The Reliability and validity of the Persian Version of Three-Factor Eating Questionnaire-R18 (TFEQ-R18) in Overweight and Obese Females
Abstract
Objective: The Three-Factor Eating Questionnaire Reduced (TFEQ-R18) is one of the most widely used instruments for assessing eating behavior worldwide. The present study aimed at confirming the reliability and validity of the Persian version of TFEQ-R18 among overweight and obese females in Iran.
Material and Methods: In the present study, 168 overweight and obese females consented to participate. We estimated the anthropometric indices and asked the participants to complete the TFEQ-R18. Beck Depression Inventory (BDI), Spielberger Anxiety Scale, Appetite Visual Analogue Rating Scale, Food Craving Questionnaire (FCQ), Compulsive Eating Scale (CES), and Restraint Eating Visual Analogue Rating Scale were performed simultaneously to assess concurrent validity. Two weeks later, TFEQ-R18 was repeated for 126 participants to assess test-retest reliability. Moreover, we reported the internal consistency and factor analysis of this questionnaire.
Results: Using the results of the reliability analysis and exploratory factor analysis of the principal component by varimax rotation, we extracted 3 factors: hunger, cognitive restraint, and emotional eating. After removing the Items 16 and 18, the Cronbach’s alpha was increased to 0.73 (The Cronbach’s alpha of the factors was 0.84, 0.64, and 0.7, respectively). The results of the Pearson correlation revealed a consistency of 0.87 between the test and retest administrations (p = 0.001). Significant positive correlations were observed between TFEQ-R18 and BDI, Spielberger Anxiety Scale, FCQ, CES, appetite, body weight, fat percentage, and calorie intake. Moreover, a negative correlation was observed in Restraint Eating Visual Analogue Rating Scale and muscle percentage.
Conclusions: This study aimed at presenting preliminary support for the reliability and validity of the Persian version of TFEQ-R18 and its psychometric characteristics. This instrument may be helpful in clinical practice and research studies of obesity, appetite, and eating behavior.
Grilo CM. Cognitive behavioural therapy does not improve outcome in obese females with binge eating disorder receiving a comprehensive very low calorie diet programme. Evidence-based mental health 2006; 9:12.
Christensen L. Effects of eating behavior on mood: a review of the literature. The International journal of eating disorders 1993;14:171-183.
Ahmadi SM, Keshavarzi S, Mostafavi SA, Bagheri Lankarani K. Depression and Obesity/Overweight Association in Elderly Females: a Community-Based Case-Control Study. Acta medica Iranica 2015; 53: 686-689.
Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. Journal of psychosomatic research 1985; 29: 71-83.
Karlsson J, Persson LO, Sjostrom L, Sullivan M. Psychometric properties and factor structure of the Three-Factor Eating Questionnaire (TFEQ) in obese men and females. Results from the Swedish Obese Subjects (SOS) study Int J Obes Relat Metab Disord 2000; 24: 1715-1725.
Eleni Kavazidou Mp, Ioannis Liolios, George Doganis, Katerina Petrou, Agathoklis Tsatsoulis, Anna Tsiligiroglou-Fachantidou. Structure validity of the Three-Factor Eating Questionnaire-R18 in Greek population. Journal Of Human Sport & Exercise 2012; 7: 218-226.
Loffler A, Luck T, Then FS, Sikorski C, Kovacs P, Bottcher Y, et al. Eating Behaviour in the General Population: An Analysis of the Factor Structure of the German Version of the Three-Factor-Eating-Questionnaire (TFEQ) and Its Association with the Body Mass Index. PloS one 2015; 10: e0133977.
Atlas JG, Smith GT, Hohlstein LA, McCarthy DM, Kroll LS. Similarities and differences between Caucasian and African American college females on eating and dieting expectancies, bulimic symptoms, dietary restraint, and disinhibition. The International journal of eating disorders 2002; 32: 326-334.
Harden CJ, Corfe BM, Richardson JC, Dettmar PW, Paxman JR. Body mass index and age affect Three-Factor Eating Questionnaire scores in male subjects. Nutrition research 2009; 29: 379-82.
American Psychiatric Association. Binge Eating Disorder, DSM-5 Diagnostic Criteria. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Washington DC; APA, 2013.
Ahmadi SM, Mohammadi MR, Mostafavi SA, Keshavarzi S, Kooshesh SM, Joulaei H, et al. Dependence of the geriatric depression on nutritional status and anthropometric indices in elderly population. Iranian journal of psychiatry 2013; 8: 92-96.
Ghiz L, Chrisler JC. Compulsive eating, obsessive thoughts of food, and their relation to assertiveness and depression in females. Journal of clinical psychology 1995 ; 51:491-499.
Mock M, Ryan ED, Gerstner GR, Tweedell AJ, Kleinberg CR, Hirsch KR, et al. Validity of a Multi-compartment Body Composition Model Using Body Volume Derived from Dual-Energy X-ray Absorptiometry; Medicine and science in sports and exercise 2016; 48: 1036.
Mostafavi SA, Keshavarz SA, Mohammadi MR, Hosseini S, Eshraghian MR, Hosseinzadeh P, et al. Reliability and Validity of the Persian Version of Compulsive Eating Scale (CES) in Overweight or Obese Females and Its Relationship with Some Body Composition and Dietary Intake Variables. Iranian journal of psychiatry 2016; 11: 250-256.
Moreno S, Rodriguez S, Fernandez MC, Tamez J, Cepeda-Benito A. Clinical validation of the trait and state versions of the Food Craving Questionnaire. Assessment 2008 ;15 : 375-387.
Khani kSDPM. [Psychometric propeties of beck depression inventory II in a sample of adults with major depressive disorder (persion)]. Tavanbakhshi 1389; 8: 80-86.
Panahi. [Preliminary study of reliability and validity of Spielberger trait anxiety inventory (persian)]. Tehran: Tarbiat Modares University; 1372.
Parker BA, Sturm K, MacIntosh CG, Feinle C, Horowitz M, Chapman IM. Relation between food intake and visual analogue scale ratings of appetite and other sensations in healthy older and young subjects. European journal of clinical nutrition 2004; 58: 212-218.
Bosy-Westphal A, Later W, Hitze B, Sato T, Kossel E, Gluer CC, et al. Accuracy of bioelectrical impedance consumer devices for measurement of body composition in comparison to whole body magnetic resonance imaging and dual X-ray absorptiometry. Obesity facts 2008; 1: 319-324.
Supornpim Chearskul SP, Siriporn Vongsaiyat, Patriya Janyachailert, Sucheera Phattharayuttawat. Thai version of Three-Factor Eating Questionnaire. Appetite 2010; 54: 410-413.
Ignacio Jáuregui-Lobera PG-C, Rocío Carbonero-Carreño, Alejandro Magallares, Inmaculada Ruiz-Prieto. Psychometric Properties of Spanish Version of the Three-Factor Eating Questionnaire-R18 (Tfeq-Sp) and Its Relationship with Some Eating- and Body Image-Related Variables. nutrients 2014; 6: 5619-5635.
Ranjbar E, Kasaei MS, Mohammad-Shirazi M, Nasrollahzadeh J, Rashidkhani B, Shams J, et al. Effects of zinc supplementation in patients with major depression: a randomized clinical trial. Iranian journal of psychiatry 2013; 8: 73-79.
Ranjbar E, Shams J, Sabetkasaei M, Shirazi M, Rashidkhani B, Mostafavi A, et al. Effects of zinc supplementation on efficacy of antidepressant therapy, inflammatory cytokines, and brain-derived neurotrophic factor in patients with major depression. Nutritional neuroscience 2014; 17: 65-71.
Tahmasebi K, Amani R, Nazari Z, Ahmadi K, Moazzen S, Mostafavi SA. Association of Mood Disorders with Serum Zinc Concentrations in Adolescent Female Students. Biol Trace Elem Res 2017.
ONDERCINP A. Compulsive eating in college females. Journal of College Student Personnel 1979; 20:153-157.
Timmerman GM, Stevenson JS. The relationship between binge eating severity and body fat in nonpurge binge eating females. Research in nursing & health 1996; 19: 389-398.
Provencher V DV, Tremblay A, Després JP, Lemieux S. Eating behaviors and indexes of body composition in men and females from the Québec Family Study. Obesity research 2003;11:783-792.
Aurélie Lesdéma GF, Jean-Jacques Daudin, Agathe Arlotti, Sophie Vinoy, Daniel Tome, Agnès Marsset-Baglieri. Characterization of the Three-Factor Eating Questionnaire scores of a young French cohort. Appetite 2012; 59: 385-390.
Stice E, Burger KS, Yokum S. Relative ability of fat and sugar tastes to activate reward, gustatory, and somatosensory regions. The American journal of clinical nutrition 2013; 98:1377-1384.
Yu Z, Geary N, Corwin RL. Ovarian hormones inhibit fat intake under binge-type conditions in ovariectomized rats. Physiology & behavior 2008 20; 95: 501-507.
de Lauzon B, Romon M, Deschamps V, Lafay L, Borys JM, Karlsson J, et al. The Three-Factor Eating Questionnaire-R18 is able to distinguish among different eating patterns in a general population. The Journal of nutrition 2004;134: 2372-2380.
Files | ||
Issue | Vol 12 No 2 (2017) | |
Section | Original Article(s) | |
Keywords | ||
Eating Behavior Obesity Overweight Appetite Three- Factor Eating Questionnaire Reduced-R18 (TFEQ-R18) Iran Female |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |