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The Brazilian version of the three-factor eating questionnaire-R21: psychometric evaluation and scoring pattern

  • Anna Cecília Queiroz de MedeirosEmail author
  • Maria Emilia Yamamoto
  • Lucia Fatima Campos Pedrosa
  • Claudio Simon Hutz
Original Article

Abstract

Purpose

This study aimed to evaluate the psychometric properties and scoring pattern of the Brazilian version of the three-factor eating questionnaire-r21 (TFEQ-R21).

Methods

Data were collected from 410 undergraduate students. Confirmatory factor analysis was conducted to examine the factor structure of the TFEQ-R21. Convergent and discriminant validity also was assessed. Cluster analysis was performed to investigate scoring patterns.

Results

In assessing the quality setting, the model was considered satisfactory (χ 2/gl = 2.24, CFI = 0.97, TLI = 0.96, RMSEA = 0.05). The instrument was also considered appropriate in relation to the discriminant and convergent validity. There was a positive correlation between body mass index and the dimensions of cognitive restraint (r s  = 0.449, p < 0.001) and emotional eating (r s  = 0.112, p = 0.023). Using cluster analysis three respondent profiles were identified. The profile “A” was associated with appropriate weight, the “B” was characterized by high scores in cognitive restraint dimension, and the cluster “C” focused individuals who had higher scores on the uncontrolled eating and emotional eating dimensions.

Conclusions

The Brazilian version of TFEQ-R21 has adequate psychometric properties, and the identified response profiles offer a promising prospect for its use in clinical practice, in weight loss interventions.

Keywords

Eating behavior Three-factor eating questionnaire BMI Psychometrics 

Notes

Acknowledgments

The authors would like to thank Kirill Orlov, Wallisen Tadashi Hattori and Antonio G. Oliveira, who kindly discussed some issues about statistical analysis.

Compliance with ethical standards

Ethical approval

The research was approved by the Ethic in Research Committee from the Federal University of Rio Grande do Norte and all procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent in writing was obtained from all individual participants included in the study.

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

References

  1. 1.
    Ministério da Saúde, Secretaria de Vigilância em Saúde, Departamento de Análise da Situação de Saúde (2011) Plano de ações estratégicas para o enfrentamento das doenças crônicas não transmissíveis (DCNT) no Brasil/2011–2022. Editora MS, BrasíliaGoogle Scholar
  2. 2.
    Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica (2009) Diretrizes Brasileiras de Obesidade, 3rd edn. AC Farmacêutica, São PauloGoogle Scholar
  3. 3.
    Stunkard AJ, Messick S (1985) The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 29:71–83CrossRefGoogle Scholar
  4. 4.
    Cappelleri JC, Bushmakin AG, Gerber RA, Leidy NK, Sexton CC, Lowe MR, Karlsson J (2009) Psychometric analysis of the three-factor eating questionnaire-R21: results from a large diverse sample of obese and non-obese participants. Int J Obes 33:611–620. doi: 10.1038/ijo.2009.74 CrossRefGoogle Scholar
  5. 5.
    Tholin S, Rasmussen F, Tynelius P, Karlsson J (2005) Genetic and environmental influences on eating behavior: the Swedish Young Male Twins Study. Am J Clin Nutr 81:564–569CrossRefGoogle Scholar
  6. 6.
    Löffler A, Luck T, Then FS, Sikorski C, Kovacs P, Böttcher Y, Breitfeld J, Tönjes A, Horstmann A, Löffler M, Engel C, Thiery J, Villringer A, Stumvoll M, Riedel-Heller SG (2015) Eating behaviour in the general population: an analysis of the factor structure of the German version of the Three-Factor-Eating-Questionnaire (TFEQ) and its association with the body mass index. PLoS One 10:e0133977. doi: 10.1371/journal.pone.0133977 CrossRefPubMedPubMedCentralGoogle Scholar
  7. 7.
    Preedy VR, Watson RR, Martin CR (2011) Handbook of behavior, food and nutrition. doi:  10.1007/978-0-387-92271-3
  8. 8.
    Gibson EL (2012) The psychobiology of comfort eating. Behav Pharmacol 23:442–460. doi: 10.1097/FBP.0b013e328357bd4e CrossRefPubMedGoogle Scholar
  9. 9.
    Lesdéma A, Fromentin G, Daudin JJ, Arlotti A, Vinoy S, Tome D, Marsset-Baglieri A (2012) Characterization of the three-factor eating questionnaire scores of a young French cohort. Appetite 59:385–390. doi: 10.1016/j.appet.2012.05.027 CrossRefPubMedGoogle Scholar
  10. 10.
    Keskitalo K, Tuorila H, Spector TD, Cherkas LF, Knaapila A, Kaprio J, Silventoinen K, Perola M (2008) The three-factor eating questionnaire, body mass index, and responses to sweet and salty fatty foods: a twin study of genetic and environmental associations. Am J Clin Nutr 88:263–271CrossRefGoogle Scholar
  11. 11.
    Ismail R, Zali M, Noh M, Ismail NH, Tamil AM (2015) A tale of two construct validation analysis: rasch model and exploratory factor analysis approach for Three-Factor Eating Questionnaire (TFEQ-R21) among Malaysian male. Med J Malaysia 70:169–176Google Scholar
  12. 12.
    Jáuregui-Lobera I, García-Cruz P, Carbonero-Carreño R, Magallares A, Ruiz-Prieto I (2014) Psychometric properties of spanish version of the three-factor eating questionnaire-R18 (Tfeq-Sp) and its relationship with some eating and body image-related variables. Nutrients 6:5619–5635. doi: 10.3390/nu6125619 CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Chearskul S, Pummoung S, Vongsaiyat S, Janyachailert P, Phattharayuttawat S (2010) Thai version of three-factor eating questionnaire. Appetite 54:410–413. doi: 10.1016/j.appet.2010.01.005 CrossRefPubMedGoogle Scholar
  14. 14.
    Kavazidou E, Proios M, Liolios I, Doganis G, Petrou K, Tsatsoulis A, Fachantidou-Tsiligiroglou A (2012) Structure validity of the three-factor eating questionnaire-R18 in Greek population. J Hum Sport Exerc 7:218–226. doi: 10.4100/jhse.2012.71.01 CrossRefGoogle Scholar
  15. 15.
    Natacci LC, Ferreira Júnior M (2011) The three factor eating questionnaire—R21: tradução para o português e aplicação em mulheres brasileiras. Rev Nutr 24:383–394CrossRefGoogle Scholar
  16. 16.
    Ministério da Saúde do Brasil, Secretaria de Atenção à Saúde, Departamento de Atenção Básica, Coordenação-Geral da Política de Alimentação e Nutrição (2008) Protocolos do Sistema de Vigilância Alimentar e Nutricional SISVAN. Editora MS, BrasíliaGoogle Scholar
  17. 17.
    Yeomans MR, Leitch M, Mobini S (2008) Impulsivity is associated with the disinhibition but not restraint factor from the three factor eating questionnaire. Appetite 50:469–476. doi: 10.1016/j.appet.2007.10.002 CrossRefPubMedGoogle Scholar
  18. 18.
    Poínhos R, Oliveira BMPM, Correia F (2013) Eating behaviour patterns and BMI in Portuguese higher education students. Appetite 71:314–320. doi: 10.1016/j.appet.2013.08.024 CrossRefPubMedGoogle Scholar
  19. 19.
    Brown TA (2015) Confirmatory factor analysis for applied research, 2nd edn. The Guilford Press, New YorkGoogle Scholar
  20. 20.
    Schreiber JB, Stage FK, King J, Nora A, Barlow EA (2006) Modeling and confirmatory factor analysis results: a review. J Educ Res 99:323–337CrossRefGoogle Scholar
  21. 21.
    Hair JF, Black WC, Babin BJ, Anderson RE, Tatham RL (2009) Análise Multivariada de Dados, 6th edn. Bookman, Porto AlegreGoogle Scholar
  22. 22.
    Feinstein AR (2002) Principles of medical statistics. Chapman & Hall/CRC, Boca RatonGoogle Scholar
  23. 23.
    Mooi E, Sarstedt M (2011) Cluster analysis. A concise guid. to mark. res. Springer, Berlin, pp 237–284CrossRefGoogle Scholar
  24. 24.
    Desgraupes B (2013) The Comprehensive R Archive Network: CRAN Package. In: Clustering indices, Paris. http://cran.r-project.org/web/packages/clusterCrit
  25. 25.
    Wang K, Wang B, Peng L (2009) CVAP: validation for cluster analyses. Data Sci J 8:88–93. doi: 10.2481/dsj.007-020 CrossRefGoogle Scholar
  26. 26.
    Lowe MR, Doshi SD, Katterman SN, Feig EH (2013) Dieting and restrained eating as prospective predictors of weight gain. Front Psychol 4:1–7. doi: 10.3389/fpsyg.2013.00577 CrossRefGoogle Scholar
  27. 27.
    Van Gucht D, Soetens B, Raes F, Griffith JW (2014) The attitudes to chocolate questionnaire. Psychometric properties and relationship with consumption, dieting, disinhibition and thought suppression. Appetite 76:137–143. doi: 10.1016/j.appet.2014.01.078 CrossRefPubMedGoogle Scholar
  28. 28.
    Delinsky SS, Wilson GT (2008) Weight gain, dietary restraint, and disordered eating in the freshman year of college. Eat Behav 9:82–90. doi: 10.1016/j.eatbeh.2007.06.001 CrossRefPubMedGoogle Scholar
  29. 29.
    Chacko SA, Chiodi SN, Wee CC (2015) Recognizing disordered eating in primary care patients with obesity. Prev Med (Baltim) 72:89–94. doi: 10.1016/j.ypmed.2014.12.024 CrossRefGoogle Scholar
  30. 30.
    Löffler A, Luck T, Then FS, Luppa M, Sikorski C, Kovacs P, Tönjes A, Böttcher Y, Breitfeld J, Horstmann A, Löffler M, Engel C, Thiery J, Stumvoll M, Riedel-Heller SG (2015) Age- and gender-specific norms for the German version of the Three-Factor Eating-Questionnaire (TFEQ). Appetite 91:241–247. doi: 10.1016/j.appet.2015.04.044 CrossRefPubMedGoogle Scholar
  31. 31.
    Nasser M (2009) Eating disorders across cultures. Psychiatr Disord 8:347–350. doi: 10.1016/j.mppsy.2009.06.009 CrossRefGoogle Scholar
  32. 32.
    Anglé S, Engblom J, Eriksson T, Kautiainen S, Saha MT, Lindfors P, Lehtinen M, Rimpelä A (2009) Three factor eating questionnaire-R18 as a measure of cognitive restraint, uncontrolled eating and emotional eating in a sample of young Finnish females. Int J Behav Nutr Phys Act 6:41. doi: 10.1186/1479-5868-6-41 CrossRefPubMedPubMedCentralGoogle Scholar
  33. 33.
    Jaakkola J, Hakala P, Isolauri E, Poussa T, Laitinen K (2013) Eating behavior influences diet, weight, and central obesity in women after pregnancy. Nutrition 29:1209–1213. doi: 10.1016/j.nut.2013.03.008 CrossRefPubMedGoogle Scholar
  34. 34.
    Danielsen KK, Svendsen M, Mæhlum S, Sundgot-Borgen J (2013) Changes in body composition, cardiovascular disease risk factors, and eating behavior after an intensive lifestyle intervention with high volume of physical activity in severely obese subjects: a prospective clinical controlled trial. J Obes 2013:325464. doi: 10.1155/2013/325464 CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    Svensson M, Hult M, van der Mark M, Grotta A, Jonasson J, von Hausswolff-Juhlin Y, Rössner S, Trolle Lagerros Y (2014) The change in eating behaviors in a Web-based weight loss program: a longitudinal analysis of study completers. J Med Internet Res 16:e234. doi: 10.2196/jmir.3131 CrossRefPubMedPubMedCentralGoogle Scholar
  36. 36.
    Bernardi F, Cichelero C, Vitolo R (2005) Comportamento de restrição alimentar e obesidade. Rev Nutr 18:85–93CrossRefGoogle Scholar
  37. 37.
    Gravel K, Deslauriers A, Watiez M, Dumont M, Dufour Bouchard AA, Provencher V (2014) Sensory-based nutrition pilot intervention for women. J Acad Nutr Diet 114:99–106. doi: 10.1016/j.jand.2013.06.354 CrossRefPubMedGoogle Scholar
  38. 38.
    Batra P, Das SK, Salinardi T, Robinson L, Saltzman E, Scott T, Pittas AG, Roberts SB (2013) Eating behaviors as predictors of weight loss in a 6 month weight loss intervention. Obesity (Silver Spring) 21:2256–2263. doi: 10.1002/oby.20404 CrossRefGoogle Scholar
  39. 39.
    Miller CK, Kristeller JL, Headings A, Nagaraja H (2014) Comparison of a mindful eating intervention to a diabetes self-management intervention among adults with type 2 diabetes: a randomized controlled trial. Heal Educ Behav 41:145–154. doi: 10.1177/1090198113493092 CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Laboratory of Evolution of the Human Behavior, Graduate Program in Psychobiology, Department of PhysiologyFederal University of Rio Grande do NorteNatalBrazil
  2. 2.Health Sciences College of Trairi/FACISAFederal University of Rio Grande do NorteSanta CruzBrazil
  3. 3.Department of NutritionFederal University of Rio Grande do NorteNatalBrazil
  4. 4.Department of PsychologyFederal University of Rio Grande do SulPorto AlegreBrazil

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