Fifteen Years of the Family Eating and Activity Habits Questionnaire (FEAHQ): An Update and Review.

Fifteen years of the Family Eating and Activity Habits Questionnaire (FEAHQ): an update and review.

Pediatr Obes. 2013 Feb 28;
Golan M

WHAT IS ALREADY KNOWN ABOUT THIS SUBJECT: The FEAHQ was originally developed in Israel and designed for use in family-based weight-management interventions that emphasized changes in the environment and in parents’ knowledge, behaviors, and modeling. A key distinction of the FEAHQ from other tools is the ability to evaluate the overall obesogenic environment and, at the same time, each of the family members’ eating and activity patterns, reflecting the importance of parenting behaviors and modeling in child weight status. The FEAHQ is a useful clinical tool for identifying target behaviors for treatment and monitoring treatment progress. WHAT THIS STUDY ADDS: FEAHQ-R includes adjustments made to improve the tool use. New data supporting the psychometric properties of the Revised FEAHQ. BACKGROUND: The Family Eating and Activity Habits Questionnaire (FEAHQ) is a 32-item self-report instrument designed to assess the eating and activity habits of family members as well as obesogenic factors in the overall home environment (stimulus and behaviour patterns) related to weight. Originally, this questionnaire, which was developed in Israel, was designed for use in family-based weight-management interventions that emphasized changes in the environment, and in parents’ knowledge, behaviours and modelling. It was developed for use with children aged 6-11 years and designed for co-completion by parents or caretakers and their children. Over the years, it has been administered in research and clinical settings in Israel, England, Australia and other countries. Its 15-year anniversary calls for an update in the literature regarding adjustments made to improve its use in different settings and with different ethnic populations and the psychometric properties of the revised version. OBJECTIVE: The goal of this paper is threefold: (i) to describe the history and development of the FEAHQ; (ii) to present new data supporting the psychometric properties of the subscales of the Revised FEAHQ (FEAHQ-R) for ages 6-12 years and (iii) to review the clinical and research literature reporting on FEAHQ subscales. METHODS: The psychometric properties of the revised questionnaire were evaluated in a randomized control trial and in a naturalistic, community-based study to promote healthy lifestyle among families with children 6-12 years of age from different ethnic populations. RESULTS: The tool demonstrated good test-retest reliability when completed by caretakers and very good internal consistency. The questionnaire scores discriminated between obese and normal-weight children and predicted the weight classification of 66% of the participants. CONCLUSIONS: The FEAHQ-R is a useful clinical tool for identifying target behaviors for treatment and monitoring treatment progress that centers on overweight prevention and weight management. HubMed – eating


Eating attentively: a systematic review and meta-analysis of the effect of food intake memory and awareness on eating.

Am J Clin Nutr. 2013 Feb 27;
Robinson E, Aveyard P, Daley A, Jolly K, Lewis A, Lycett D, Higgs S

BACKGROUND: Cognitive processes such as attention and memory may influence food intake, but the degree to which they do is unclear. OBJECTIVE: The objective was to examine whether such cognitive processes influence the amount of food eaten either immediately or in subsequent meals. DESIGN: We systematically reviewed studies that examined experimentally the effect that manipulating memory, distraction, awareness, or attention has on food intake. We combined studies by using inverse variance meta-analysis, calculating the standardized mean difference (SMD) in food intake between experimental and control groups and assessing heterogeneity with the I2 statistic. RESULTS: Twenty-four studies were reviewed. Evidence indicated that eating when distracted produced a moderate increase in immediate intake (SMD: 0.39; 95% CI: 0.25, 0.53) but increased later intake to a greater extent (SMD: 0.76; 95% CI: 0.45, 1.07). The effect of distraction on immediate intake appeared to be independent of dietary restraint. Enhancing memory of food consumed reduced later intake (SMD: 0.40; 95% CI: 0.12, 0.68), but this effect may depend on the degree of the participants’ tendencies toward disinhibited eating. Removing visual information about the amount of food eaten during a meal increased immediate intake (SMD: 0.48; 95% CI: 0.27, 0.68). Enhancing awareness of food being eaten may not affect immediate intake (SMD: 0.09; 95% CI: -0.42, 0.35). CONCLUSIONS: Evidence indicates that attentive eating is likely to influence food intake, and incorporation of attentive-eating principles into interventions provides a novel approach to aid weight loss and maintenance without the need for conscious calorie counting. HubMed – eating


Association between hypertension status and the screening test for frailty in elderly community-dwelling Japanese.

Hypertens Res. 2013 Feb 28;
Koizumi Y, Hamazaki Y, Okuro M, Iritani O, Yano H, Higashikawa T, Iwai K, Morimoto S

To clarify the possible association of frailty with hypertension prevalence, treatment and blood pressure (BP) control in the elderly, we conducted a screening survey of 1091 elderly community-dwelling subjects aged ?65 years, using data from public health check-ups and frailty was determined by a 25-item questionnaire, the Basic Checklist for Frailty (BCF). The significance of differences in the association of BCF categories or BCF items with each hypertension status was analyzed using multiple logistic regression analysis after adjusting for age, sex and possible confounding underlying chronic conditions. A total of 63% of subjects were hypertensive (BP?140/90?mm?Hg), and of those, 85% were receiving antihypertensive treatment, and 56.0% of those receiving treatment had controlled BP (<140/90?mm?Hg). BCF categories that showed an independent association with hypertension status were 'impaired walking status' and absence of 'impaired nutritional status' for prevalence of hypertension, 'impaired instrumental activity of daily living status' and 'impaired nutritional status' for untreated hypertension among hypertensives and 'impaired oral function' for BP-uncontrolled hypertension among treated hypertensives. In addition, BCF items that showed an independent association were 'inability to walk for more than 15 min without rest' and absence of 'Body mass index (BMI) <18.5?kg?m-2' for prevalence of hypertension, 'weight loss of more than 2-3?kg in the past 6 months' for untreated hypertension, and 'difficulty eating hard food' for BP-uncontrolled hypertension. These observations indicate that assessment of these specified frailty categories and/or items may be useful for evaluating hypertension status in elderly community-dwelling subjects.Hypertension Research advance online publication, 28 February 2013; doi:10.1038/hr.2013.7. HubMed – eating



New Year’s Eve! w Kati Morton Eating Disorders & Self Harm Video – Healthy Mind, Healthy Body! – Happy New Year’s Eve everyone! This video is about dealing with eating disorders, self-harm and celebrating on New Year’s Eve. Yes we can suffer from Anorexia, bulimia, ednos, self-harm, cutting etc. BUT we can also be thankful and look forward to 2013. Dealing with the stress of new year’s resolutions, losing weight, gaining weight, broken promises, cutting, feeling guilty. That’s a lot to process. Therapy is an important part of the recovery process! I hope this video get’s you in the mood to work on yourself and put a positive spin on the New Year’s eve celebrations and the start of 2013. Let me know in the comments what works for you! Happy New Year’s Eve everyone 🙂 xoxo -Kati Youtube: Subscribe to my channel: Playlist Complete “Healthy Mind, Healthy Body!”: Types of Eating Disorders: Eating Disorders Explained: Dietitian series: Self-Harm: Live Broadcasts: httsp:// Kind words from you: Help Techniques: My other sites: Website: Twitter Tumblr: Facebook Pinterest: