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Paediatr Child Health. 2016 Jan-Feb;21(1):21-6.

The Edmonton Obesity Staging System for Pediatrics: A proposed clinical staging system for paediatric obesity.

Author information

1
Department of Pediatrics, University of Ottawa;; Children's Hospital of Eastern Ontario Research Institute;
2
Children's Hospital of Eastern Ontario Research Institute;; Department of Psychology, Carleton University, Ottawa, Ontario;
3
Department of Pediatrics, University of British Columbia; British Columbia Children's Hospital, Vancouver, British Columbia;
4
Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta;; Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
5
Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
6
Department of Pediatrics, University of Toronto; The Hospital for Sick Children, Toronto;
7
Department of Pediatrics, McMaster University; McMaster Children's Hospital, Hamilton, Ontario;
8
Department of Pediatrics, McGill University; Montreal Children's Hospital, Montreal, Quebec;
9
Department of Pediatrics, Memorial University; Janeway Children's Hospital, St John's, Newfoundland and Labrador;
10
University of Rochester Medical Center, Rochester, New York, USA;
11
School of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario;
12
Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta.

Abstract

in English, French

Traditionally, clinical recommendations for assessing and managing paediatric obesity have relied on anthropometric measures, such as body mass index (BMI), BMI percentile and/or BMI z-score, to monitor health risks and determine weight management success. However, anthropometric measures do not always accurately and reliably identify children and youth with obesity-related health risks or comorbidities. The authors propose a new clinical staging system (the Edmonton Obesity Staging System for Pediatrics, EOSS-P), adapted from the adult-oriented EOSS. The EOSS-P is used to stratify patients according to severity of obesity-related comorbidities and barriers to weight management into four graded categories (0 to 3) within four main health domains: metabolic, mechanical, mental health and social milieu (the 4Ms). The EOSS-P is based on common clinical assessments that are widely available and routinely completed by clinicians, and has the potential to provide clinical and prognostic information to help evaluate and inform the management of paediatric obesity.

KEYWORDS:

Canada; Child; Health risk; Obesity; Treatment

PMID:
26941556
PMCID:
PMC4758422

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