Abstract
This study examined the relationships of the Dutch Eating Behavior Questionnaire (DEBQ) subscales with weight change and with current body mass index (BMI). A total of 1576 adult twins and their families (578 Korean men, 998 Korean women, age 44.5±12.9 years) participating in the Healthy Twin study completed a survey that included the DEBQ, self-reported weight at 20 years old and intentionally lost weight over the past 4 years. Their anthropometric measurements were taken. Using the general linear models, restrained eating was positively associated with weight gain from 20 years old to current age [beta (B) =1.01, standard error (SE)=0.27, p<0.001], and with current BMI (B=0.33, SE=0.09, p<0.001) after adjusting for demographics, health-related behaviors, energy intake, and emotional and external eating. Likewise, emotional eating was positively associated with weight gain (B=0.83, SE=0.28, p<0.001), and with current BMI (B=0.35, SE=0.10, p=0.003) after adjusting those factors, and restrained and external eating. However, external eating was not associated with both outcomes. In conclusion, high restrained eating or emotional eating may be indicators for long-term weight gain and high BMI in Korean twins and their families.
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Van Strien T., Frijters J.E.R., Bergers G.P.A., Defares P.B.: The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. Int. J. Eat. Disord., 5, 295–315, 1986.
Steinle N.I., Hsueh W.C., Snitker S., Pollin T.I., Sakul H., St Jean P.L., Bell C.J., Mitchell B.D., Shuldiner A.R.: Eating behavior in the Old Order Amish: heritability analysis and a genome-wide linkage analysis. Am. J. Clin. Nutr., 75, 1098–1106, 2002.
Keski-Rahkonen A., Bulik C.M., Pietiläinen K.H., Rose R.J., Kaprio J., Rissanen A.: Eating styles, overweight and obesity in young adult twins. Eur. J. Clin. Nutr., 61, 822–829, 2007.
Hays N.P., Bathalon G.P., McCrory M.A., Roubenoff R., Lipman R., Roberts S.B.: Eating behavior correlates of adult weight gain and obesity in healthy women aged 55–65 y. Am. J. Clin. Nutr., 75, 476–483, 2002.
Provencher V., Drapeau V., Tremblay A., Després J.P., Lemieux S.: Eating behaviors and indexes of body composition in men and women from the Québec family study. Obes. Res., 11, 783–792, 2003.
Tholin S., Rasmussen F., Tynelius P., Karlsson J.: Genetic and environmental influences on eating behavior: The Swedish Young Male Twins study. Am. J. Clin. Nutr., 81, 564–569, 2005.
de Lauzon-Guillain B., Basdevant A., Romon M., Karlsson J., Borys J.M., Charles M.A.; FLVS Study Group: Is restrained eating a risk factor for weight gain in a general population? Am. J. Clin. Nutr., 83, 132–138, 2006.
Foster G.D., Wadden T.A., Swain R.M., Stunkard A.J., Platte P., Vogt R.A.: The eating inventory in obese women: Clinical correlates and relationship to weight loss. Int. J. Obes. Relat. Metab. Disord., 22, 778–785, 1998.
Masheb R.M., Grilo C.M.: On the relation of attempting to lose weight, restraint, and binge eating in outpatients with binge eating disorder. Obes. Res., 8, 638–645, 2000.
Kräuchi K., Reich S., Wirz-Justice A.: Eating style in seasonal affective disorder: who will gain weight in winter?. Compr. Psychiatry, 38, 80–87, 1997.
Van Strien T., Van de Laar F.A., Van Leeuwe J.F.J., Lucassen P.L.B.J, Van den Hoogen H.J.M., Rutten G.E.H.M., Van Weel C.: The dieting dilemma in patients with newly diagnosed Type 2 diabetes: does dietary restraint predict weight gain 4 years after diagnosis?. Health Psychol., 26, 105–112, 2007.
Larsen J.K., van Strien T., Eisinga R., Herman C.P., Engels R.C.: Dietary restraint: intention versus behavior to restrict food intake. Appetite, 49, 100–108, 2007.
Sung J., Cho S., Lee K., Ha M., Choi E., Choi J., Kim H., Kim Y., Yoo K., Park C., Song Y.: Healthy Twin: A twinfamily study of Korea — Protocols and current status. Twin Res. Hum. Genet., 9, 844–848, 2006.
Boffetta P., Agudo A., Ahrens W., Benhamou E., Benhamou S., Darby S.: Multicenter case-control study of exposure to environmental tobacco smoke and lung cancer in Europe. J. Natl. Cancer Inst., 90, 1440–1450, 1998.
Ahn Y., Lee J.E., Cho N.H., Shin C., Park C., Oh B.S., Kim K.: Validation and calibration of semi-quantitative food frequency questionnaire: with participants of the Korean Health and Genome study. Korean J. Community Nutr., 9, 173–182, 2004.
Kim H., Lee I., Kim J.: A study of the reliability and validity of the Korean version of the Eating Behavior Questionnaire. Korean Journal of Clinical Psychology, 15, 141–150, 1996.
National Institute of Health. Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: The evidence report. Bethesda, MD, National Heart, Lung, and Blood Institute, 1998.
Cepeda-Benito A., Fernandez M.C., Moreno S.: Relationship of gender and eating disorder symptoms to reported cravings for food: construct validation of state and trait craving questionnaires in Spanish. Appetite, 40, 47–54, 2003.
Hill A.J.: The psychology of food craving. Proc. Nutr. Soc., 66, 277–285, 2007.
Lowe M.R.: Dietary restraint and overeating. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity. 2nd Ed. New York, Guilford Press, 2002, pp. 88–92.
Waller G.: The psychology of binge eating. In: Fairburn C.G., Brownell K.D. (Eds.), Eating disorders and obesity. 2nd Ed. New York, Guilford Press, 2002, pp. 98–102.
Burton P., Smit H.J., Lightowler H.J.: The influence of restrained and external eating patterns on overeating. Appetite, 49, 191–197, 2007.
Perry G.S., Byers T.E., Mokdad A.H., Serdula M.K., Williamson D.F.: The validity of self-reports of past body weights by U.S. adults. Epidemiology, 6, 61–66, 1995.
Tamakoshi K., Yatsuya H., Kondo T., Hirano T., Hori Y., Yoshida T., Toyoshima H.: The accuracy of longterm recall of past body weight in Japanese adult men. Int. J. Obes. Relat. Metab. Disord., 27, 247–252, 2003.
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Sung, J., Lee, K. & Song, YM. Relationship of eating behavior to long-term weight change and body mass index: The Healthy Twin study. Eat Weight Disord 14, e98–e105 (2009). https://doi.org/10.1007/BF03327806
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DOI: https://doi.org/10.1007/BF03327806