Obesity

Pre‐Treatment Concerns and Their Association With Functioning and Well‐Being During Incretin‐Based Therapy: A Cross‐Sectional Study

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Among retrospectively reported pre-treatment concerns, fear of side effects, treatment costs and injection anxiety were most strongly associated with lower functioning and well-being, whereas moral or psychosocial concerns showed no independent associations after multivariable adjustment.

Study context

Population
Adults undergoing incretin-based pharmacotherapy for obesity, treated with three different incretin-based medications; median age 39 years (IQR 33–47), 79.1% women, median BMI 36.3 kg/m² (IQR 32.2–42.3)
Participants
411 adults
Outcome
Associations of pre-treatment concerns with functioning and well-being (TRIM-Weight total score)

Main finding

As reported in the abstract

Associations of pre-treatment concerns with functioning and well-being (TRIM-Weight), fully adjusted models

Fear of side effects: β (95% CI), lower functioning and well-being

−3.53

−4.05 to −3.01

Concerns about cost: β (95% CI), lower functioning and well-being

−0.92

−1.37 to −0.47

Injection anxiety: β (95% CI), lower functioning and well-being

−0.67

−1.16 to −0.18

Doubts regarding effectiveness: β (95% CI), small positive association

0.61

0.03–1.19

Observational data: associations, not effects.

Further findings

TRIM-Weight total score

Median TRIM-Weight total score (IQR)
68.2 (64.0-73.4)

Previous weight-loss attempts

Had attempted weight loss
95.1%
Combined diet and physical activity
71.8%
Intermittent fasting
69.6%
Digital tracking tools
65.7%

Original publication

Pre‐Treatment Concerns and Their Association With Functioning and Well‐Being During Incretin‐Based Therapy: A Cross‐Sectional Study. Diabetes Obes Metab. Published 24 February 2026. doi:10.1111/dom.70599

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