An exploration of self-perception of weight status, weight-related variables, and preferences for weight management strategies among South Asians in the US.

Objective: This study aimed to explore the relationships between self-perception of weight status, weight-related variables, and weight management preferences of South Asians (SA) to assist in building culturally tailored interventions for obesity management.

Methods: This was a cross-sectional, descriptive, and correlational study. The sample consisted of 272 South Asians over 18 years of age. Data analyses included descriptive and inferential statistics.

Results: Based on ethnic-specific BMI criteria, 88.6% of participants were overweight/obese, and 53.5% had abdominal obesity. Among participants, 37% misperceived their weight status. Older individuals had lower chances of accepting weight loss medications (OR = 0.96, 95%CI: 0.94-0.99), while overweight/obese participants had lower odds of accepting weight management surgery (OR = 0.34, 95%CI: 0.13-0.85). The odds of accepting medication therapy were higher if the healthcare provider discussed weight status with them (OR = 1.84, 95% CI:1.06-3.21). Finally, compared to their counterparts, men, those with overweight/obesity, and those with abdominal obesity had 66%, 65%, and 49% lower odds of accurately perceiving their weight status, respectively.

Conclusion: This study highlights the high prevalence of overweight and obesity, the misperceptions of weight status, the need for provider involvement in care, and the specific subgroups of SAs with more misperceptions of weight status.