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巴西男性和女性中肌肉量导向饮食测试的效度及测量不变性

Validation and measurement invariance of the Muscularity-Oriented Eating Test among Brazilian men and women.

作者信息

de Carvalho Pedro Henrique Berbert, Bagolin Vitoria, Junqueira Alessandra Costa Pereira, Nagata Jason M, Cattle Chloe J, Murray Stuart B, Compte Emilio J, Costa Telma Maria Braga, Almeida Sebastião Sousa, Laus Maria Fernanda

机构信息

NICTA, Body Image and Eating Disorders Research Group, Federal University of Juiz de Fora, Governador Valadares, Brazil.

AMBULIM, Eating Disorders Program, Institute of Psychiatry, University of São Paulo, São Paulo, Brazil.

出版信息

Int J Eat Disord. 2023 Apr;56(4):708-720. doi: 10.1002/eat.23702. Epub 2022 Mar 12.

Abstract

OBJECTIVE

The Muscularity-Oriented Eating Test (MOET) is a 15-item unidimensional scale, designed to assess eating practices that occur in the pursuit of a muscular body. The aim of the present study was to describe the translation and cultural adaptation of the MOET to Brazilian Portuguese, to explore its factor structure and measurement invariance, and to evaluate its internal consistency, three-week test-retest reliability, and convergent validity in a community sample of Brazilian men and women.

METHOD

After the back-translation procedure, the Brazilian MOET was administered online to a sample of 1246 adults (634 men and 612 women), along with measures of drive for muscularity, muscle dysmorphia symptoms, muscular/athletic-ideal internalization, disordered eating behaviors, and exercise dependence.

RESULTS

Findings from an exploratory factor analysis and a confirmatory factor analysis revealed a one-factor structure and adequate internal consistency for men (ω = 0.86; α = 0.86) and women (ω = .84; α = .83). Measurement invariance across gender was supported. In addition, the scale demonstrated good three week test-retest reliability for both men (ICC = .96; p < .001) and women (ICC = .92; p < .001), and the subscales revealed moderate to large associations with drive for muscularity, muscle dysmorphia symptoms, muscular/athletic-ideal internalization, disordered eating, and exercise dependence.

CONCLUSION

This study supports the validity and reliability of the MOET in a community sample of Brazilian men and women and represents an advance in measures of muscularity-oriented disordered eating in Brazilian adults, allowing for future cross-cultural studies in this field.

PUBLIC SIGNIFICANCE

The Muscularity-Oriented Eating Test (MOET) is a measure of muscularity-oriented disordered eating, which assess strict adherence to diet rules, including the food's macronutrient content, regulation of protein intake, and eating less or more to influence muscle gain. This study evaluated the validity and reliability of the MOET in a community sample of Brazilian men and women. Our findings represent an advance in measures of muscularity-oriented disordered eating in Brazilian adults.

摘要

目的

以肌肉量为导向的饮食测试(MOET)是一个包含15个条目的单维量表,旨在评估为追求肌肉体型而出现的饮食行为。本研究的目的是描述MOET翻译成巴西葡萄牙语并进行文化调适的过程,探讨其因子结构和测量不变性,并评估其在巴西男性和女性社区样本中的内部一致性、为期三周的重测信度和收敛效度。

方法

经过回译程序后,巴西版MOET通过在线方式施测于1246名成年人样本(634名男性和612名女性),同时还测量了对肌肉量的追求、肌肉畸形症状、肌肉/运动理想内化、饮食紊乱行为和运动依赖。

结果

探索性因子分析和验证性因子分析的结果显示,该量表具有单因子结构,男性(ω = 0.86;α = 0.86)和女性(ω = 0.84;α = 0.83)的内部一致性良好。支持跨性别测量不变性。此外,该量表对男性(组内相关系数ICC = 0.96;p < 0.001)和女性(ICC = 0.92;p < 0.001)均显示出良好的三周重测信度,且各分量表与对肌肉量的追求、肌肉畸形症状、肌肉/运动理想内化、饮食紊乱和运动依赖之间呈现出中度到高度的相关性。

结论

本研究支持MOET在巴西男性和女性社区样本中的效度和信度,代表了巴西成年人以肌肉量为导向的饮食紊乱测量方法的一项进展,有助于该领域未来的跨文化研究。

公共意义

以肌肉量为导向的饮食测试(MOET)是一种以肌肉量为导向的饮食紊乱测量方法,用于评估对饮食规则的严格遵守情况,包括食物的宏量营养素含量、蛋白质摄入量的调节以及为影响肌肉增长而少吃或多吃的情况。本研究评估了MOET在巴西男性和女性社区样本中的效度和信度。我们的研究结果代表了巴西成年人以肌肉量为导向的饮食紊乱测量方法的一项进展。

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