Three-Factor Eating Questionnaire-R18 Research Articles

Food addiction and the physical and mental health status of adults with overweight and obesity.

Overweight and obesity now affect more than a third of the world's population. They are strongly associated with somatic diseases, in particular increasing the risk of many metabolic and cardiovascular diseases, but also with mental disorders. In particular, there is a strong association between obesity and depression. As a result, more attention is paid to the neurobiological, behavioural, and psychological mechanisms involved in eating. One of these is food addiction (FA). Research comparing lifestyle elements, physical and mental health problems of excess body weight and individuals with FA is limited and has focused on younger people, mainly students. There is also a lack of studies that relate actual metabolic parameters to FA. To better understand the problem of FA also in older adults, it is important to understand the specific relationships between these variables. A cross-sectional survey was conducted with 172 adults with overweight and obesity (82% female) aged 23-85 years. The mean age of all subjects was M = 59.97 years (SD = 11.93), the mean BMI was M = 32.05 kg/m2 (SD = 4.84), and the mean body fat was M = 39.12% (SD = 6.48). The following questionnaires were used: Food Frequency Questionnaire-6 (FFQ-6), Global Physical Activity Questionnaire (GPAQ), Three Factor Eating Questionnaire-R18 (TFEQ-R18), Yale Food Addiction Scale 2. 0 (YFAS 2.0), Zung Self-Rating Depression Scale (SDS). Body composition, anthropometry, fasting glucose, lipid profile, and blood pressure were measured. A total of 22.7% of participants with overweight and obesity had symptoms of depression according to the SDS, and 18.6% met the criteria for FA according to YFAS 2.0. FA was statistically significantly more common among people up to 50 years. BMI, body fat mass, diastolic blood pressure and sedentary behaviour were statistically significantly higher in people with FA symptoms. Those who were sedentary for 301-450 min per day were significantly more likely to have depressive symptoms, and those who were sedentary for more than 450 min per day were significantly more likely to have FA symptoms. Our findings complement the current literature on FA, particularly in older adults and metabolic parameters, and suggest further research directions. Although our cross-sectional study design does not allow causal interpretations, increasing physical activity appears to be particularly important in the management of people with overweight or obesity and FA. This may be even more important than for people with depression alone, but future research is needed to explore these relationships further.

Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18

Validity and Reliability of the Arabic Version of the Three-Factor Eating Questionnaire-R18

Beyond BMI: cardiometabolic measures as predictors of impulsivity and white matter changes in adolescents

Obesity is characterized by cardiometabolic and neurocognitive changes. However, how these two factors relate to each other in this population is unknown. We tested the association that cardiometabolic measures may have with impulse behaviors and white matter microstructure in adolescents with and without an excess weight. One hundred and eight adolescents (43 normal-weight and 65 overweight/obesity; 11–19 years old) were medically and psychologically (Temperament Character Inventory Revised, Three-Factor Eating Questionnaire-R18, Conners’ Continuous Performance Test-II, Stroop Color and Word Test, Wisconsin Card Sorting Test, Kirby Delay Discounting Task) evaluated. A subsample of participants (n = 56) underwent a brain magnetic resonance imaging acquisition. In adolescents, higher triglycerides and having a body mass index indicative of overweight/obesity predicted a more impulsive performance in Conners’ Continuous Performance Test-II (higher commission errors). In addition, higher glucose and diastolic blood pressure values predicted increments in the Three-Factor Eating Questionnaire-R18 emotional eating scale. Neuroanatomically, cingulum fractional anisotropy showed a negative relationship with glycated hemoglobin. The evaluation of the neurocognitive differences associated with obesity, usually based on body mass index, should be complemented with cardiometabolic measures.

Signs of low energy availability in elite male volleyball athletes but no association with risk of bone stress injury and patellar tendinopathy

ABSTRACT Relative Energy Deficiency in Sport (RED-S) syndrome is associated with undesirable health and performance outcomes. The aetiology of RED-S syndrome is low energy availability (LEA). LEA has been reported in male athletes in various sports, but there is little information in team sports. Therefore, the aims of this study were to assess the point-prevalence of surrogate markers of LEA in elite male volleyball players and examine the association between low and normal total-testosterone (TES) on endocrine markers, resting metabolic rate, bone mineral density (BMD), and history of injury/illness. Using a cross-sectional design, 22 elite male volleyball players underwent anthropometric, dual-energy X-ray absorptiometry (DEXA or DXA) and resting metabolic rate testing, bloodwork, dietary analysis, the three-factor eating questionnaire–R18, injury/illness questionnaire and Victorian Institute of Sport Assessment – patellar tendon questionnaire. The primary finding of this investigation was that 36% of athletes had ≥2 surrogate markers of LEA. Although fasted insulin was lower and cortisol was higher in players with low-total TES, low BMD, low RMR and various other endocrine markers linked to LEA were not observed. More research is required to define surrogate markers of LEA in male athletes. HIGHLIGHTS Thirty-six percent of volleyball players had ≥2 surrogate markers of LEA. The Cunningham, 1991 predictive RMR equation and/or the cut-off point (<0.9) may be unsuitable for detecting energy conservation associated with LEA in large male athletes. There was no association between total-TES and risk of bone stress injury, illness and patellar tendinopathy.

Psychometric evaluation of three-factor eating questionnaire -R18 in aging Finnish men with increased risk for type 2 diabetes.

Deeper comprehension of eating-related behaviour (how and why people eat) can reveal new aspects to support health and prevent type 2 diabetes (T2D). However, such research is largely missing in aging men. The aim was to investigate suitability of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18) in Finnish aging men which is widely used to examine factors: cognitive restraint (CR), uncontrolled eating (UE), and emotional eating (EE). Study population consisted of 420 men aged 50-75, who completed the TFEQ-R18 at the baseline of the T2D-GENE lifestyle intervention study. Inclusion criteria were impaired fasting glucose (IFG) and body mass index ≥25 kg/m2. Confirmatory factor analysis was used to study psychometrics (reliability, validity, and model fit) and factor structure of TFEQ-R18. The items loaded to the three factors (CR, UE, EE) as in previous studies, except two items at CR factor and one at UE factor, which were therefore omitted. UE was also discovered split into two sub factors (named as 'craving' and 'loss-of-control'), UE being a higher-order (h) factor. The resultant revised version was named as Three-Factor Eating Questionnaire Revised to 15-items with higher-order factor (TFEQ-R15h). The original 18-item version of the TFEQ was not optimal in the population consisting of Finnish aging men with elevated T2D risk. A modified 15-item version of the TFEQ could be used to describe EB in this population instead.

Factors associated with health-related quality of life in women using path analyses: mediation effect of the adiposity traits

BackgroundThe current work aimed to investigate the mediating role of adiposity traits in the relationship between eating behaviors, sleep quality, socio-demographic factors, and the health-related quality of life in women of reproductive age in northwest of Iran.MethodsIn the current cross-sectional study, a total of 278 overweight and obese women of reproductive age (20–49 y) were enrolled. Anthropometric assessments were performed. Pittsburgh sleep quality index (PSQI) was used for assessment of sleep quality while Short Form 36 (SF-36) questionnaire was used to measure health-related quality of life (HRQoL). Three-Factor Eating Questionnaire-R18 (TFEQ-R18) was used to measure eating behaviors. Path analysis was used to test the relationships between parameters.ResultsAge was found to be indirectly and negatively associated with mental component score (MCS) (B = − 0.040; P = 0.049) and physical component score (PCS) (B = − 0.065; P = 0.036) through mediatory effects of obesity. Additionally, education was seen to be indirectly and positively related to MCS (B = 0.529; P = 0.045) and PCS (B = 0.870; P = 0.019), respectively. On the other hand, obesity (B = 0.608; P = 0.018) and PSQI score (B = − 0.240; P = 0.034) had direct associations with MCS. Age (B = − 0.065; P = 0.036) and education (B = 0.870; P = 0.019) were also directly associated with obesity.ConclusionsObesity seemed to mediate the effects of socio-demographic parameters on HRQoL. Poor sleep quality was also related to impairment of HRQoL. Further studies are needed to confirm these results.

Investigation of taste function and eating behavior in women with polycystic ovary syndrome

Investigation of taste function and eating behavior in women with polycystic ovary syndrome

Do sociodemographic factors and anthropometric measurements affect eating behavior patterns?

PurposeObesity is a chronic disease and it is very important to determine the underlying factors at the early stage. Disturbance in eating behaviors may predict the obesity risk.Design/methodology/approachIn the present study, it was aimed to investigate eating behavior of Turkish adults by using The Three-Factor Eating Questionnaire-R18 (TFEQ-R18) and to analyze the association between anthropometric measurements and socio-demographic factors.FindingsIndividuals composed of 698 males, aged 28.6 ± 10.3 years and 1,736 females, aged 25.1 ± 7.8 years. Demographic characteristics participants were obtained via a questionnaire. TFEQ-R18for assessing eating behavior was used. Results claim that the usage of TFEQ-R18 was appropriate for non-obese individuals (Cronbach’s α value 0.83 for underweight group (n = 180, 7.4%), 0.76 for normal group (n = 1604, 65.9%), 0.69 for overweight group (n = 492, 20.2%), 0.69 obese group (n = 158, 6.5%). Gender seems to effect emotional eating scores (p = 0.026) and employment status seem to affect all TFEQ-R18 sub-group dimensions (cognitive eating scores, p = 0.022, uncontrolled eating scores, p < 0.001, emotional eating scores, p < 0.001). Divorced individuals tend to have higher cognitive restraint scores (16.2 ± 3.7). Although, single people have higher emotional eating scores (7.5 ± 2.6) (p = 0.006). There is a positive correlation among waist–height ratio, waist and neck circumference and cognitive restraint and uncontrolled eating scores (p < 0.001). However, body weight and height correlate negatively with cognitive restraint scores (p < 0.001).Originality/valueAccording to the authors’ knowledge, this study gives brief results for the usage of TFEQ-R18 and the ability to predict eating behaviors in the general population.

Three-Factor Eating Questionnaire-R18 (TFEQ-R18) Spanish Version: Factor Structure Analysis among Normal Weight and Overweight Adults

The objective of this study was to examine the construct validity of the Three Factor Eating Questionnaire (TFEQ) Revised-18, an instrument designed to measure: Uncontrolled Eating, Emotional Eating and Cognitive Restraint, in a sample of Mexican adults of different weights. 342 man and women, with age range 19-79 years old (M=40), were recruited. TFEQ was emailed to the participants who earlier had their weight and height measured. Exploratory and confirmatory factor analysis was applied to examine TFEQ structure. The original three factor structure was corroborated, with nine items loading high on Uncontrolled Eating factor, three on Emotional Eating and four out of the original six on Cognitive Restraint. Two items were excluded due to low item-total correlations. Higher levels of Cognitive Restraint were associated with higher BMI (r=.13, p &lt; .05), we found no connection between Uncontrolled Eating or Emotional Eating and body weight. Our findings suggest that the abbreviated TFEQ (16 items), is a psychometrically valid measure, and can be used to evaluate the tendencies of Cognitive Restraint, Uncontrolled Eating and Emotional Eating in the population of Mexican adults with different body weights.

Eating Behavior, Physical Activity and Exercise Training: A Randomized Controlled Trial in Young Healthy Adults.

Regular physical activity (PA) is an important part of the treatment of several medical conditions, including overweight and obesity, in which there may be a weakened appetite control. Eating behaviour traits influence weight control and may be different in active and sedentary subjects. This paper reports the relationships between the time spent in sedentary behaviour and physical activity (PA) of different intensity, and eating behaviour traits in young, healthy adults. Additionally, it reports the results of a six-month-long, randomized, controlled trial to examine the effect of an exercise intervention on eating behaviour traits. A total of 139 young (22.06 ± 2.26 years) healthy adults (68.35% women) with a Body Mass Index (BMI) of 24.95 ± 4.57 kg/m2 were enrolled. Baseline assessments of habitual PA were made using wrist-worn triaxial accelerometers; eating behaviour traits were examined via the self-reported questionnaires: Binge Eating, Three-Factor Eating Questionnaire-R18 and Control of Eating Questionnaire. The subjects were then randomly assigned to one of three groups: control (usual lifestyle), moderate-intensity exercise (aerobic and resistance training 3¨C4 days/week at a heart rate equivalent to 60% of the heart rate reserve (HRres) for the aerobic component, and at 50% of the 1 repetition maximum (RM) for the resistance component), or vigorous-intensity exercise (the same training but at 80% HRres for half of the aerobic training, and 70% RM for the resistance training). At baseline, sedentary behaviour was inversely associated with binge eating (r = −0.181, p < 0.05) and with uncontrolled eating (r = −0.286, p = 0.001). Moderate PA (MPA) was inversely associated with craving control (r = −0.188, p < 0.05). Moderate-to-vigorous PA (MVPA) was directly associated with binge eating (r = 0.302, p < 0.001) and uncontrolled eating (r = 0.346, p < 0.001), and inversely associated with craving control (r = −0.170, p < 0.015). Overall, PA was directly associated with binge eating (r = 0.275, p = 0.001), uncontrolled eating (r = 0.321, p < 0.001) and emotional eating (r = 0.204, p < 0.05). Additionally, only emotional eating was modified by the intervention, increasing in the vigorous-intensity exercise group (p < 0.05). In summary, we observed that time spent in sedentary behaviour/PA of different intensity is associated with eating behaviour traits, especially binge eating in young adults. In contrast, the six-month exercise intervention did not lead to appreciable changes in eating behaviour traits.

Influence of dopamine receptor gene on eating behaviour and obesity in Malaysia

Influence of dopamine receptor gene on eating behaviour and obesity in Malaysia

Is Ramadan fasting correlated with disordered eating behaviours in adolescents?

ABSTRACT This study aimed to examine the cross-sectional relationship between Ramadan fasting as a spiritual factor with prolonged hunger and disordered eating behaviors. The study was conducted in June 2016 (11th–29th days of Ramadan) and consisted of 238 fasting and 49 non-fasting adolescents. Risk of disordered eating was evaluated using the Eating Attitudes Test-26 (EAT-26) and Three Factor Eating Questionnaire-R18 (TFEQ-R18). Body image dissatisfaction was rated with Stunkard’s Figure Rating Scale (FRS). Nutritional status was assessed using a 24-hour dietary recall. There was no significant difference between energy intake, EAT-26 and TFEQ-R18 scores (except the emotional eating sub-scores) between the groups. FRS revealed that the comparisons of their “ideal” and self were not significantly different between the groups whereas the gap between the figures they think healthy and closest to self was significantly higher amongst non-fasting adolescents. Two-hundred and two (97.5%) adolescents reported fasting for religious purposes whereas only 8 (3.4%) for losing weight. The EAT-26 total scores were in the pathological range in 39 (16.8%) adolescents who fasted for religious purposes. This study suggests that motivation of adolescents to fast during Ramadan was due to spiritual decisions rather than weight control or other factors and Ramadan fasting was not correlated with disordered eating behaviors or body image dissatisfaction.

Depression, emotional eating and long-term weight changes: a population-based prospective study

BackgroundEmotional eating (i.e. eating in response to negative emotions) has been suggested to be one mechanism linking depression and subsequent development of obesity. However, studies have rarely examined this mediation effect in a prospective setting and its dependence on other factors linked to stress and its management. We used a population-based prospective cohort of adults and aimed to examine 1) whether emotional eating mediated the associations between depression and 7-year change in body mass index (BMI) and waist circumference (WC), and 2) whether gender, age, night sleep duration or physical activity moderated these associations.MethodsParticipants were Finnish 25- to 74-year-olds who attended the DILGOM study at baseline in 2007 and follow-up in 2014. At baseline (n = 5024), height, weight and WC were measured in a health examination. At follow-up (n = 3735), height, weight and WC were based on measured or self-reported information. Depression (Center for Epidemiological Studies - Depression Scale), emotional eating (Three-Factor Eating Questionnaire-R18), physical activity and night sleep duration were self-reported. Age- and gender-adjusted structural equation models with full information maximum likelihood estimator were used in the analyses.ResultsDepression and emotional eating were positively associated and they both predicted higher 7-year increase in BMI (R2 = 0.048) and WC (R2 = 0.045). The effects of depression on change in BMI and WC were mediated by emotional eating. Night sleep duration moderated the associations of emotional eating, while age moderated the associations of depression. More specifically, emotional eating predicted higher BMI (P = 0.007 for the interaction) and WC (P = 0.026, respectively) gain in shorter sleepers (7 h or less), but not in longer sleepers (9 h or more). Depression predicted higher BMI (P < 0.001 for the interaction) and WC (P = 0.065, respectively) increase in younger participants, but not in older participants.ConclusionsOur findings offer support for the hypothesis that emotional eating is one behavioural mechanism between depression and development of obesity and abdominal obesity. Moreover, adults with a combination of shorter night sleep duration and higher emotional eating may be particularly vulnerable to weight gain. Future research should examine the clinical significance of our observations by tailoring weight management programs according to these characteristics.

Association with the Quality of Sleep and the Mediating Role of Eating on Self-Esteem in Healthcare Personnel.

In recent decades, organizational research has paid special attention to the mechanisms promoting the health and well-being of nursing professionals. In this context, self-esteem is a personal resource associated with well-being at work and the psychological well-being of nurses. The purpose of this study was to analyze the mediating role of eating on the relationship between sleep quality and self-esteem in nursing professionals. A sample of 1073 nurses was administered the Rosenberg General Self-Esteem Scale, the Pittsburgh Sleep Quality Index (PSQI), and the Three-Factor Eating Questionnaire-R18 (TFEQ-18). The results show that poor sleep quality and type of eating directly and indirectly affect self-esteem. Poor sleep quality lowered self-esteem through emotional eating and, even though emotional eating facilitated uncontrolled eating, this relationship had no significant effect on self-esteem. The findings of this study suggest that hospital management should implement employee health awareness programs on the importance of healthy sleep and design educational interventions for improving diet quality.

Estrogen administration improves the trajectory of eating disorder pathology in oligo-amenorrheic athletes: A randomized controlled trial

Estrogen administration improves the trajectory of eating disorder pathology in oligo-amenorrheic athletes: A randomized controlled trial

The Three-Factor Eating Questionnaire-R18 Polish version: factor structure analysis among normal weight and obese adult women

Aim of the studyIn the present study, we aimed to examine the construct validity of the Three-Factor Eating Questionnaire-R18 (TFEQ-R18) and to investigate variables of the following phenomena such as cognitive restraint, uncontrolled eating and emotional eating in normal weight women and women with obesity.Subject or material and methodsThe research sample comprised 237 participants (200 with normal weight and 37 obese): the Three-Factor Eating Questionnaire-R18 was distributed to all participants at the same time.ResultsWe have found that the three-factor structure is invariant at each level— configural, metric, scalar, and strict. Individuals with obesity scored significantly higher than individuals within normal weight range in uncontrolled eating (p = .005) and emotional eating (p = .053).DiscussionObserved ambiguities between the results provided by the current and other studies may be explained in terms of the controlling of the shared variance and measurement error, since only up to date summarized scores were compared across groups.ConclusionsThese results broaden knowledge of eating behaviours in normal weight individuals as well as those with obesity.

Validation of the French Version of the DSM-5 Yale Food Addiction Scale in a Nonclinical Sample.

The Yale Food Addiction Scale (YFAS) is the only questionnaire that assesses food addiction (FA) based on substance dependence criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM), Fourth Edition, Text Revision. Following recent updating of addiction criteria, a new DSM-5 version (YFAS 2.0) has been developed. Our study tested the psychometric properties of the French YFAS 2.0 in a nonclinical population. We assessed 330 nonclinical participants for FA (French YFAS 2.0), eating behaviour, and eating disorder (Binge Eating Scale, Emotional Overeating Questionnaire, Three-Factor Eating Questionnaire-R18, Questionnaire on Eating and Weight Patterns-Revised, Eating Disorder Diagnostic Scale). We tested the scale's factor structure (confirmatory factor analysis based on 11 diagnostic criteria), internal consistency, and construct and incremental validity. Prevalence of FA was 8.2%. Our results supported a 1-factor structure similar to the US version. In both its diagnostic and symptom count versions, the YFAS 2.0 had good internal consistency (Kuder-Richardson alpha was 0.83) and was associated with body mass index (BMI), binge eating, uncontrolled and emotional eating, binge eating disorder, and cognitive restraint. FA predicted BMI above and beyond binge eating frequency. Females had a higher prevalence of FA than males but not more FA symptoms. We validated a psychometrically sound French version of the YFAS 2.0 in a nonclinical population, in both its symptom count and diagnostic versions. Future studies should investigate psychometric properties of this questionnaire in clinical populations potentially at risk for FA (that is, patients with obesity, diabetes, hypertension, or other metabolic syndrome risk factors).

Adolescents with Premenstrual Syndrome: Not Only What You Eat But Also How You Eat Differs!

Adolescents with Premenstrual Syndrome: Not Only What You Eat But Also How You Eat Differs!

Relationship of Stress on the Eating Behaviors of Science Undergraduates in Kuala Lumpur

This study aimed to determine the effect of stress on eating behaviors of the university undergraduates from Kuala Lumpur. One hundred fourteen students completed the Depression, Anxiety and Stress Scale (DASS) questionnaire and the Three-Factor Eating Questionnaire-R18 (TFEQ-R18). Data analysis done using SPSS 20.0 included descriptive statistics, parametric statistics, non-parametric statistics, Spearman rho’s correlation and stepwise multiple regression. Majority of the students had medium cognitive restraint (56.1%) and uncontrolled eating scores (69.3%), but low emotional eating score (43.9%). Most students had normal depression level (57.9%) and normal to moderate anxiety (86.9%) and stress level (81.6%). Male (12.92±8.83) and Malay (9.64±6.40) undergraduates had higher depression score (p<0.05). Male (18.17±2.62) and underweight (18.93±2.29) subjects obtained higher cognitive restraint score (p<0.05). There was a significant negative correlation between depression an uncontrolled eating (rs = -0.324, p<0.001, R = 0.103, adjusted R = 0.095, F (1, 112) = 12.80) and stress and emotional eating (rs = -0.301, p = 0.001). In conclusion depression and stress does affect the uncontrolled eating and emotional eating.

서울지역 성인여성의 채식주의 실태 및 관련 식행동

Increasing numbers of Korean adults, especially women, are adopting vegetarian diets for various reasons. In this study, the characteristics of vegetarianism among females residing in Seoul were examined. In addition, the dietary habits and eating behaviors between vegetarians and non-vegetarians were investigated. A total of 148 females (73 vegetarians, 75 non-vegetarians) were recruited and questionnaires regarding their demographic characteristics and eating habits were completed. The eating behavior and daily intake of food groups was assessed using the three factor eating questionnaire-R18 (TFEQ-R18) and food frequency questionnaire, respectively. The ages, BMI, education, and religious affiliation were not significantly different between the two groups. More than 30% of vegetarians had followed a vegetarian diet for longer than 24 months. The most common motivations for vegetarianism in study participants were 'health or weight control' (46.6%) followed by 'environmental concerns or animal welfare' (24.7%). Vegetarians had a lower intake of cereals, Kimchi, and soda, but a higher intake of potatoes and sweet potatoes, vegetables, mushrooms, seaweed, and fruits compared to non-vegetarians. Significant differences in eating behavior scores were also found between the two groups; in particular, vegetarians reported higher levels of restrained eating and emotional eating than non-vegetarians. Scores of uncontrolled eating, however, were not significantly different between the two groups. In conclusion, these results suggest that while vegetarianism is associated with healthy dietary habits, it is associated with restrained eating behaviors which may increase the risk of eating disorders in women.