Sharma and Kushner proposed the Edmonton Obesity Staging System (EOSS). This can be used to evaluate a patient who is obese or overweight. The authors are from the University of Alberta in Edmonton, Alberta, Canada.
Patient selection: overweight or obese
Parameters:
(1) obesity related risk factors
(2) physical symptoms
(3) functional limitations (disability)
(4) psychopathology
(5) impairment of well being
|
Risk Factors
|
Symptoms
|
Disability
|
Psycho-pathology
|
Well-Being
|
Stage
|
|
normal
|
none
|
none
|
none
|
none
|
0
|
|
subclinical
|
mild
|
mild
|
mild
|
mild
|
1
|
|
clinical
|
moderate
|
moderate
|
moderate
|
moderate
|
2
|
|
clinical
|
established end-organ damage
|
significant
|
significant
|
significant
|
3
|
|
clinical
|
severe, end-stage organ damage
|
severe
|
severe, disabling
|
severe
|
4
|
Obesity-related risk factors: blood pressure, serum lipids, fasting glucose
Obesity-related symptoms: dyspnea on exertion, joint pains, fatigue
Obesity-related organ damage: myocardial infarction, heart failure, osteoarthritis, sleep apnea, reflux disease, liver disease, diabetic end-organ damage
