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.

中文翻译：

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考虑 BMI、身体形象和期望的体重变化以选择合适的肥胖管理选项

随着全球肥胖率的增加，了解超重个体的身体形象很重要，因为不了解体重超标会阻止减肥尝试。我们探讨了超重或肥胖的西班牙女性和男性测量和自我报告的体重指数 (BMI)、身体形象和身体满意度之间的关联，特别关注区分对自己的身体和愿望满意和不满意的个人或者不改变他们的外表。仅仅将所有体重过重的个体统一起来可能会导致发现或否认不同的现实，并制定不合适的临床管理方案。更新西班牙人口的调查结果，我们发现大多数参与者正确估计了他们的体重，但十分之三的人低估了它。相似地，他们的身体形象与希望变瘦的超重或肥胖的成年人相对应，但平均而言，他们报告认为自己的身体只是略微超重并且对自己的身体有适度的满意度。作为现有证据的补充，BMI 和性别相互作用以影响体重估计和期望的体重变化。此外，根据他们的 BMI 和身体满意度，发现了三个不同的亚组体重和体型的期望变化。发现和考虑体重超标个体的不同主观现实和身体体验将有助于专业人员制定适当的治疗干预措施。因此，应该考虑个体肥胖的个人经历，而不是肥胖本身，以解开管理工作。