title: Restrained and external-emotional eating patterns in young overweight children-results of the Ulm Birth Cohort Study.
abstract: Childhood obesity is one of the greatest public health challenges in Western countries. Abnormal eating behavior is thought to be a developmental trajectory to obesity. The Eating Pattern Inventory for Children (EPI-C) has not been used for children as young as eight years, and possible associations with body weight have not yet been established. Five hundred and twenty-one children of the Ulm Birth Cohort Study (UBCS; age eight) filled out the EPI-C and BMI was assessed. Adequacy of the scales was tested with confirmatory factor analysis and a MANOVA and cluster analysis established associations between eating patterns and BMI. The factor structure of the EPI-C was confirmed (GFI = .968) and abnormal eating behavior was associated with overweight (χ(2)(8) =79.29, p<.001). The EPI-C is a valid assessment tool in this young age group. Overweight children consciously restrain their eating.
authors.affiliation: Philipps-University Marburg, Department of Child and Adolescent Psychology, Marburg, Germany.
authors.forename: Oliver
authors.initials: O
authors.lastname: Hirsch
authors.affiliation: University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern, Switzerland.
authors.forename: Viktoria J
authors.initials: VJ
authors.lastname: Kluckner
authors.affiliation: University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Ulm, Germany.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Brandt
authors.affiliation: University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Ulm, Germany.
authors.forename: Anja
authors.initials: A
authors.lastname: Moss
authors.affiliation: German Cancer Research Center (DKFZ), Division of Clinical Epidemiology and Aging Research, Heidelberg, Germany.
authors.forename: Melanie
authors.initials: M
authors.lastname: Weck
authors.affiliation: German Cancer Research Center (DKFZ), Division of Clinical Epidemiology and Aging Research, Heidelberg, Germany.
authors.forename: Ines
authors.initials: I
authors.lastname: Florath
authors.affiliation: University Medical Center Ulm, Department of Pediatrics and Adolescent Medicine, Division of Pediatric Endocrinology and Diabetes, Ulm, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Wabitsch
authors.affiliation: University of Duisburg Essen, Department of Child and Adolescent Psychiatry and Psychotherapy, Essen, Germany.
authors.forename: Johannes
authors.initials: J
authors.lastname: Hebebrand
authors.affiliation: University Hospital of Child and Adolescent Psychiatry, University of Bern, Bern, Switzerland.
authors.forename: Benno G
authors.initials: BG
authors.lastname: Schimmelmann
authors.affiliation: Philipps-University Marburg, Department of Child and Adolescent Psychology, Marburg, Germany.
authors.forename: Hanna
authors.initials: H
authors.lastname: Christiansen
mesh_terms: D001069:Appetite Regulation; D002648:Child; D015331:Cohort Studies; D004644:Emotions; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000523:psychology*