Obesity is a serious health concern in Canada. Thirty-seven percent of the population are overweight and approximately 25% are obese. Increased energy intake from eating outside the home has contributed to the rise in obesity. Approximately one quarter of all Canadians consume food in a quick-service restaurant on a given day. Although not all food consumed outside the home is of poor nutritional quality, restaurants generally offer foods that have larger portions, and are higher in calories and fat. Menu labelling has the potential to promote healthier eating by informing consumers about the calorie content of meals. Currently, there is little or no research on possible unintended effects of displaying calorie information at restaurants and quick-service establishments. In particular, it is unclear how such information would affect individuals with clinical eating disorders, or those with eating disturbances. In the current study, 325 female undergraduate students over the age of 16 took part in a 10-minute paper-based survey after meal consumption in a cafeteria on the University of Waterloo campus. The study employed a pre-post design, with data collection occurring in paired and unpaired samples one month before calorie information was added to menu boards, and one week after. In the 299 participants with usable data the prevalence of eating disturbances (EAT-26 > 20) was 10.4%. Calorie consumption decreased from baseline (mean=678.2 kcal) to follow-up (mean=602.3 kcal; p=0.049). There were no statistically significant changes in any of the other outcomes from baseline to follow-up, including body image satisfaction, anxiety, mood, and frequency of engaging in unhealthy behaviours. Additionally, there were no interactions between eating disturbance level and time, which suggests that calorie labels did not differentially affect those in this high-risk population. Overall, no adverse outcomes related to eating disturbances were associated with the implementation of calorie labels in this at-risk population. The results have potential implications for menu labelling regulations.

Obesity is a serious health concern in Canada. Thirty-seven percent of the population are overweight and approximately 25% are obese. Increased energy intake from eating outside the home has contributed to the rise in obesity. Approximately one quarter of all Canadians consume food in a quick-service restaurant on a given day. Although not all food consumed outside the home is of poor nutritional quality, restaurants generally offer foods that have larger portions, and are higher in calories and fat. Menu labelling has the potential to promote healthier eating by informing consumers about the calorie content of meals. Currently, there is little or no research on possible unintended effects of displaying calorie information at restaurants and quick-service establishments. In particular, it is unclear how such information would affect individuals with clinical eating disorders, or those with eating disturbances. In the current study, 325 female undergraduate students over the age of 16 took part in a 10-minute paper-based survey after meal consumption in a cafeteria on the University of Waterloo campus. The study employed a pre-post design, with data collection occurring in paired and unpaired samples one month before calorie information was added to menu boards, and one week after. In the 299 participants with usable data the prevalence of eating disturbances (EAT-26 > 20) was 10.4%. Calorie consumption decreased from baseline (mean=678.2 kcal) to follow-up (mean=602.3 kcal; p=0.049). There were no statistically significant changes in any of the other outcomes from baseline to follow-up, including body image satisfaction, anxiety, mood, and frequency of engaging in unhealthy behaviours. Additionally, there were no interactions between eating disturbance level and time, which suggests that calorie labels did not differentially affect those in this high-risk population. Overall, no adverse outcomes related to eating disturbances were associated with the implementation of calorie labels in this at-risk population. The results have potential implications for menu labelling regulations.

Background. This study sought to determine the distribution of early-onset restrictive eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). Methods. A total of 1444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 criteria for ARFID. Results. Forty-six children (3.2%) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal- and overweight children. The EDY-Q revealed good psychometric properties, including adequate discriminant and convergent validity. Conclusions. Early-onset restrictive eating disturbances are commonly reported in middle childhood. Because of possible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study’s findings.

Objective: This study sought to determine the factor structure of the newly developed self-report screening questionnaire Eating Disturbances in Youth-Questionnaire (EDY-Q) as well as to report the distribution of variants of early-onset restrictive eating disturbances characteristic of avoidant/restrictive food intake disorder (ARFID) in a middle childhood population sample. Method: Using the EDY-Q, a total of 1444 children aged 8-13 years were screened in elementary schools in Switzerland via self-report. The factor analysis of the 12 items covering ARFID related symptoms was performed using a principal component analysis (PCA). Results: The PCA showed a four factor solution, with clear allocation to the scales covering three variants of early-onset restrictive eating disturbances and weight problems. Inadequate overall food intake was reported by 19.3% of the children, a limited accepted amount of food by 26.1%, and food avoidance based on a specific underlying fear by 5.0%. Discussion: The postulated factor structure of the EDY-Q was confirmed, further supporting the existence of distinct variants of early-onset restrictive eating disturbances. Avoidant/restrictive eating behavior seems to be a common experience in middle childhood, but results have to be confirmed using validated interviews.

Thesis (Masters) -- The College of Saint Elizabeth, 2010. / Typescript. Available at The College of Saint Elizabeth - Office of Graduate Programs. "March 2010"

Background. This study sought to determine the distribution of early-onset restrictive eating disturbances characteristic of the new DSM-5 diagnosis, avoidant/restrictive food intake disorder (ARFID) in middle childhood, as well as to evaluate the screening instrument, Eating Disturbances in Youth-Questionnaire (EDY-Q). Methods. A total of 1444 8- to 13-year-old children were screened in regular schools (3rd to 6th grade) in Switzerland using the self-report measure EDY-Q, consisting of 12 items based on the DSM-5 criteria for ARFID. Results. Forty-six children (3.2%) reported features of ARFID in the self-rating. Group differences were found for body mass index, with underweight children reporting features of ARFID more often than normal- and overweight children. The EDY-Q revealed good psychometric properties, including adequate discriminant and convergent validity. Conclusions. Early-onset restrictive eating disturbances are commonly reported in middle childhood. Because of possible negative short- and long-term impact, early detection is essential. Further studies with structured interviews and parent reports are needed to confirm this study’s findings.

Objective: This study sought to determine the factor structure of the newly developed self-report screening questionnaire Eating Disturbances in Youth-Questionnaire (EDY-Q) as well as to report the distribution of variants of early-onset restrictive eating disturbances characteristic of avoidant/restrictive food intake disorder (ARFID) in a middle childhood population sample. Method: Using the EDY-Q, a total of 1444 children aged 8-13 years were screened in elementary schools in Switzerland via self-report. The factor analysis of the 12 items covering ARFID related symptoms was performed using a principal component analysis (PCA). Results: The PCA showed a four factor solution, with clear allocation to the scales covering three variants of early-onset restrictive eating disturbances and weight problems. Inadequate overall food intake was reported by 19.3% of the children, a limited accepted amount of food by 26.1%, and food avoidance based on a specific underlying fear by 5.0%. Discussion: The postulated factor structure of the EDY-Q was confirmed, further supporting the existence of distinct variants of early-onset restrictive eating disturbances. Avoidant/restrictive eating behavior seems to be a common experience in middle childhood, but results have to be confirmed using validated interviews.