Broader Validation of New Zealand Eating Behavior Questionnaire as Clinical Assessment Tool to Identify Actionable Eating Behavior Traits
Abstract
1. Introduction
2. Materials and Methods
2.1. Instrumentation
2.2. Population and Samples
2.2.1. Initial Cohort (Cohort 0)
2.2.2. Cohort 1
2.2.3. Cohort 2
2.3. Data Collection
2.4. Analysis
3. Results
3.1. Participants
3.2. Demographics
3.3. Confirmatory Factor Analysis
3.4. Classifying Dominant Eating Behavior Type of Participants
3.5. Test-Retest Reliability
3.6. Relationship Between Eating Behavior Trait and BMI
3.7. Self-Assessed Eating Behavior of Participants
3.8. Image-Based Questions
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
BES | Binge Eating Scale |
CFI | Comparative Fit Index |
CFA | Confirmatory Factor Analysis |
CH | Constant Hunger |
DEBQ | Dutch Eating Behavior Questionnaire |
EB | Eating Behavior |
EE | Emotional Eating |
EFA | Exploratory Factor Analysis |
F | Feasting |
ICC | Intraclass Correlation Coefficients |
KMO | Kaplan Meyer Olkin measure of sampling adequacy |
NZ-EBQ | New Zealand Eating Behavior Questionnaire |
RMSEA | Root-mean-square error of approximation |
SRMR | Standardized root-mean-square residual |
TFEQ | Three Factor Eating Questionnaire |
TLI | Tucker-Lewis index |
YFAS | Yale Food Addiction Scale |
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Initial Cohort (n = 729) | Cohort 1 (n = 81) | Cohort 2 (n = 215) | |
---|---|---|---|
Age category | |||
18–30 years | 12 (1.6%) | 14 (17.3%) | 21 (9.8%) |
31–45 years | 98 (13.4%) | 17 (21.0%) | 88 (40.9%) |
46–60 years | 244 (33.5%) | 33 (40.7%) | 76 (35.3%) |
61–75 years | 300 (41.1%) | 14 (17.3%) | 28 (13.0%) |
76 years or older | 75 (10.3%) | 3 (3.7%) | 2 (0.9%) |
Gender | |||
Male | 415 (56.9%) | 26 (32.1%) | 48 (22.3%) |
Female | 313 (42.9%) | 55 (67.9%) | 164 (76.3%) |
Non-binary | 1 (0.1%) | 0 (0.0%) | 3 (1.4%) |
Highest education completed | |||
Primary school | 22 (3.0%) | 1 (1.2%) | 12 (5.6%) |
Secondary school | 410 (56.2%) | 26 (32.1%) | 127 (59.1%) |
Bachelor degree | 207 (28.4%) | 43 (53.1%) | 65 (30.2%) |
Master or doctoral degree | 90 (12.3%) | 11 (13.6%) | 11 (5.1%) |
Perception of current weight | |||
Underweight | 20 (2.7%) | 0 (0.0%) | 0 (0.0%) |
Neither underweight nor overweight | 214 (29.4%) | 11 (13.6%) | 12 (5.6%) |
Overweight | 370 (50.7%) | 45 (55.6%) | 48 (22.3%) |
Very overweight | 125 (17.1%) | 25 (30.9%) | 155 (72.1%) |
Want to lose weight | 556 (76.3%) | 72 (88.9%) | 209 (97.2%) |
Currently taking prescription weight loss medication | 15 (2.1%) | 31 (38.3%) | 19 (8.8%) |
Current weight (kg) | Mean (95% CI) | Mean (95% CI) | Mean (95% CI) |
97.2 (95.2–99.1) | 102.0 (96.0–108.9) | 139.3 (133.6–145.0) |
Classification of Eating Behavior | Original Model | New Model | % Change |
---|---|---|---|
Emotional eater | 190 (26.1%) | 192 (26.3%) | +1.0% |
Feaster | 162 (22.2%) | 155 (21.2%) | −4.3% |
Constant hunger | 322 (44.2%) | 312 (42.8%) | −3.1% |
Unassigned | 55 (7.5%) | 70 (9.6%) | +27.3% |
No. | Item | ICC | 95% CI |
---|---|---|---|
1 | When I feel anxious, worried, or tense, I find myself eating. | 0.79 | 0.63–0.88 |
2 | I can get moody when I can’t have certain foods I crave, and I feel bad or empty if I deny myself having them. | 0.60 | 0.36–0.77 |
3 | When I feel lonely, I console myself by eating. | 0.67 | 0.45–0.81 |
4 | When I feel emotionally upset or when someone lets me down, I have a strong desire to reward myself with food. | 0.90 | 0.82–0.95 |
5 | I eat when I’m down. | 0.84 | 0.71–0.91 |
6 | When I feel sad, blue, or disappointed, I often overeat and/or have the desire to eat. | 0.89 | 0.80–0.94 |
8 | I have a desire to eat when things have gone wrong. | 0.89 | 0.80–0.94 |
9 | When you are going through a stressful or upsetting time what happens to your eating? | 0.77 | 0.60–0.87 |
10 | I know that I’m an emotional eater. | 0.92 | 0.81–0.96 |
11 | During a meal, I have no sense of being full and can’t stop until I’m really stuffed. | 0.53 | 0.26–0.73 |
12 | When I’m preparing food I cannot stop tasting and eating while preparing. | 0.72 | 0.53–0.84 |
13 | Are you able to stop eating whenever you want? | 0.50 | 0.21–0.70 |
14 | I can get hungry again in a few hours, even if I just had a large meal. | 0.53 | 0.26–0.73 |
15 | Do you eat large portion sizes? | 0.50 | 0.22–0.71 |
16 | When I’m hungry I lose control over how much I eat and find it hard to stop eating. | 0.69 | 0.48–0.83 |
17 | Do you feel a sensation of fullness during eating? | 0.48 | 0.19–0.69 |
18 | Once I start eating, I have trouble stopping. | 0.68 | 0.47–0.82 |
19 | How difficult would it be for you to stop eating halfway through a meal (not finish your plate)? | 0.63 | 0.40–0.79 |
20 | How difficult is it for you not to overeat at a large tasty meal? | 0.78 | 0.61–0.88 |
21 | I have cravings or urges to eat snacks after supper for before bedtime. | 0.71 | 0.52–0.84 |
22 | When I see a real delicacy, I often get so hungry that I have to eat right away. | 0.62 | 0.38–0.78 |
23 | Whenever I have a food craving, I keep on thinking about eating until I actually eat the food. | 0.46 | 0.18–0.68 |
24 | How often do you feel so hungry that you just have to eat something? | 0.65 | 0.42–0.80 |
25 | I am always hungry enough to eat at any time. | 0.81 | 0.67–0.90 |
26 | If I haven’t eaten for a while I find it very hard to resist my hunger. | 0.81 | 0.67–0.90 |
27 | I have a habit of eating too much at night and I’m not hungry in the morning. | 0.69 | 0.48–0.82 |
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Schmiedel, O.; Ivey, M.; Murphy, R. Broader Validation of New Zealand Eating Behavior Questionnaire as Clinical Assessment Tool to Identify Actionable Eating Behavior Traits. Nutrients 2025, 17, 1049. https://doi.org/10.3390/nu17061049
Schmiedel O, Ivey M, Murphy R. Broader Validation of New Zealand Eating Behavior Questionnaire as Clinical Assessment Tool to Identify Actionable Eating Behavior Traits. Nutrients. 2025; 17(6):1049. https://doi.org/10.3390/nu17061049
Chicago/Turabian StyleSchmiedel, Ole, Melissa Ivey, and Rinki Murphy. 2025. "Broader Validation of New Zealand Eating Behavior Questionnaire as Clinical Assessment Tool to Identify Actionable Eating Behavior Traits" Nutrients 17, no. 6: 1049. https://doi.org/10.3390/nu17061049
APA StyleSchmiedel, O., Ivey, M., & Murphy, R. (2025). Broader Validation of New Zealand Eating Behavior Questionnaire as Clinical Assessment Tool to Identify Actionable Eating Behavior Traits. Nutrients, 17(6), 1049. https://doi.org/10.3390/nu17061049