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Updated: Feb 4, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
Relationship Between Perceptions of Obesity Causes and Weight Loss Expectations Among Adults
Katelyn M Daigle1, Catherine H Gang2, Mariko F Kopping3
1Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA.
Objective:
To examine relationships between the demographic characteristics of subjects with obesity seeking pharmaceutical-assisted weight loss and their weight loss expectations and perceptions of the causes of their obesity.
Methods:
A total of 225 adults with obesity completed an obesity perceptions questionnaire (OPQ), which included 4 attribution subscales: biological, psychological, environmental, and lifestyle. Relations were analyzed among OPQ subscales, subject characteristics, and self-perceived ideal 12-month weight loss.
Results:
Subjects desired to lose 26.4% (SD, 7.7%) of their body weight (ideal weight loss). Ideal weight loss correlated positively with the OPQ biological subscale (P = .008), body mass index (P < .001), female sex (P < .001), and past weight loss attempts (P < .001). Cronbach α was good (>.70) only for the psychological subscale. White race (P = .02), married status (P = .01), and high school or higher education (P = .02) were negatively correlated with ideal weight loss.
Conclusions And Implications:
When designing interventions for preventing and treating obesity, patient perceptions should be considered.
Insights
Individuals seeking weight loss medication have specific expectations influenced by their demographics and beliefs about obesity causes. Understanding these perceptions is key for effective obesity treatment interventions.
Area of Science:
- Obesity research
- Behavioral medicine
- Public health
Background:
- Obesity is a complex chronic disease requiring multifaceted treatment approaches.
- Patient perceptions of obesity causes and weight loss expectations can influence treatment adherence and outcomes.
Purpose of the Study:
- To investigate the associations between demographic characteristics, obesity causal attributions, and weight loss expectations in adults seeking pharmaceutical-assisted weight loss.
Main Methods:
- A cross-sectional study involving 225 adults with obesity who completed the Obesity Perceptions Questionnaire (OPQ).
- The OPQ assessed biological, psychological, environmental, and lifestyle attributions for obesity.
- Statistical analyses examined relationships between OPQ subscales, demographics, and ideal 12-month weight loss.
Main Results:
- Participants desired an average ideal weight loss of 26.4%.
- Ideal weight loss positively correlated with biological attributions, higher BMI, female sex, and prior weight loss attempts.
- White race, married status, and higher education levels were negatively correlated with ideal weight loss.
Conclusions:
- Patient perceptions regarding obesity causes and weight loss goals vary based on demographic factors.
- Incorporating patient-specific perceptions into the design of obesity interventions may enhance their effectiveness.
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