Weight-Reduction Preferences Among OBSERVE Study Participants With Obesity or Overweight: Opportunities for Shared Decision-Making
Authors' conclusion
In this large, real-world study, preferred magnitudes of weight reduction exceeded outcomes typically achieved with established nonsurgical obesity treatments but may be attained with bariatric procedures and newer and emerging anti-obesity medications. Respecting patients' preferences for treatment goals with obesity management could help support shared decision-making. Evaluating for an individual's contributors to weight preferences, such as weight self-stigma, can further benefit holistic obesity care.
Study context
- Population
- United States (US) adults with obesity, or overweight with obesity-related complications; women 63.6%, median body mass index (BMI) 34.2 kg/m²
- Participants
- 1,007 adults
- Outcome
- Preferred percent weight reduction for 5 preferences (dream, goal, happy, acceptable, disappointed)
Methodological detailssurvey
- Survey
Main finding
As reported in the abstract
Median preferred percent weight reduction
- Dream
- 23.5%
- Goal
- 16.7%
- Happy
- 14.6%
- Acceptable
- 10.3%
- Disappointed
- 4.8%
Observational data: associations, not effects.
Further findings
Preferences by participant characteristics
- Women reported higher preferred weight reductions than men
- Preferred weight reductions lower among Black/African American than White participants
- Multivariable regression: higher preferred weight reduction significantly associated with female sex, higher weight self-stigma, and BMI class in Hispanic vs White participants
Original publication
Weight-Reduction Preferences Among OBSERVE Study Participants With Obesity or Overweight: Opportunities for Shared Decision-Making. Endocr Pract. Published 18 June 2024. doi:10.
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