title: The Edmonton Obesity Staging System for Pediatrics: A proposed clinical staging system for paediatric obesity.
abstract: 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.
authors.affiliation: Department of Pediatrics, University of Ottawa;; Children's Hospital of Eastern Ontario Research Institute;
authors.forename: Stasia
authors.initials: S
authors.lastname: Hadjiyannakis
authors.affiliation: Children's Hospital of Eastern Ontario Research Institute;; Department of Psychology, Carleton University, Ottawa, Ontario;
authors.forename: Annick
authors.initials: A
authors.lastname: Buchholz
authors.affiliation: Department of Pediatrics, University of British Columbia; British Columbia Children's Hospital, Vancouver, British Columbia;
authors.forename: Jean-Pierre
authors.initials: JP
authors.lastname: Chanoine
authors.affiliation: Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta;; Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
authors.forename: Mary M
authors.initials: MM
authors.lastname: Jetha
authors.affiliation: Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
authors.forename: Laurie
authors.initials: L
authors.lastname: Gaboury
authors.affiliation: Department of Pediatrics, University of Toronto; The Hospital for Sick Children, Toronto;
authors.forename: Jill
authors.initials: J
authors.lastname: Hamilton
authors.affiliation: Department of Pediatrics, University of Toronto; The Hospital for Sick Children, Toronto;
authors.forename: Catherine
authors.initials: C
authors.lastname: Birken
authors.affiliation: Department of Pediatrics, McMaster University; McMaster Children's Hospital, Hamilton, Ontario;
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Morrison
authors.affiliation: Department of Pediatrics, McGill University; Montreal Children's Hospital, Montreal, Quebec;
authors.forename: Laurent
authors.initials: L
authors.lastname: Legault
authors.affiliation: Department of Pediatrics, Memorial University; Janeway Children's Hospital, St John's, Newfoundland and Labrador;
authors.forename: Tracey
authors.initials: T
authors.lastname: Bridger
authors.affiliation: University of Rochester Medical Center, Rochester, New York, USA;
authors.forename: Stephen R
authors.initials: SR
authors.lastname: Cook
authors.affiliation: School of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario;
authors.forename: John
authors.initials: J
authors.lastname: Lyons
authors.affiliation: Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta.
authors.forename: Arya M
authors.initials: AM
authors.lastname: Sharma
authors.affiliation: Department of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta;; Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
authors.forename: Geoff Dc
authors.initials: GD
authors.lastname: Ball
keywords: Canada; Child; Health risk; Obesity; Treatment