Structure analysis of the Children's Eating Attitudes Test in overweight and at-risk for overweight children and adolescents

Unit on Growth and Obesity, Developmental Endocrinology Branch, NICHD, National Institutes of Health, DHHS, Bethesda, MD 20892-1103, USA.
Eating Behaviors (Impact Factor: 1.58). 05/2008; 9(2):218-27. DOI: 10.1016/j.eatbeh.2007.09.004
Source: PubMed


In school-based samples of children, the Children's Eating Attitudes Test (ChEAT) has a four-factor structure; however, previous studies have not examined its factor structure in samples restricted to overweight youth.
The ChEAT was administered to 220 overweight (BMI>or=95th percentile) and 45 at-risk for overweight (BMI 85th-<95th percentile) children and adolescents. Factors were identified by a principal component analysis with varimax rotation. ChEAT factor scores of children with BMI>or=85th percentile were contrasted with those of 152 non-overweight (BMI 5th to <85th percentile) children and adolescents.
Factor analysis generated four subscales described as 'body/weight concern,' 'food preoccupation,' 'dieting,' and 'eating concern.' ChEAT total score, body/weight concern, and dieting subscale scores were positively related to BMI-Z and body fat mass (p's<.05). Compared to non-overweight children, overweight and at-risk for overweight children had higher ChEAT total (9.9+/-7.4 vs. 6.6+/-7.8, p<.001), body/weight concern (3.2+/-3.1 vs. 1.3+/-3.0, p<.001), and dieting (1.8+/-2.2 vs. .8+/-2.3, p<.001) subscale scores.
The previously elucidated factor structure of the ChEAT was primarily supported in a sample of overweight children. The emergence of separate body/weight concern and dieting subscales may relate to these children's experiences with attempted weight reduction.

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Available from: Lisa M Ranzenhofer, Aug 26, 2014
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    • "Sin embargo, en los estudios que toman muestras de niños los hallazgos son contradictorios. Algunos autores encuentran que las niñas presentan medias superiores en el ChEAT en comparación con los varones (Ranzenhofer et al., 2008), e identifican una mayor proporción de niñas que de varones con riesgo de trastorno alimentario (Maloney et al., 1988; Nicholls, Lynn, & Viner, 2011). Sin embargo, otros autores no encontraron diferencias por sexo a estas edades (Rolland, Farnill , & Griffiths, 1998). "
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    ABSTRACT: El presente estudio se propone evaluar riesgo de trastorno alimentario (TA) y perfeccionismo en niñas y niños escolarizados y analizar si existe asociación entre ambas variables. La muestra estuvo conformada por 337 niños (51% niñas-49% varones) de entre 9 y 13 años. Se realizó un estudio en dos fases. En la primera, los niños completaron los siguientes instrumentos: Cuestionario sociodemográfico, Test de Actitudes Alimentarias para Niños (ChEAT), Cuestionario de Perfeccionismo Infantil y Escala de Siluetas para niños y adolescentes. Fueron pesados y medidos por una nutricionista, según normas de la Sociedad Argentina de Pediatría. En la segunda fase, los niños en riesgo de TA y un grupo control fueron entrevistados con el fin de corroborar o no dicho riesgo. Tras la primera fase se identificó un 30.56% de niños con posible riesgo de TA. Luego de la segunda fase se confirmó el riesgo en un 9.79% de los niños de la muestra total, no existiendo diferencias por sexo en esta variable. Se halló una asociación significativa positiva entre la puntuación total del ChEAT y la puntuación total en la medida de Perfeccionismo. Finalmente, se puede concluir que el perfeccionismo constituye una variable asociada al riesgo de TA en niños.
    Full-text · Article · Dec 2012
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    • ". The sociocultural framework of body dissatisfaction and disordered eating development, incorporating adiposity. body dissatisfaction are not confined to girls who are, or who risk being, overweight, although both are more common in this group (Ranzenhofer et al., 2008; Smolak, 2004). Further research with girls during middle-childhood is therefore needed to elucidate the sociocultural and psychological context in which body dissatisfaction and disordered eating attitudes develop and operate (Wertheim, Paxton, & Blaney, 2009). "
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    ABSTRACT: We examined the sociocultural model of body dissatisfaction and disordered eating attitude development in young girls for the first time. According to the model, internalizing an unrealistically thin ideal body increases the risk of disordered eating via body dissatisfaction, dietary restraint, and depression. Girls aged 7-11 years (N=127) completed measures of thin-ideal internalization, body dissatisfaction, dieting, depression, and disordered eating attitudes. Participants' height and weight were measured and their body mass index calculated. Thin-ideal internalization predicted disordered eating attitudes indirectly via body dissatisfaction, dietary restraint, and depression; it also predicted disordered eating attitudes directly. Path analyses showed that a revised sociocultural model fit well with the data. These data show that a sociocultural framework for understanding disordered eating and body dissatisfaction in adults is useful, with minor modifications, in understanding the development of related attitudes in young girls.
    Full-text · Article · Nov 2012 · Body image
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    • "Second, the CDI measures cognitions as well as the ChEAT, while the CBCL measures behaviour. In contradiction with this study, a correlation with both internalising and externalising scales of CBCL and the ChEAT was found in the study of Ranzenhofer et al. (2008). "
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    ABSTRACT: Disturbed eating attitudes may be important precursors of pathological eating patterns and, therefore need to be researched adequately. The Children's Eating Attitude Test (ChEAT) is indicated for detecting at-risk attitudes and concerns in youngsters. Method. The present study was designed to provide a preliminary psychometric evaluation of the Dutch version of the ChEAT, by examining reliability and validity in a sample of 166 youngsters. Results. Generally the ChEAT seems to be a reliable instrument. Concurrent validity was demonstrated by positive correlations with measures assessing pathological eating behaviour and with related psychological problems. The discriminant validity was good. Based on ChEAT scores we can distinguish overweight youngsters from the community sample and "dieters" from "non dieters". Divergent validity and factor structure show still shortcomings. Discussion. The Dutch version of the ChEAT seems to be a promising screening- and research instrument. Future prospective research could focus on a cut-off score for identifying at-risk youngsters.
    Preview · Article · Nov 2010 · Psychologica Belgica
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