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

Medeiros, Anna Cecília Queiroz de; Yamamoto, Maria Emília; Pedrosa, Lúcia Fátima Campos; Hutz, Cláudio Simon

doi:10.1007/s40519-016-0256-x

Cited by 38 publications

(33 citation statements)

References 31 publications

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“…All three behaviours were associated with obesity (UE, P = 0.028; CR, P = 0.017; EE, P < 0.001), showing that those who had obesity had higher scores in all behaviours. These findings are in agreement with several studies reporting a relationship among UE , CR and EE with respect to being overweight, weight gain and high BMI. Other studies have also reported close associations among eating behaviour dimensions and BMI in which patients with obesity had the highest scores of eating behaviour , but not all .…”

Section: Discussionsupporting

confidence: 93%

“…The lack of data on eating behaviour of patients undergoing LTx prevents us from making comparisons. In a study with 453 healthy adult subjects, high mean (SD) scores were found for these three dimensions [70.8 (25.0) for CR; 55.6 (25.0) for UE and 45.8 (29.2) for EE] . Danielsen et al .…”

Section: Discussionmentioning

confidence: 98%

“…Concerning CR, dietary restriction was strongly associated with adiposity in healthy weight individuals, but not in those who were overweight . Some studies suggest an inverse relationship, in which weight loss is concomitantly associated with increased CR but, in the long run, this may be related to weight gain . Rigid control of eating behaviour may increase susceptibility to eating problems and binge eating .…”

Section: Discussionmentioning

confidence: 99%

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Eating behaviour patterns are associated with excessive weight gain after liver transplantation

Ferreira

Penaforte

Cardoso

et al. 2019

J Human Nutrition Diet

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Background: Weight gain and obesity are important issues in liver transplant (LTx) recipients. Although dietary habits are probably related to excessive weight gain after LTx, some studies have failed to demonstrate these associations. The present study aimed to assess eating behaviour and verify its association with weight gain and excessive weight among LTx recipients. Methods: The investigation comprised a cross-sectional study. Post-LTx patients, aged >18 years were evaluated about their eating behaviour [Three Factor Eating Questionnaire-R21 (TFEQ-R21)]. The scores of the TFEQ-R21 [uncontrolled eating (UE), cognitive restraint (CR) and emotional eating (EE)] were determined. Excessive weight was classified as body mass index ≥25 kg/m² and obesity ≥30 kg/m². Results: In total, 270 patients (age 58.0 years; range 20.0-77.0 years; 64.1% men) were assessed. Average weight gain was 8.0 kg (range À16.0 to 41.0 kg). Of the patients, 64.1% (n = 173) had excessive weight and 23.3% (n = 63) were obese. Post-LTx weight gain was significantly correlated with UE (r = 0.311, P < 0.001) and EE (r = 0.287, P < 0.001). Patients with excessive weight had significantly higher scores than others: CR (61.0; range 0-122.0 versus 44.0; range 0-116.0) (P = 0.003) and EE (11.0; range 0-100.0 versus 0.0; range 0-100.0) (P = 0.030). Patients with obesity had higher scores than non-obese UE (22.0; range 0-77.0 versus 14.0; range 0-85.0; P = 0.028), CR (55.0; range 11.0-116.0 versus 50.0; range 0-122.0) (P = 0.017) and EE (16.0; range 0-100.0 versus 5.0; range 0-100.0) individuals (P < 0.001). The greatest quartiles of weight gain had higher scores on the eating behaviours of UE and EE, especially those with weight gain ≥14 kg. UE was associated with weight gain. CR was associated with being overweight. EE was associated with obesity. Conclusions: Uncontrolled eating is associated with weight gain, CR was associated with excessive weight and EE was associated with obesity after LTx. 693

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

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Eating behaviour patterns are associated with excessive weight gain after liver transplantation

Ferreira

Penaforte

Cardoso

et al. 2019

J Human Nutrition Diet

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“…The random sample selected to anthropometry will have cognitive and behavioral components of eating assessed across three scales of cognitive restraint, uncontrolled eating and emotional eating by the Brazilian version of the Three Factor Eating Questionnaire-R21 (TFEQ-R21) [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Online platform for healthy weight loss in adults with overweight and obesity - the “POEmaS” project: a randomized controlled trial

Andrade

Diniz

et al. 2018

BMC Public Health

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BackgroundObesity is a major health problem in Brazil affecting 19% of Brazilian adults with a rising incidence over the last 10 years. Moreover, low fruit/vegetables consumption and high sweetened beverage intake are major issues. Facing the challenge of universal healthcare access, internet-based programs have the potential to reach a large number of inhabitants, be widely accessible and cost effective. Our aim is to to assess the efficacy of a web-based platform to promote weight loss and diet and physical activity habits change in a Brazilian adult population.MethodsWe designed a three-arm parallel randomized controlled trial including 18–60 years university students or employees with 25 kg/m2 minimum body mass index (BMI). Pregnancy, conditions with specific dietary requirements and participation in other weight loss programs are exclusion criteria. Participants are allocated to one of three groups: (1) waitlist with minimal intervention, (2) web-based platform, (3) web-based platform plus online dietician assistance. Assessors are blinded. Weight and BMI loss are the primary outcomes. Diet and physical activity behaviours, health perception and online activity features are secondary outcomes. The intervention comprises recommendations of diet and physical activity habits tailored to the Brazilian population and principles of behaviour change. The web-based platform has online social network and gamification features. Analysis will be on an intention-to-treat basis at 12 and 24 weeks after baseline. Differences in weight loss between groups will be performed by analysis of covariate. Linear regression will be used to assess whether treatment group allocation is an independent predictor of weight loss. The study was approved by the Federal University of Minas Gerais (UFMG) Ethics Research Committee. All participants signed an informed consent form prior to recruitment.DiscussionWe present the study protocol of a three arm parallel randomized controlled trial which aims to test the efficacy of an online platform to promote weight loss for adults with overweight and obesity. We anticipate that the adoption of healthy lifestyle habits and weight loss will be more important in participants randomized to the online platform group.Trial registrationNCT03435445 on February 16th, 2018.

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“…Emotional eating (EE-6 items), which refers to the influence of self-esteem, mood, stress, and self-efficacy in food intake; and 3. Uncontrolled eating (UE-9 items), which indicates a loss of self-control and exaggerated food intake, with or without hunger or organic necessity 17,18 This questionnaire is composed of 21 questions, and it was translated to Portuguese and validated 19,20 . The total score from each behavior (score of 0 to 100) was calculated using methods previously described 17,21 .…”

Section: Assessment Of Eating Behaviorsmentioning

confidence: 99%

Orthorexic eating behavior and dietary restraint in female undergraduate students

et al. 2018

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Our objective was to compare the predisposition to orthorexic eating behavior and other eating behaviors between female nutrition and biology undergraduate students in either their first or final year. Ninety-five students participated in this cross-sectional study: 48 nutrition students (1st year-N1-n= 24; 5th year-N5-n= 24) and 47 biology students: (1st year-B1-n= 25; 5th year-B5-n= 22). The predisposition to orthorexic eating behavior (OEB) was assessed by ORTO-15. The Three-Factor Eating Questionnaire-R21 was used to assess cognitive restriction (CR), emotional eating (EE), and uncontrolled eating (UE). Nutrition students presented a higher predisposition to OEB (85.4% vs 55.3%; p= 0.001) and higher scores for CR than biology students (50.3 ± 20.4 vs 38.4 ± 18.8; p= 0.003), especially first-year students. There was no difference between groups N1 and N5 in any behavior assessed, except for EE (N1: 57.2 ± 32.5 > N5: 39.8 ± 19.4; p= 0.03). Our results point to the need for technical training of these students, who will influence the eating habits of other people. In addition, it is necessary to prevent the factors that predispose individuals to extreme eating behaviors, which can eventually harm their physical and emotional health.

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

Abstract: 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.

Cited by 38 publications

References 31 publications

Eating behaviour patterns are associated with excessive weight gain after liver transplantation

Eating behaviour patterns are associated with excessive weight gain after liver transplantation

Online platform for healthy weight loss in adults with overweight and obesity - the “POEmaS” project: a randomized controlled trial

Orthorexic eating behavior and dietary restraint in female undergraduate students

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