1
|
Alhebshi S, Hilary S, Safi SK, Ali HI, Cheikh Ismail L, Al Dhaheri A, Stojanovska L. Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18. Heliyon 2023; 9:e17623. [PMID: 37455991 PMCID: PMC10345239 DOI: 10.1016/j.heliyon.2023.e17623] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 05/30/2023] [Accepted: 06/05/2023] [Indexed: 07/18/2023] Open
Abstract
The present study translated and validated an Arabic version of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18), which assesses eating behaviour traits among Arabic speakers in the three domains: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). Three bilingual experts first translated the English questionnaire into Arabic, and the questionnaire's comprehension was tested among 298 Arabic speakers. Confirmatory factor analysis (CFA) tested the model fit and flagged four items in the questionnaire with low consistency. These items were modified, and the revised Arabic version of TFEQ-R18 was validated in a population of 513 individuals. Validity was evaluated using CFA and Pearson's correlation coefficients, internal consistency using Cronbach's α, and the reproducibility of the questionnaire was confirmed with Bland-Altman analysis and T-test. The construct validity of the Arabic TFEQ-R18 was evaluated by comparing the response score in the population based on gender, BMI and age group. CFA confirmed that the model fit is good and strongly agrees with the collected data. Except for item 15 in the CR domain, all questions showed moderate to high correlation within their respective domains. The Cronbach's α for UE, EE, and CR domains recorded was 0.778, 0.784 and 0.588, respectively. Item 15 had the lowest consistency in the Arabic-TFEQ-R18, and Cronbach's α increased to 0.608 with its removal. There was no significant difference between the first and second attempts of the Arabic TFEQ-R18, indicating good test-retest reliability. Moreover, UE and EE were positively correlated to the BMI of the participants (r = 0.159, p = 0·000; r = 0.158, p = 0·000, respectively). The study concludes that the Arabic TFEQ is a valid and reliable tool for studying the three psychometric domains of UE, EE and CR among Arabic speakers.
Collapse
Affiliation(s)
- Salma Alhebshi
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
| | - Serene Hilary
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
| | - Samir K.H. Safi
- Department of Statistics and Business Analytics, College of Business and Economics, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
| | - Habiba I. Ali
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
| | - Leila Cheikh Ismail
- Department of Clinical Nutrition and Dietetics, College of Health Sciences, University of Sharjah, Sharjah, 27272, United Arab Emirates
- Nuffield Department of Women's and Reproductive Health, University of Oxford, Oxford, United Kingdom
| | - Ayesha Al Dhaheri
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
| | - Lily Stojanovska
- Department of Nutrition and Health, College of Medicine and Health Sciences, United Arab Emirates University, PO Box, 15551, Al Ain, United Arab Emirates
- Institute for Health and Sport, Victoria University, Melbourne, VIC 3011, Australia
| |
Collapse
|
2
|
Moraes CEFD, Antunes MML, Mourilhe C, Sichieri R, Hay P, Appolinario JC. Food Consumption during Binge Eating Episodes in Binge Eating Spectrum Conditions from a Representative Sample of a Brazilian Metropolitan City. Nutrients 2023; 15:nu15071573. [PMID: 37049413 PMCID: PMC10096673 DOI: 10.3390/nu15071573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Revised: 03/11/2023] [Accepted: 03/22/2023] [Indexed: 04/14/2023] Open
Abstract
The prevalence of binge eating spectrum conditions (BESC) are increasing globally. However, there is a lack of data from general population samples in low- and middle-income countries. Thus, this study described the food consumption during objective binge eating episodes (OBE) in people with BESC from a metropolitan city in Brazil. Participants comprised 136 adults (18 years old-60 years old) with Binge Eating Disorder (BED), Bulimia Nervosa (BN), or recurrent binge eating (RBE) from a two-phase epidemiological survey. They were interviewed in their homes by trained lay interviewers using the Questionnaire on Eating and Weight Patterns updated for the DSM-5 to assess BESC diagnosis and food consumption during a typical OBE. Overall, participants consumed a mean of 1067 kcal during the episodes. For the most part, these calories were derived from carbohydrates (58%) and lipids (30%), irrespective of the diagnosis. Regarding food item consumption, individuals with BED and RBE consumed staple foods (mainly rice and beans) more frequently than those with BN. Conversely, participants with BN ingested sugar-sweetened beverages more frequently than the BED group. In conclusion, there were differences in the eating patterns of individuals with BESC in Brazil. BED and RBE participants consumed more typical foods, whereas those with BN preferred foods with a high content of energy during their OBE.
Collapse
Affiliation(s)
- Carlos Eduardo Ferreira de Moraes
- Group of Obesity and Eating Disorders (GOTA), Psychiatry Institute (IPUB), Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
- Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW 2750, Australia
| | - Marina Maria Leite Antunes
- Group of Obesity and Eating Disorders (GOTA), Psychiatry Institute (IPUB), Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Carla Mourilhe
- Group of Obesity and Eating Disorders (GOTA), Psychiatry Institute (IPUB), Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Rosely Sichieri
- Department of Epidemiology, Social Medicine Institute (IMS), State University of Rio de Janeiro (UERJ), Rio de Janeiro 28625-570, Brazil
| | - Phillipa Hay
- Translational Health Research Institute, School of Medicine, Western Sydney University, Sydney, NSW 2750, Australia
- Mental Health Services, South West Sydney Local Health District (SWSLHD), Campbelltown, NSW 2560, Australia
| | - Jose Carlos Appolinario
- Group of Obesity and Eating Disorders (GOTA), Psychiatry Institute (IPUB), Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| |
Collapse
|
3
|
Mourilhe C, Moraes CED, Veiga GD, Q da Luz F, Pompeu A, Nazar BP, Coutinho ESF, Hay P, Appolinario JC. An evaluation of binge eating characteristics in individuals with eating disorders: A systematic review and meta-analysis. Appetite 2021; 162:105176. [PMID: 33639247 DOI: 10.1016/j.appet.2021.105176] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2020] [Revised: 12/16/2020] [Accepted: 02/19/2021] [Indexed: 01/29/2023]
Abstract
The objective of this review is to provide an updated synthesis of studies in individuals with eating disorders that examined the following components of binge eating episodes (BEEs): caloric intake, episode duration, and also the association of BEE size with psychopathology. A systematic review and meta-analysis were performed following the PRISMA guidelines. Searches were conducted on PubMed, PsycINFO, Scopus, SciELO, ScienceDirect and ProQuest databases. Meta-analysis was performed using random effects models and meta-regression. Forty-three studies were included. There was a paucity of information regarding BEE in individuals with anorexia nervosa. The pooled caloric intake of participants with bulimia nervosa (BN) during BEE in laboratory studies was significantly greater in comparison to the caloric intake during BEE in clinical studies [(3070 (95%CI 2596, 3544) vs. 1789 (95%CI 1498, 2081)], respectively. In participants with binge eating disorder (BED), the pooled means were 2088 (95%CI 1819, 2358) kcal in laboratory studies and 1903 (95%CI 1622, 2184) kcal in clinical studies, with no statistically significant difference between groups. Overall, BEE had a mean duration of 37.3 min in participants with BN and 41.7 min in those with BED. We found a positive correlation between the average caloric intake and level of depression (β = 55.5; p = 0.019). BEE in individuals with BN or BED were characterized by the consumption of extremely large quantities of calories. This was mainly found in laboratory studies of individuals with BN. BEE had a mean duration of less than 1 h in individuals with BN or BED. BEE size was positively associated with depression severity. Future research should explore the relevance of binge size as a core component of binge eating in clinical samples, in males, and in pediatric populations.
Collapse
Affiliation(s)
- Carla Mourilhe
- Federal University of Rio de Janeiro, Institute of Psychiatry, Obesity and Eating Disorders Group - Av. Venceslau Brás, 71, Botafogo, CEP:22290-140, Rio de Janeiro, Brazil; Federal University of Rio de Janeiro, Institute of Nutrition Josue de Castro, Department of Social and Applied Nutrition - Av. Carlos Chagas Filho, 373 - bloco J, 2° andar - Cidade Universitária, CEP:21941-902, Rio de Janeiro, Brazil.
| | - Carlos EduardoFerreira de Moraes
- Federal University of Rio de Janeiro, Institute of Psychiatry, Obesity and Eating Disorders Group - Av. Venceslau Brás, 71, Botafogo, CEP:22290-140, Rio de Janeiro, Brazil.
| | - GloriaValeria da Veiga
- Federal University of Rio de Janeiro, Institute of Nutrition Josue de Castro, Department of Social and Applied Nutrition - Av. Carlos Chagas Filho, 373 - bloco J, 2° andar - Cidade Universitária, CEP:21941-902, Rio de Janeiro, Brazil.
| | - Felipe Q da Luz
- University of São Paulo, Faculty of Medicine, Institute of Psychiatry, Eating Disorders Program (AMBULIM), São Paulo, SP 05403-010, Brazil.
| | - Amanda Pompeu
- Federal University of Rio de Janeiro, Institute of Psychiatry, Obesity and Eating Disorders Group - Av. Venceslau Brás, 71, Botafogo, CEP:22290-140, Rio de Janeiro, Brazil.
| | - Bruno Palazzo Nazar
- Federal University of Rio de Janeiro, Institute of Psychiatry, Obesity and Eating Disorders Group - Av. Venceslau Brás, 71, Botafogo, CEP:22290-140, Rio de Janeiro, Brazil.
| | - Evandro Silva Freire Coutinho
- The State University of Rio de Janeiro, Institute of Social Medicine - R. São Francisco Xavier, 524 - Maracanã, CEP:20550-900, Rio de Janeiro, Brazil.
| | - Phillipa Hay
- Translational Health Research Institute, Western Sydney University, School of Medicine - David Pilgrim Avenue, Campbelltown, NSW 2560, Australia.
| | - Jose Carlos Appolinario
- Federal University of Rio de Janeiro, Institute of Psychiatry, Obesity and Eating Disorders Group - Av. Venceslau Brás, 71, Botafogo, CEP:22290-140, Rio de Janeiro, Brazil.
| |
Collapse
|
4
|
Mohammadi MR, Akhondzadeh S, Keshavarz SA, Mostafavi SA. The Characteristics, Reliability and Validity of the Persian Version of Simplified Nutritional Appetite Questionnaire (SNAQ). J Nutr Health Aging 2019; 23:837-842. [PMID: 31641733 DOI: 10.1007/s12603-019-1223-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND/AIMS Using a reliable and valid instrument to measure appetite is highly important in clinical practice and research. We aimed to evaluate characteristics, reliability and validity of the Persian version of simplified nutritional appetite questionnaire (SNAQ). MATERIAL AND METHODS After face and content validation of the SNAQ by a panel of experts, the reliability and validity of the Persian form of this questionnaire were assessed among 213 weight-reduction seeking women referring to a nutrition clinic. Furthermore, the factor analysis was performed by varimax rotation method. RESULTS Confirmatory factor analysis shows that all items of the questionnaire are unified and loaded on one factor of "appetite". Internal consistency of the test was approved by Cronbach's alpha coefficient of 0.7. The test-retest reliability of the questionnaire was performed within a two weeks interval. The Pearson correlation showed a consistency of 0.85 between the two administrations (p<0.0001). Concurrent Validity of SNAQ with other eating questionnaires and visual analogue rating scale for appetite (r=0.7, p<0.001)) shows strong correlation. The SNAQ was positively correlated with total dietary calorie intake (r=0.23, p=0.018) Also convergent validity with body composition measurements shows positive weak correlation with body weight, waist circumference, and total body fat percentage, and negative correlation with muscle mass (divergent validity). CONCLUSION The current study provides sufficient supports in favor of the reliability and validity of the Persian version of the SNAQ. This questionnaire is a simple and valid instrument to assess the patient's increased appetite in practice and research.
Collapse
Affiliation(s)
- M R Mohammadi
- Seyed-Ali Mostafavi, Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran, E-mail:
| | | | | | | |
Collapse
|
5
|
Further Evidence of a Specific Psychopathology of Addiction. Differentiation from Other Psychiatric Psychopathological Dimensions (Such as Obesity). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14080943. [PMID: 28825670 PMCID: PMC5580645 DOI: 10.3390/ijerph14080943] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 06/11/2017] [Accepted: 08/14/2017] [Indexed: 01/03/2023]
Abstract
Introduction: In this study, we used a symptomatology checklist (SCL-90) to substantiate the hypothesis that Substance Use Disorder (SUD) has its own five-dimensional psychopathology. The aim of the present study was to test whether this psychopathology can be differentiated from other psychiatric psychopathological dimensions (such as obesity). Methods: The severity and frequency of each of the five dimensions were investigated, at univariate and multivariate levels, by comparing 972 Heroin Use Disorder (HUD) patients (83.5% male, mean age 30.12 ± 6.6, range: 16–59) and 106 obese individuals (50.0% male, mean age 37.59 ± 7.6, range: 24–52). The correlations between the Body Mass Index (BMI) of obese individuals with these psychopathological dimensions were also studied. Results: Obese individuals showed higher SCL-90 total scores, global severity index scores, number of items rated positively, and positive symptoms distress index scores than HUD patients. The severity of all psychopathological dimensions was significantly higher in obese individuals. Discriminant analysis showed that Panic-Anxiety and Violence-Suicide severity were more frequent in obese patients, sufficiently so to allow differentiation between HUD (lower severity) and obese individuals (greater severity). At the reclassification level, 70.8% of obese individuals in the sample were reclassified as HUD patients. Psychopathological subtypes characterized by Panic-Anxiety and Violence-Suicide typology were more frequent in obese patients and sufficiently so as to discriminate between groups. Of obese patients, 47.2% were reclassified as HUD patients. The severity of the Worthlessness-Being Trapped dimension was sufficient to predict the BMI of obese individuals. Conclusions: Our results suggest that the five-factor psychopathology found in HUD can discriminate between HUD and obese patients, but that there is an area of overlap between the forms of psychopathology found in SUD and those found in obese patients.
Collapse
|
6
|
Imperatori C, Innamorati M, Tamburello S, Continisio M, Contardi A, Tamburello A, Fabbricatore M. Gender differences in food craving among overweight and obese patients attending low energy diet therapy: a matched case-control study. Eat Weight Disord 2013; 18:297-303. [PMID: 23904055 DOI: 10.1007/s40519-013-0054-7] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/06/2013] [Accepted: 07/21/2013] [Indexed: 01/30/2023] Open
Abstract
This case-control study examined gender differences in food craving among a sample of overweight and obese patients attending low energy diet therapy. To disentangle the specific role of gender from the role of confounders, we paired groups for BMI, age and severity of binge eating as assed by the Binge Eating Scale (BES). The participants were 73 pairs of patients who were attending low energy diet therapy. All the participants were administered the State and Trait Food Cravings Questionnaire, trait version (FCQ-T) and the BES. Female patients had higher mean scores on six out of nine dimensions of the FCQ-T. When controlling for the effect of other variables, obese and overweight female patients were 1.1 times more likely to report higher anticipation of relief of negative states and feelings from eating than their male pairs. Obese and overweight female patients experience more cravings for food than their male pairs despite comparable severity of binge eating and obesity suggesting the need for tailored interventions.
Collapse
Affiliation(s)
- Claudio Imperatori
- Department of Human Science, European University of Rome, Via degli Aldobrandeschi 190, 00163, Rome, Italy,
| | | | | | | | | | | | | |
Collapse
|
7
|
Meule A. Food addiction and body-mass-index: A non-linear relationship. Med Hypotheses 2012; 79:508-11. [DOI: 10.1016/j.mehy.2012.07.005] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2012] [Accepted: 07/06/2012] [Indexed: 01/12/2023]
|
8
|
Abstract
This study describes restaurant-eating behaviors for nonpurge binge-eating women in comparison to dieters. Restaurant-eating behaviors were determined from a content analysis of 14-day food diaries using a convenience sample of 71 women who reported binging without purging and 46 dieters without a recent binge history. Comparing bingers to dieters, there were no significant differences in frequency of eating out, dessert consumption at restaurants, or fast food eating. Bingers more often perceived restaurant eating to be uncontrolled and excessive. Both bingers and dieters consumed significantly more calories (226-253 kcal) and fat (10.4-16.0 gm) on restaurant days. Extra calories consumed on restaurant-eating days may contribute to weight gain over time, especially with frequent restaurant eating. Restaurants may present a high-risk food environment for bingers and dieters, contributing to loss of control and excess consumption.
Collapse
|
9
|
Wakui S, Odagiri Y, Takamiya T, Inoue S, Kato R, Ohya Y, Shimomitsu T. Relation between self-reported weight cycling history, dieting and bio-behavioral health in Japanese adult males. Environ Health Prev Med 2002; 6:248-55. [PMID: 21432342 PMCID: PMC2723476 DOI: 10.1007/bf02897977] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2001] [Accepted: 08/08/2001] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Epidemiological findings suggest that weight fluctuations are associated with unfavorable health outcomes compared with stable weight. However, the interrelationship between the weight cycling history and dieting status in a non-clinical male trial on the risk for bio-behavioral health is unclear. OBJECTIVE The purpose of this study was to examine the relation between weight cycling history as a result of intentional weight loss and bio-behavioral health in Japanese adult males. METHOD A cross-sectional study was performed on a group of 146 Japanese working males (47.5±9.3 yr.). Each subject completed a series of self-reported questionnaires in which information about weight cycling history, current dieting practices, life-styles, and social background were assessed. Results of the physical check up were used to assess biological parameters. Self-reported weight cycling was defined as intentionally losing 10% of one's weight and regaining the lost weight. RESULTS Cyclers reported a significantly greater incidence of current dieting and recent weight gain compared with non-cyclers. Taking regular meals, eating breakfast everyday, and not eating snacks between meals every day were significantly less frequent among cyclers compared with non-cyclers after controlling for BMI. The adjusted odds ratio for AST abnormality was 5.46 (95% CI: 1.08-27.67), ALT abnormality was 3.31 (95% CI: 1.24-8.78), and γ-GTP was 3.38 (95% CI: 1.07-10.67) among cyclers, compared with noncyclers. CONCLUSION These findings suggest that a history of weight cycling in men, regardless of current weight status, is associated with adverse bio-behavioral health. The risk for several liver enzyme abnormalities associated with weight cycling history was substantial, independent of relative body weight and lifestyle factors.
Collapse
Affiliation(s)
- Sawako Wakui
- Department of Preventive Medicine & Public Health, Tokyo Medical University, Japan, 6-1-1 Shinjuku, Shinjuku-ku, 160-8402, Tokyo, Japan
| | | | | | | | | | | | | |
Collapse
|
10
|
Abstract
Women's health, as an emerging area of nursing scholarship, is based on a set of philosophical assumptions. These assumptions are: (i) women's health can best be understood by examining women's lived experiences within a specific context; (ii) gender bias must be avoided; (iii) the focus should be on health rather than illness; and (iv) non-exploitative relationships should be established between the researcher and research participants. Assumptions from a women's health perspective can be used by researchers to guide decisions made in conducting research with women. In order to strengthen the correspondent validity (i.e., the fit between theory and methods), research decisions need to be consistent with the philosophical assumptions of the inquiry. Examples of quantitative research decisions influenced by a women's health perspective are illustrated using a study of binge eating in women.
Collapse
Affiliation(s)
- G M Timmerman
- School of Nursing, University of Texas at Austin 78701, USA.
| |
Collapse
|
11
|
|
12
|
Abstract
Daily caloric intake of nonpurge binge-eating women was monitored over 28 days using food diaries to determine how caloric intake patterns were related to binge eating. The majority of participants had extreme fluctuations in daily caloric intake. Caloric intake for both nonbinge days and days preceding the highest-calorie binge days was significantly lower than caloric intake on binge days and highest-calorie binge days. The lower caloric intake was not low enough to cause physiological deprivation. Although there was not physiological deprivation of calories, the individual may have felt that she ate less than desired, which may have contributed to subsequent binge eating.
Collapse
|
13
|
Affiliation(s)
- G M Timmerman
- University of Texas at Austin, School of Nursing, USA
| |
Collapse
|