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Hunot-Alexander C, Arellano-Gómez LP, Smith AD, Kaufer-Horwitz M, Vásquez-Garibay EM, Romero-Velarde E, Fildes A, Croker H, Llewellyn CH, Beeken RJ. Examining the validity and consistency of the Adult Eating Behaviour Questionnaire-Español (AEBQ-Esp) and its relationship to BMI in a Mexican population. Eat Weight Disord 2022; 27:651-663. [PMID: 33966254 PMCID: PMC8933343 DOI: 10.1007/s40519-021-01201-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/18/2019] [Accepted: 04/19/2021] [Indexed: 11/28/2022] Open
Abstract
PURPOSE Appetitive traits in adults and their associations with weight can be measured using the Adult Eating Behaviour Questionnaire (AEBQ). The aim of this study was to confirm the factor structure of the Spanish AEBQ (AEBQ-Esp) in a Mexican sample and explore associations between the eight traits with body mass index (BMI). METHOD A sample of 1023 adults, mean age of 36.8 ± 12.8 years, was recruited from Guadalajara, Mexico. Researchers weighed and measured participants, and they completed the AEBQ-Esp either online or in paper format and reported sociodemographic data. To test two alternative factor structures (eight factors including Hunger; seven factors excluding Hunger), confirmatory factor analysis (CFA) was used. Internal reliability was assessed using Cronbach's alpha; test-retest reliability was assessed using intra-class correlation coefficients. Multivariate linear regressions were used to test for associations between the AEBQ subscales and BMI, adjusted for age, sex, format of AEBQ responses, education, marital and employment status. RESULTS A seven-factor structure was the best model fit using CFA, excluding the Hunger subscale but similar to the original AEBQ. Internal reliability was good for all subscales (Cronbach's α = 0.70-0.86), and the intra-class correlation coefficient (0.70-0.91) reflected good test-retest reliability. In the fully adjusted models, Satiety Responsiveness [β = - 0.61; (- 1.01, - 0.21)] and Slowness in Eating [β = - 0.70; (- 1.01, - 0.39)] were negatively associated with BMI, and Emotional Over-Eating [β = 0.94; (0.62, 1.27)] was positively associated with BMI. CONCLUSIONS The AEBQ-Esp (excluding Hunger) appears to be a valid and reliable psychometric questionnaire for measuring appetitive traits in a Mexican Spanish-speaking population. Some traits appear to be associated with BMI in adulthood and warrant further exploration. LEVEL OF EVIDENCE Level III evidence obtained from well-designed cohort or case-control analytic studies. Although this was just an observational study, it was well designed and provided new evidence.
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Affiliation(s)
- Claudia Hunot-Alexander
- Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Edificio anexo al Nuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", 3ª piso ala norte. Salvador Quevedo y Zubieta No. 750, C.P. 44340, Guadalajara, Jalisco, Mexico
| | - Laura Patricia Arellano-Gómez
- Licenciatura en Nutrición y Ciencias de los Alimentos, Departamento de Psicología, Educación y Salud (DPES), Instituto Tecnológico de Estudios Superiores de Occidente (ITESO), Periférico Sur Manuel Gómez Morín #8585, C.P. 45604, Tlaquepaque, Jalisco, Mexico
| | - Andrea D Smith
- Department of Behavioural Science and Health, University College London, London, WC1E 6BT, UK
| | - Martha Kaufer-Horwitz
- Clínica de Obesidad y Trastornos de la Conducta Alimentaria, Departamento de Endocrinología y Metabolismo, Instituto Nacional de Ciencias Médicas y Nutrición, Salvador Zubirán, Avenida Vasco de Quiroga No.15, Colonia Belisario Domínguez Sección XVI, Delegación Tlalpan, C.P.14080, Ciudad de México, Mexico
| | - Edgar M Vásquez-Garibay
- Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Edificio anexo al Nuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", 3ª piso ala norte. Salvador Quevedo y Zubieta No. 750, C.P. 44340, Guadalajara, Jalisco, Mexico
| | - Enrique Romero-Velarde
- Instituto de Nutrición Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Edificio anexo al Nuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", 3ª piso ala norte. Salvador Quevedo y Zubieta No. 750, C.P. 44340, Guadalajara, Jalisco, Mexico
| | - Alison Fildes
- School of Psychology, University of Leeds, Leeds, LS2 9JT, UK
| | - Helen Croker
- Department of Behavioural Science and Health, University College London, London, WC1E 6BT, UK
| | - Clare H Llewellyn
- Department of Behavioural Science and Health, University College London, London, WC1E 6BT, UK
| | - Rebecca J Beeken
- Leeds Institute of Health Sciences, University of Leeds, Leeds, LS2 9NL, UK.
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