父母体重之间的关系。

方法

从斯德哥尔摩的五所幼儿园招募了 174 名 1-6 岁儿童的父母（女孩占 50%，平均年龄 3.8 岁），完成了瑞典版 CEBQ。收集了儿童的体重和身高、父母的体重、身高和教育水平的数据。对亚人群（平均 BMI SDS-0.4，n=47）的儿童相对体重进行了计算。对所有 CEBQ 项目进行了因子验证（主成分分析）。根据年龄、性别和父母体重检查了饮食行为的差异。在校正年龄、性别、父母体重和教育程度后，在线性回归分析中分析了饮食行为与儿童 BMI SDS 之间的相关性。

结果

因子分析显示，具有良好心理测量特性的七因子解决方案与原始结构相似。行为量表“过度进食/食物反应性”、“享受食物”和“情绪性少食”随年龄而降低，而“食物挑剔”随年龄而增加。女孩和男孩的饮食行为没有差异。在校正年龄、性别、父母体重和教育程度后，儿童的相对体重与任何饮食行为都没有关系，仅与父母的体重状况有关。