Children's Eating Behaviour Questionnaire: associations with BMI in Portuguese children

The objective of this study was to examine the association between the scores of the Children's Eating Behaviour Questionnaire (CEBQ) and BMI in a sample of Portuguese children. Using a cross-sectional design, a sample of 240 children (123 females and 117 males) aged 3–13 years were recruited from clinic and community-based settings. Parents completed the CEBQ to indicate their child's eating style for three ‘food approach’ and four ‘food avoidant’ sub-scales. Factor analyses revealed an underlying structure similar to the original CEBQ. Children's height and weight were measured to calculate BMI and Centre for Disease Control BMI z-scores. Hierarchical regression analyses controlling for gender, age and socioeconomic status indicated that all CEBQ sub-scales were significantly associated with BMI z-scores (P = 0·03 to < 0·001). Food approach scales were positively related to BMI z-scores (β = 0·33–0·51) and food avoidance negatively related (β = − 0·17 to − 0·46). Our results support the use of the CEBQ to further understand eating style as a behavioural pathway to obesity.

[1]  K. Simmer,et al.  Eating behaviour of children 1.5–3.5 years born preterm: Parents’ perceptions , 2002, Journal of paediatrics and child health.

[2]  R. Strauss.  Childhood Obesity and Self-Esteem , 1999, Pediatrics.

[3]  L. Birch,et al.  Learning to overeat: maternal use of restrictive feeding practices promotes girls' eating in the absence of hunger. , 2003, The American journal of clinical nutrition.

[4]  J. Friedman,et al.  Obesity in the new millennium , 2000, Nature.

[5]  D. Streiner,et al.  The children's eating behavior inventory: reliability and validity results. , 1991, Journal of pediatric psychology.

[6]  A. Mokdad,et al.  Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. , 2003, JAMA.

[7]  C. Braet,et al.  Assessment of emotional, externally induced and restrained eating behaviour in nine to twelve-year-old obese and non-obese children. , 1997, Behaviour research and therapy.

[8]  J. Skinner,et al.  The phenomenon of "picky eater": a behavioral marker in eating patterns of toddlers. , 1998, Journal of the American College of Nutrition.

[9]  W. Dietz,et al.  Introduction: the use of body mass index to assess obesity in children. , 1999, The American journal of clinical nutrition.

[10]  A. Stunkard,et al.  The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. , 1985, Journal of psychosomatic research.

[11]  M. Bryon,et al.  Interview data on severe behavioural eating difficulties in young children. , 1996, Archives of disease in childhood.

[12]  S. Olshansky,et al.  A potential decline in life expectancy in the United States in the 21st century. , 2005, The New England journal of medicine.

[13]  C. Semmler,et al.  Continuity and stability of eating behaviour traits in children , 2008, European Journal of Clinical Nutrition.

[14]  C. Padez,et al.  Prevalence of overweight and obesity in 7–9‐year‐old Portuguese children: Trends in body mass index from 1970–2002 , 2004, American journal of human biology : the official journal of the Human Biology Council.

[15]  J. Hebebrand,et al.  Children With Idiopathic Short Stature Are Poor Eaters and Have Decreased Body Mass Index , 2005, Pediatrics.

[16]  C. Nederkoorn,et al.  Overweight children overeat after exposure to food cues. , 2003, Eating behaviors.

[17]  T. Lobstein,et al.  Prevalence of overweight among children in Europe , 2003, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[18]  L. Birch,et al.  Young girls' emerging dietary restraint and disinhibition are related to parental control in child feeding , 2000, Appetite.

[19]  I. Janssen,et al.  Associations between overweight and obesity with bullying behaviors in school-aged children. , 2004, Pediatrics.

[20]  J. Wardle,et al.  Eating behaviour and obesity , 2007, Obesity reviews : an official journal of the International Association for the Study of Obesity.

[21]  S. Schachter,et al.  Some extraordinary facts about obese humans and rats. , 1971, The American psychologist.

[22]  L. Epstein,et al.  Dietary restraint and stress-induced snacking in youth. , 2002, Obesity research.

[23]  M. Geaffar,et al.  A method of social classification of population samples. , 1956 .

[24]  J. M. de Castro.  Genetic influences on daily intake and meal patterns of humans. , 1993, Physiology & behavior.

[25]  J. Wardle,et al.  Development of the Children's Eating Behaviour Questionnaire. , 2001, Journal of child psychology and psychiatry, and allied disciplines.

[26]  D. Barker,et al.  Obesity from cradle to grave , 2003, International Journal of Obesity.

[27]  J. Wardle,et al.  Measuring behavioural susceptibility to obesity: Validation of the child eating behaviour questionnaire , 2007, Appetite.