Karolinska Institutet, Department of Clinical Science, Intervention and Technology, Division of Pediatrics, Karolinska University Hospital Huddinge, SE 141 86 Stockholm, Sweden.
Int J Behav Nutr Phys Act. 2012 Jan 24;9:5. doi: 10.1186/1479-5868-9-5.
Eating behaviours have been suggested relating to obesity development. The Children's Eating Behaviour Questionnaire (CEBQ) is a parent-report measure constructed to assess multiple dimensions of eating behavior for children. This study aimed to test the validity of the Chinese version of Children's Eating Behaviour Questionnaire (CEBQ) in Chinese children aged 12-18 months. We examined factor structure and the reliability of the Chinese version of the CEBQ, the associations between children's eating behaviours and children's weight (BMI SDS) were assessed.
219 questionnaires were filled out by the caregivers, approached in community health care centers in two cities in China. BMI of each child was calculated and converted to BMI SDS. Factor validation (Principal Component Analysis, exploratory factor analysis) on all CEBQ items was performed and gender difference in eating behaviours was examined. Correlations between eating behaviours and the child's BMI SDS were analyzed by linear regression analysis controlling for gender, parental combined weight, and education.
The factor analysis revealed a seven-factor solution, with factor 'food responsiveness' (FR) split into two. 'Satiety responsiveness' (SR) and 'Enjoyment of food' (EF) factors were not detected. Interestingly, boys scored higher than girls in the FR scales, whereas girls had a higher score in 'food fussiness' (FF) scale.
We conclude that although a valuable psychometric instrument, CEBQ might be affected by age and cultural differences. Therefore, adjusting it in order to fit the Chinese population was suggested. We did not find an association between eating behaviours and children's BMI SDS, when it was controlled for gender and parental weight.
饮食习惯被认为与肥胖的发展有关。儿童饮食行为问卷（CEBQ）是一种家长报告式的测量工具，用于评估儿童多种饮食行为维度。本研究旨在检验适用于 12-18 个月中国儿童的儿童饮食行为问卷（CEBQ）中文版的有效性。我们检验了中文版 CEBQ 的结构效度和信度，评估了儿童饮食行为与儿童体重（BMI SDS）之间的关系。
在两个中国城市的社区卫生保健中心，由 219 名照顾者填写问卷。计算每个孩子的 BMI 并转换为 BMI SDS。对所有 CEBQ 项目进行因子验证（主成分分析、探索性因子分析），并检验了饮食行为的性别差异。通过线性回归分析控制性别、父母合并体重和教育水平，分析饮食行为与儿童 BMI SDS 之间的相关性。
因子分析显示出 7 个因子的解决方案，其中“食物反应”（FR）因子分为两个。“饱腹感反应”（SR）和“对食物的享受”（EF）因子未被检测到。有趣的是，男孩在 FR 量表上的得分高于女孩，而女孩在“对食物挑剔”（FF）量表上的得分较高。
我们得出结论，尽管 CEBQ 是一种有价值的心理计量工具，但它可能受到年龄和文化差异的影响。因此，建议对其进行调整以适应中国人群。当控制性别和父母体重时，我们没有发现饮食行为与儿童 BMI SDS 之间存在关联。
