Obesity

Novel model of childhood appetitive traits in children with obesity

Int J Obes (Lond)Published Cross-sectional study

Authors' conclusion

CEBQ is useful to assess appetitive traits in children with obesity. The novel factor structure in youth with obesity suggests that temporal or phenotypic differences necessitate a revision of the established factor model. The new factor structure may be used to develop a hyperphagia questionnaire.

Study context

Population
Children with obesity from three geographically diverse centers
Participants
814 children
Exposure
Children with obesity vs population-based controls; by obesity severity, age and sex
  • Children with obesityn = 814
Outcome
CEBQ appetitive trait factor structure
Methodological detailsobservational, multicentre (three geographically diverse centers), exploratory factor analysis with training and test sets
  • Observational
  • Multicentre (three geographically diverse centers)
  • Exploratory factor analysis with training and test sets

Main finding

As reported in the abstract

CEBQ factor structure (exploratory factor analysis (EFA))

Novel six-factor model with a new "Food avidity" factor; variance explained by Food avidity

15.8%

Observational data: associations, not effects.

Further findings

OutcomeP value
CEBQ subscales vs population-based controlsP < 0.001
CEBQ traits by age (>6 years vs younger)Over 6 years vs Younger · lower over 6 yearsP < 0.001
CEBQ traits by age (>6 years vs younger)Over 6 years vs Younger · lower over 6 yearsP = 0.03
  • Child Eating Behavior Questionnaire (CEBQ) subscales vs population-based controls: higher food response, enjoyment of food, emotional overeating and desire to drink with obesity

CEBQ subscales vs population-based controls

Higher scores correlated with obesity severity

CEBQ traits by age (>6 years vs younger)

Food fussiness and food avidity the same by age; no sex differences

Original publication

Novel model of childhood appetitive traits in children with obesity. Int J Obes (Lond). Published 27 March 2025. doi:10.1038/s41366-025-01747-z

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