Frontiers in Epidemiology (Jan 2023)

Reliability and validity of the dutch eating behavior questionnaire in an online format for university students from low-income regions in a pandemic context: A 24 hour MESYN study

  • Millena Vaz de Carvalho,
  • Millena Vaz de Carvalho,
  • Antonio Gibran de Almeida Cardoso,
  • Antonio Gibran de Almeida Cardoso,
  • Shirley Cunha Feuerstein,
  • Rosana Rodrigues de Sousa,
  • Tatiana Sadalla Collese,
  • Tatiana Sadalla Collese,
  • Francisco Leonardo Torres-Leal,
  • Marcus Vinicius Nascimento-Ferreira,
  • Marcus Vinicius Nascimento-Ferreira,
  • Augusto Cesar Ferreira De Moraes

DOI
https://doi.org/10.3389/fepid.2022.1036631
Journal volume & issue
Vol. 2

Abstract

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ObjectiveTo test the reliability and validity of the Dutch Eating Behavior Questionnaire (DEBQ) in an online format in university students from low-income regions.MethodsWe applied the questionnaire to a sample of 195 and 117 university students from a low-income region (Gini index of 0.56) to study validity and reliability, respectively. The DEBQ consists of 33 items on eating behavior in three dimensions/factors: emotional eating, restrained eating and external eating. The questionnaire was administered twice at 2-week intervals. We tested the reliability via temporal stability and internal consistency and construct validity via exploratory and confirmatory factor analysis.ResultsFor reliability, we identified an acceptable Spearman correlation coefficient (rho > 0.30 and p < 0.05) and Cronbach's alpha (α ≥ 0.70) for all DEBQ items. In the exploratory analysis, we identified 6 factors representing a mix of original and additional factors, with an explained variance of 69.1%. In the confirmatory analysis with structural equation modeling, we observed better global model adjustment for the 6-factor model with the Tucker–Lewis index and comparative fit index closer to one, as well as root mean square error of approximation closer to zero than the original (3-factor) model. Using generalized structural equation modeling, we also observed a better fit in latent class modeling for the 6-factor model (AIC: 16990.67; BIC. 17874.38) than for the 3-factor model (AIC: 17904.09; BIC: 18342.67).ConclusionThe online format of the DEBQ has acceptable reliability and validity for measuring eating behavior in university students from low-income regions.

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