Considering BMI, Body Image and Desired Weight Change for Suitable Obesity Management Options Godoy Izquierdo, Débora González Hernández, Juan Rodríguez-Tadeo, Alejandra Lara Moreno, Raquel Ogallar Blanco, Adelaida Irene Navarrón Vallejo, Estefanía Ramírez Molina, María José López Mora, Clara Arbinaga, Félix weight management body image body satisfaction obesity overweight Abstract. With prevalence of obesity increasing worldwide, understanding body image in individuals with excessive weight is important, as unawareness of weight excess can prevent weight loss attempts. We explored the associations among measured and self-reported body mass index (BMI), body image and body satisfaction among Spanish females and males with overweight or obesity, with a special focus in discriminating individuals who are and are not satisfied with their body and wish or not to change their appearance. Just unifying all individuals with excessive weight may lead to uncover or deny different realities and to develop unfitted clinical management options. Updating findings for the Spanish population, we found that most participants correctly estimated their weight, but 3 in 10 underestimated it. Similarly, their body images corresponded to adults with overweight or obesity who desired to be thinner, but in average they reported a perceived body just slightly overweight and a moderate satisfaction with their body. Complementing the existing evidence, BMI and sex-gender interacted for influencing body weight estimation and desired weight change. In addition, three different subgroups were found for desired change of weight and size, depending on their BMI and body satisfaction. Discovering and considering different subjective realities and corporeal experiences among individuals with weight excess will help professionals to develop appropriate therapeutic interventions. Thus, the personal experiences that individuals have with obesity, instead of obesity itself, should be considered for disentangling management efforts. 2026-01-26T08:13:33Z 2026-01-26T08:13:33Z 2020-07-24 journal article Rodríguez Tadeo; et al; Félix Arbinaga; (5/9) Ogallar-Blanco, A. I.2020. Considering BMI, Body Image and Desired Weight Change for Suitable Obesity Management Options. The Spanish Journal of Psychology. Cambridge University Press. 23-e35, pp.1-14. ISSN 1138-7416. WOS (8). JCR (1,8), JCR (1,8). https://doi.org/10.1017/SJP.2020.36 https://hdl.handle.net/10481/110208 https://doi.org/10.1017/SJP.2020.36 eng http://creativecommons.org/licenses/by-nc-nd/4.0/ embargoed access Attribution-NonCommercial-NoDerivatives 4.0 Internacional