Children’s Eating Attitudes Test (ChEAT): a validation study in Finnish children

Abstract

Purpose: To validate the Children’s Eating Attitudes Test (ChEAT) in the Finnish population. Materials and methods: In total 339 children (age 10–15 years) from primary schools in Southern Finland were evaluated at two time points. They answered the ChEAT and SCOFF test questions, and had their weight, height and waist circumference measured. Retesting was performed 4–6 weeks later. Test–retest reliability was evaluated using intra-class correlation (ICC), and internal consistency was examined using Cronbach’s alpha coefficient (C-alpha). ChEAT was cross-calibrated against SCOFF and background variables. Factor analysis was performed to examine the factor structure of ChEAT. Results: The 26-item ChEAT showed high internal consistency (C-alpha 0.79), however, a 24-item ChEAT showed even better internal consistency (C-alpha 0.84) and test–retest reliability (ICC 0.794). ChEAT scores demonstrated agreement with SCOFF scores (p < 0.01). The mean ChEAT score was higher in overweight children than normal weight (p < 0.001). Exploratory factor analysis yielded four factors (concerns about weight, limiting food intake, pressure to eat, and concerns about food), explaining 57.8% of the variance. Conclusions: ChEAT is a valid and reliable tool for measuring eating attitudes in Finnish children. The 24-item ChEAT showed higher reliability than the 26-item ChEAT. Level of evidence: Level 5, cross-sectional, descriptive study.