This study evaluates the actions taken by obese adolescents in an attempt to lose weight in relation to changes in weight. Particular emphasis is put on the context surrounding the management process. Thirty one obese adolescents aged 14-18 participated in this study. The adolescents answered a written questionnaire, took a bodysize dissatisfaction test and were interviewed. Their family physicians were interviewed by telephone. Quantitative data concerned changes in weight and body-size dissatisfaction scores. Qualitative analysis included cases analyses and building up of synthesis variables. Loss of weight is linked with continuity of management attempts as well as with medical follow-up. The most frequent management attempt is diet. Self-image is correlated with weight. The exclusive emphasis put on diet is discussed in relation to the importance of more psychosocial factors such as self-image, denial and attraction to discontinuity. Some recommendations for the management of overweight adolescents are then outlined.

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