Quah Phaik Ling, Cheung Yin Bun, Pang Wei Wei, Toh Jia Ying, Saw Seang-Mei, Godfrey Keith M, Yap Fabian, Chong Yap Seng, Mary Chong Foong-Fong
Singapore Institute for Clinical Sciences, Agency for Science, Technology, and Research, Singapore.
Center for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore; Department for International Health, University of Tampere, Finland.
Appetite. 2017 Jun 1;113:100-105. doi: 10.1016/j.appet.2017.02.024. Epub 2017 Feb 20.
The Children's Eating Behaviour Questionnaire (CEBQ) was developed to measure eating behaviors related to obesity risk in children. However, this questionnaire has not been validated for use in South East Asia, where parenting practices are different from those in western countries and child obesity rates are increasing. The aim of this study was to examine the validity of the CEBQ administered to mothers of children aged 3 years in Singapore. Confirmatory factor analysis (CFA) was used to examine if the original 35-item, 8-factor model was supported in our cohort. Participants were 636 mother-child dyads (mean (SD) child age = 36.7 (1.6) months), from the Growing Up in Singapore Towards healthy Outcomes (GUSTO) birth cohort in which the mothers were characterized in pregnancy and children were followed up to age 3 years. The CFA showed a poor model fit; RMSEA = 0.072 (PCLOSE<0.001), SRMR = 0.094, CFI = 0.826, and TLI = 0.805. Exploratory factor analysis revealed a 35 item, 7-factor structure (factor loadings ≥ 0.35): enjoyment of food, food fussiness, emotional overeating, desire to drink, emotional under eating, satiety responsiveness and slowness in eating. Cronbach's alpha estimates ranged from 0.70 to 0.88 for the 7 subscales. Convergent validity tests via correlation analysis revealed that emotional under eating (r = -0.14), slowness in eating (r = -0.16) and satiety responsiveness (r = -0.11) were negatively correlated with BMI z-score at 3 years, while enjoyment of food (r = 0.12) was positively correlated, p < 0.05. In conclusion, we found a revised 7-factor structure of the CEBQ more appropriate for examining eating behavior in 3 year old children in the Singapore setting. Further replication studies in a separate cohort study are warranted before further use of these factor structures generated.
儿童饮食行为问卷（CEBQ）旨在测量与儿童肥胖风险相关的饮食行为。然而，该问卷尚未在东南亚地区进行有效性验证，因为该地区的育儿方式与西方国家不同，且儿童肥胖率正在上升。本研究的目的是检验在新加坡对3岁儿童母亲进行CEBQ测试的有效性。采用验证性因素分析（CFA）来检验我们队列中原始的35项、8因素模型是否成立。研究对象为636对母婴（儿童平均年龄（标准差）=36.7（1.6）个月），来自新加坡健康成长（GUSTO）出生队列，该队列中母亲在孕期被进行特征描述，儿童被随访至3岁。CFA显示模型拟合度较差；RMSEA=0.072（PCLOSE<0.001），SRMR=0.094，CFI=0.826，TLI=0.805。探索性因素分析揭示了一个35项、7因素结构（因素负荷≥0.35）：对食物的喜爱、挑食、情绪化暴饮暴食、饮水欲望、情绪化少食、饱腹感反应和进食速度慢。7个分量表的Cronbach's alpha估计值在0.70至0.88之间。通过相关性分析进行的收敛效度测试表明，情绪化少食（r=-0.14）、进食速度慢（r=-0.16）和饱腹感反应（r=-0.11）与3岁时的BMI z评分呈负相关，而对食物的喜爱（r=0.12）呈正相关，p<0.05。总之，我们发现CEBQ修订后的7因素结构更适合于研究新加坡环境中3岁儿童的饮食行为。在进一步使用这些生成的因素结构之前，有必要在单独的队列研究中进行进一步的重复研究。
