Psychometric properties of the Turkish version of the eating in the absence of hunger in children and adolescents (EAH-C)

Abstract

Background and purpose: Eating in the absence of hunger is a risk factor for excessive energy intake and predisposes children to overweight/obesity. The purpose of this study was to test the validity and reliability of the “Eating in the Absence of Hunger Questionnaire for Children and Adolescents (EAH-C)” in Türkiye. Methods: This study was conducted in a total of six schools, with children 8–18 years old between September and December 2022. Factor analysis, item–total score analysis and Cronbach's alpha coefficient were used for the validity and reliability. Results: The calculated KMO statistic was >0.60, and the Bartlett's test statistic was <0.05. The three subscales accounted for 65.22% of the total variance. Factor loads ranged from 0.41 to 0.84. The value obtained by dividing χ2 by the number of degrees of freedom was <5; the RMSEA was <0.10; the RMR was <0.08; and the TLI, GFI, AGFI, and CFI were >0.90. Cronbach's alpha coefficient was 0.91 for the total scale. Conclusions: Our study has confirmed that the Turkish-language version of the EAH-C is a valid and reliable tool. Practice implications: In the effort of prevention of childhood obesity, identifying eating behaviors in the absence of hunger in children and adolescents will benefit policymakers to develop intervention and prevention programs, in addition to providing guidance to pediatric nurses, all healthcare professionals, researchers, children, and parents. © 2024 Elsevier Inc.