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Association between eating behavior scores and obesity in Chilean children
José L Santos1, Judith A Ho-Urriola, Andrea González
1Department of Nutrition, Diabetes and Metabolism, School of Medicine, Pontificia Universidad Católica de Chile, Alameda 340, Santiago, Chile. jsantos@med.puc.cl
Insights
Childhood obesity in Chile is strongly linked to specific eating behaviors. High scores in food enjoyment and emotional overeating correlate with obesity, while satiety responsiveness and slow eating show inverse associations.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Behavioral Science
Background:
- Childhood obesity is a growing global health concern.
- Inadequate eating behaviors and physical inactivity are key contributors to pediatric obesity.
- Understanding specific eating behaviors is crucial for developing targeted interventions.
Purpose of the Study:
- To investigate the association between eating behavior patterns and childhood obesity in Chilean children.
- To identify specific eating behaviors that correlate with obesity in this population.
Main Methods:
- A case-control study involving 126 obese, 44 overweight, and 124 normal-weight Chilean children (aged 6-12).
- Utilized the culturally-adapted Child Eating Behavior Questionnaire (CEBQ) to assess eating behaviors.
- Employed factorial analysis for questionnaire validation and non-parametric methods for association analysis.
Main Results:
- Significant associations were found between eating behavior scores and childhood obesity.
- Higher scores in 'enjoyment of food,' 'emotional overeating,' and 'food responsiveness' were directly linked to obesity.
- 'Satiety responsiveness' and 'slowness in eating' were inversely associated with obesity.
- A graded relationship was observed across normal-weight, overweight, and obese groups.
Conclusions:
- Specific eating behaviors are strongly and gradedly associated with childhood obesity in Chile.
- These findings highlight the importance of behavioral factors in pediatric obesity.
- Results can inform targeted interventions for childhood obesity prevention and management.
Background:
Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children.
Design And Methods:
We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders) according to the International Obesity Task Force (IOTF) criteria. Eating behavior scores were calculated using the Child Eating Behavior Questionnaire (CEBQ). Factorial analysis in the culturally-adapted questionnaire for Chilean population was used to confirm the original eight-factor structure of CEBQ. The Cronbach's alpha statistic (>0.7 in most subscales) was used to assess internal consistency. Non-parametric methods were used to assess case-control associations.
Results:
Eating behavior scores were strongly associated with childhood obesity in Chilean children. Childhood obesity was directly associated with high scores in the subscales "enjoyment of food" (P < 0.0001), "emotional overeating" (P < 0.001) and "food responsiveness" (P < 0.0001). Food-avoidant subscales "satiety responsiveness" and "slowness in eating" were inversely associated with childhood obesity (P < 0.001). There was a graded relation between the magnitude of these eating behavior scores across groups of normal-weight, overweight and obesity groups.
Conclusion:
Our study shows a strong and graded association between specific eating behavior scores and childhood obesity in Chile.
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