Children's Eating Attitudes Test: Reliability and validation in Japanese adolescents

Chiba, Hiromi; Nagamitsu, Shinichiro; Sakurai, Rieko; Mukai, Takayo; Shintou, Hiroko; Koyanagi, Kenshi; Yamashita, Yushiro; Kakuma, Tatsuyuki; Uchimura, Naohisa; Matsuishi, Toyojiro

doi:10.1016/j.eatbeh.2016.09.001

Cited by 23 publications

(39 citation statements)

References 17 publications

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“…The mean ChEAT scores in our sample were lower than observed in previous studies [31,33,55]. The majority of our participants lived in a small or medium-sized city or in the rural areas of a large city, which could partly explain our findings since mean ChEAT scores have been observed to be higher in large cities than in small and medium-sized cities, possibly due to susceptibility to more social pressure and to emphasized media influence in larger cities [31]. It has been suggested that socioeconomic status affects the prevalence of DES [56,57], which might explain low mean scores in our study.…”

Section: Discussioncontrasting

confidence: 99%

“…The CFA reinforced these findings, since a better goodness-of-fit was observed with the 24-item scale. The exclusion of one or both of these items have been suggested by others too [24,30,31,33], resulting in improved consistency.…”

Section: Discussionmentioning

confidence: 99%

“…There are several instruments that can be used to assess DES in children, such as the SCOFF [ 19 ], the Eating Disorder Examination Questionnaire (EDE-Q) [ 20 ], the Eating Disorder Examination Questionnaire adapted for children (ChEDE-Q8) [ 21 ], the Eating Disorder Inventory for children (EDI-C) [ 22 ], the Kids’ Eating Disorders Survey (KEDS) [ 23 ], and the Children’s Eating Attitudes Test (ChEAT) [ 24 ]. ChEAT has been previously utilized in large cohort studies [ 25 , 26 ], and it has been validated in Spain [ 27 , 28 ], Portugal [ 29 ], Belgium [ 30 ], Japan [ 31 ], and the USA [ 24 , 32 , 33 ]. ChEAT has also been successfully used in Sweden [ 34 ]; however, to our knowledge, it has not yet been validated in Finland or in any of the other Nordic countries.…”

Section: Introductionmentioning

confidence: 99%

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Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

et al. 2019

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Purpose To validate the Children's Eating Attitudes Test (ChEAT) in the Finnish population. Materials and methods In total 339 children (age 10-15 years) from primary schools in Southern Finland were evaluated at two time points. They answered the ChEAT and SCOFF test questions, and had their weight, height and waist circumference measured. Retesting was performed 4-6 weeks later. Test-retest reliability was evaluated using intra-class correlation (ICC), and internal consistency was examined using Cronbach's alpha coefficient (C-alpha). ChEAT was cross-calibrated against SCOFF and background variables. Factor analysis was performed to examine the factor structure of ChEAT. Results The 26-item ChEAT showed high internal consistency (C-alpha 0.79), however, a 24-item ChEAT showed even better internal consistency (C-alpha 0.84) and test-retest reliability (ICC 0.794). ChEAT scores demonstrated agreement with SCOFF scores (p < 0.01). The mean ChEAT score was higher in overweight children than normal weight (p < 0.001). Exploratory factor analysis yielded four factors (concerns about weight, limiting food intake, pressure to eat, and concerns about food), explaining 57.8% of the variance. Conclusions ChEAT is a valid and reliable tool for measuring eating attitudes in Finnish children. The 24-item ChEAT showed higher reliability than the 26-item ChEAT. Level of evidence Level 5, cross-sectional, descriptive study.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

et al. 2019

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“…Much evidence has shown that ChEAT [36][37][38][39][40] and EAT-26 [32,[41][42][43] are reliable and valid psychometric tools to internationally assess abnormal eating attitudes. For the present study, a validated Italian version both the EAT-26 [35] and ChEAT [40] were used.…”

Section: Methodsmentioning

confidence: 99%

The impact of the COVID-19 lockdown on disordered eating behaviors in youths with type 1 diabetes: Analysis of cross-sectional survey data.

Troncone

Chianese

Zanfardino

et al. 2020

Preprint

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Background: Recent research indicates that patients with type 1 diabetes (T1D) are at higher risk for disordered eating behaviors (DEBs) than their peers without diabetes. The present study aimed at examining the impact of the COVID-19 lockdown on DEBs in a sample of Italian children and adolescents with T1D and in matched-pair healthy controls.Methods: 138 children and adolescents with T1D (aged 8.01-19.11 years, 65 boys) attending a Southern Italian diabetic service and 276 age- and gender-matched healthy peers voluntarily completed a cross-sectional online survey of eating behaviors (ChEAT and Eat-26), anthropometric characteristics, and clinical characteristics. Results: 8.69% (N=12) of participants with T1D and 13.4% (N=37) of controls had ChEAT/EAT-26 scores indicating presence of DEBs, with no differences between patients—whether children (total ChEAT score F(1, 157)=.104, p=.748) or adolescents (total EAT-26 score F(1, 255)=.135, p=.731)—and healthy peers. zBMI values were lower than those measured in the latest diabetes visit (p<.0001), while HbA1c values remained unchanged (p=.110). In both groups, adolescents had lower Oral Control scores than children (T1D: F(1, 138)= 20.411, p<.0001, η2 =.132, controls: F(1, 276)=18.271, p<.0001, η2 =.063); additionally, gender (female) and age were found to be significant predictors of several ChEAT/EAT-26 scores.Discussion: Psychological conditions in relation to DEB symptoms of children and adolescents with T1D were not aggravated by lockdown conditions. Results indicated DEBs as more of a female adolescent developmental issue rather than as a result of the challenges of living with a chronic illness aggravated by outbreak. Possible effects of parental pressure on their children’s eating behaviors in the context of home confinement and of using a non-diabetes-specific measure to assess DEBs are discussed.

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“…between the ages of 8 and 14(Ambrosi-Randi c & Pokrajac-Bulian, 2005;Chiba et al, 2016;De León, del Consuelo, Ruiz, & Jaime, 2008; Elizathe, Murawski, Arana, & Rutsztein, 2012; Maïano, Morin, Lanfranchi, & Therme, 2013; McEnery, Fitzgerald, McNicholas, & Dooley, 2016; Pilecki, Kowal, Woronkowicz, Kryst, & Sobiecki, 2013; Ranzenhofer et al, 2008; Rojo-Moreno et al, 2011; Sancho, Asorey, Arija, & Canals, 2005; Senra, Seoane, Vilas, & Sánchez-Cao, 2007;Teixeira et al, 2012;Theuwis, Moens, & Braet, 2009). Study characteristics and principal components analysis (PCA) or factor analysis (FA) results fromAnton, Han, et al (2006),Lynch and Eppers-Reynolds (2005), and the 13 new studies are summarized in Supporting Information Table S1, alongside the seminal Garner…”

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confidence: 99%

Assessment of eating attitudes and dieting behaviors in healthy children: Confirmatory factor analysis of the Children's Eating Attitudes Test

Murphy

Hwang

Kramer

et al. 2019

Intl J Eating Disorders

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Objective: The Children’s Eating Attitudes Test (ChEAT) is a self-report questionnaire that is conventionally summarised with a single score to identify ‘problematic’ eating attitudes, masking informative variability in different eating attitude domains. This study evaluated the empirical support for single-versus multifactor models of the ChEAT. For validation, we compared how well the single- versus multifactor-based scores predicted BMI. Method: Using data from 13,674 participants of the 11.5 year-follow-up of the Promotion of Breastfeeding Intervention Trial (PROBIT) in the Republic of Belarus, we conducted confirmatory factor analysis to evaluate the performance of 3- and 5-factor models, which were based on past studies, to a single-factor model representing the conventional summary of the ChEAT. We used cross-validated linear regression models and the reduction in mean squared error (MSE) to compare the prediction of BMI at 11.5y and 16y by the conventional and confirmed factor-based ChEAT scores. Results: The 5-factor model, based on 14 of the original 26 ChEAT items, had good fit to the data whereas the 3- and single-factor models did not. The MSE for concurrent (11.5y) BMI regressed on the 5-factor ChEAT summary was 35% lower than that of the single-score models, which reduced the MSE from the null model by only 1–5%. The MSE for BMI at 16y was 20% lower. Discussion: We found that a parsimonious 5-factor model of the ChEAT explained the data collected from healthy Belarusian children better than the conventional summary score and thus provides a more discriminating measure of eating attitudes.

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Children's Eating Attitudes Test: Reliability and validation in Japanese adolescents

Cited by 23 publications

References 17 publications

Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

The impact of the COVID-19 lockdown on disordered eating behaviors in youths with type 1 diabetes: Analysis of cross-sectional survey data.

Assessment of eating attitudes and dieting behaviors in healthy children: Confirmatory factor analysis of the Children's Eating Attitudes Test

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