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

Stasia Hadjiyannakis, Annick Buchholz, Jean Pierre Chanoine, Mary M. Jetha, Laurie Gaboury, Jill Hamilton, Catherine Birken, Katherine M. Morrison, Laurent Legault, Tracey Bridger, Stephen R. Cook, John Lyons, Arya M. Sharma, Geoff D.C. Ball

Research output: Contribution to journalArticlepeer-review

38 Scopus citations


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.

Original languageEnglish
Pages (from-to)21-26
Number of pages6
JournalPaediatrics and Child Health (Canada)
Issue number1
StatePublished - Jan 1 2016

Bibliographical note

Publisher Copyright:
© 2016 Pulsus Group Inc.


  • Canada
  • Child
  • Health Risk
  • Obesity
  • Treatment

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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