Jimeno-Martínez Andrea, Maneschy Ivie, Moreno Luis A, Bueno-Lozano Gloria, De Miguel-Etayo Pilar, Flores-Rojas Katherine, Jurado-Castro Jose Manuel, de Lamas Carmela, Vázquez-Cobela Rocio, Martinez-Lacruz Raúl, Portoles Olga, Martínez J Alfredo, Navas-Carretero Santiago, Schröder Helmut, Fitó Montserrat, Babio Nancy, Salas-Salvadó Jordi, Leis Rosaura, Gil-Campos Mercedes, Rupérez Azahara I
Growth, Exercise, NUtrition and Development (GENUD) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Instituto Agroalimentario de Aragón (IA2) and Instituto de Investigación Sanitaria de Aragón (IIS Aragón), Zaragoza, Spain.
Consorcio CIBER, M.P. Fisiopatología de la Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (ISCIII), Madrid, Spain.
Front Psychol. 2022 May 4;13:705912. doi: 10.3389/fpsyg.2022.705912. eCollection 2022.
Eating behavior is often established during the first years of life. Therefore, it is important to make a research on it to understand the relationships that children have with food and how this can contribute to prevent the development of childhood obesity. An appropriate assessment of eating behavior can be achieved using the "Child Eating Behavior Questionnaire" (CEBQ). This questionnaire has been validated in several populations and languages, but it has never been translated, adapted, and validated for Spanish children.
To evaluate the reliability and internal consistency of the CEBQ questionnaire, culturally adapted and translated into Spanish (Spain), in Spanish families with children aged 3 to 6 years, as well as its association with children's body mass index (BMI) to test its construct validity.
Children between 3 and 6 years old were recruited from the ongoing MELI-POP randomized controlled clinical trial, as well as from public schools located in middle class neighborhoods of Zaragoza, Spain, to complete the sample. Sociodemographic characteristics and anthropometric measures were obtained according to standardized methods. The 35-item CEBQ questionnaire was completed twice with a time difference of 3 weeks between each response. Statistical analyses included the evaluation of internal consistency and reliability of the questionnaire, a confirmatory factor analysis, and the association between the different CEBQ scales and the children's BMI.
A total of 197 children completed variables; 97 of them were boys (49.2%) and 100 girls (50.8%). Mean age of the total sample was 4.7 ± 0.9 years. There was a high test-re-test reliability of the questionnaire with values close to 1, with an average of 0.66 and a good internal consistency (Cronbach alpha with values above 0.7), so that a high reliability is established between the items in each scale. A gradual positive association was found between the score of different "pro-intake" scales of the CEBQ: "Food Responsiveness," "Emotional Overeating," and "Enjoyment of food" and the children's BMI; at the opposite, negative associations were observed between BMI and the score of anti-intake scales "Satiety Responsiveness," "Slowness in Eating," and "Emotional Undereating."
The Spanish version of the CEBQ is a useful tool to assess the eating behavior of Spanish children because the high reliability and internal validity. There is a significant association between eating behavior and BMI in Spanish children.
饮食行为通常在生命的最初几年形成。因此，对其进行研究以了解儿童与食物的关系以及这如何有助于预防儿童肥胖的发展非常重要。使用“儿童饮食行为问卷”（CEBQ）可以对饮食行为进行适当评估。该问卷已在多个群体和语言中得到验证，但从未针对西班牙儿童进行翻译、改编和验证。
评估经过文化适应并翻译成西班牙语（西班牙）的CEBQ问卷在3至6岁西班牙儿童家庭中的信度和内部一致性，以及其与儿童体重指数（BMI）的关联，以检验其结构效度。
从正在进行的MELI-POP随机对照临床试验以及西班牙萨拉戈萨中产阶级社区的公立学校招募3至6岁的儿童以完成样本。根据标准化方法获取社会人口统计学特征和人体测量指标。35项CEBQ问卷分两次完成，每次回答之间间隔3周。统计分析包括问卷的内部一致性和信度评估、验证性因素分析以及不同CEBQ量表与儿童BMI之间的关联。
共有197名儿童完成了各项变量；其中97名是男孩（49.2%），100名是女孩（50.8%）。总样本的平均年龄为4.7±0.9岁。问卷具有较高的重测信度，值接近1，平均为0.66，且内部一致性良好（Cronbachα值高于0.7），因此在每个量表的项目之间建立了较高的信度。在CEBQ不同的“促进摄入”量表“食物反应性”“情绪性暴饮暴食”和“对食物的享受”的得分与儿童BMI之间发现了逐渐增强的正相关；相反，在BMI与反摄入量表“饱腹感反应性”“进食速度慢”和“情绪性进食不足”的得分之间观察到负相关。
CEBQ西班牙语版本是评估西班牙儿童饮食行为的有用工具，因为其具有较高的信度和内部效度。西班牙儿童的饮食行为与BMI之间存在显著关联。
