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Related Experiment Video

Updated: Jul 10, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Weight-Related Self-Esteem, Group Behavioral Therapy, and Weight Loss.

Joshua Bernal1, Jo A Wick1,2, Byron Gajewski1,2

  • 1Department of Biostatistics & Data Science, University of Kansas Medical Center, Kansas, Kansas, USA.

Obesity (Silver Spring, Md.)
|July 8, 2026
PubMed
Summary

Patients with higher self-esteem may achieve greater weight loss in group obesity treatment settings. Group visits are recommended for individuals with baseline self-esteem scores above 60.

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Area of Science:

  • Obesity treatment
  • Behavioral health
  • Primary care interventions

Background:

  • Weight stigma negatively impacts self-esteem in patients with obesity.
  • Comprehensive obesity treatment includes lifestyle modifications.
  • Primary care settings are crucial for managing obesity.

Purpose of the Study:

  • To explore recommendations for group versus individual visits in obesity treatment.
  • To determine the influence of baseline self-esteem on treatment outcomes.
  • To identify optimal treatment modalities based on patient psychological factors.

Main Methods:

  • A 24-month cluster randomized controlled trial involving 1220 rural primary care patients.
  • Assessment of baseline weight-related self-esteem using the Impact of Weight on Quality of Life-Lite (IWQOL-L) scale.
  • Bayesian dynamic linear modeling to analyze the relationship between self-esteem and weight loss.

Main Results:

  • Group treatment demonstrated superior weight loss compared to individual treatment.
  • Patients with IWQOL-L scores > 60 showed a high probability of greater weight loss in group settings.
  • Individuals with the highest self-esteem (80-100) lost significantly more weight in group (6.7 kg) versus individual (3.9 kg) visits.

Conclusions:

  • An IWQOL-L score above 60 at baseline may indicate greater benefit from group interventions.
  • Tailoring obesity treatment modality to patient self-esteem can enhance weight loss outcomes.
  • Group-based behavioral interventions show promise for specific patient populations in weight management.