Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Edmonton obesity staging system

14,655 views

Published on

The Edmonton obesity staging system (EOSS), is a 5-point ordinal classification system that considers comorbidity and functional status, in predicting mortality in a nationally representative US sample.
In analysis of three large independent data sets (NHANES, COOPER Study),
the Edmonton obesity staging system independently predicted increased mortality even after adjustment for contemporary methods of classifying adiposity. The Edmonton obesity staging system may offer improved clinical utility in assessing obesity-related risk and prioritizing treatment.

Published in: Health & Medicine
  • Login to see the comments

Edmonton obesity staging system

  1. 1. Edmonton Obesity Staging System (EOSS) Arya M Sharma, MD, FRCP(C) Professor of Medicine Chair in Obesity Research & Management University of Alberta Edmonton, AB, Canada www.drsharma.ca
  2. 2. www.drsharma.ca
  3. 3. Edmonton Obesity Staging System (EOSS) Stage 2 co-morbidity moderate Stage 1 Stage 3 moderateStage 0 Stage 4 Obesitywww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  4. 4. Edmonton Obesity Staging System (EOSS) Hypertension Stage 2 Hypertension Stage 1 Pre- LVH Stage 3 hypertension CHDStage 0 Normal Heart Stage 4 blood pressure Failurewww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  5. 5. Edmonton Obesity Staging System (EOSS) Type 2 Diabetes Stage 2 Type 2 Diabetes Stage 1 IFT/ Micro-/macro- Stage 3 IGT vascular diseaseStage 0 Normal blood glucose Blindness Stage 4 ESRDwww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  6. 6. www.drsharma.ca
  7. 7. EOSS Predicts Mortality in NHANES IIIwww.drsharma.ca Padwal R, Sharma AM et al. CMAJ 2011
  8. 8. EOSS Predicts Mortality at Every Level of BMINHANES III Overweightwww.drsharma.ca Padwal R, Sharma AM et al. CMAJ 2011
  9. 9. www.drsharma.ca
  10. 10. Association Between EOSS and Mortality Risk inAerobics Center Longitudinal Study (n = 29 533)www.drsharma.ca Kuk JL, et al. Appl. Physiol. Nutr. Metab. 2011;36: 570
  11. 11. EOSS Distribution Across BMI CategoriesNHANES III (1988-1994) 14% 8% 19% 10% 15% Class I 59% 5% 14% Overweight 17% 23 million 28% Class II 47% 64% 5% EOSS Stage 14% 14% 0 10 million Class EOSS Stage III 1 50 million 67% EOSS Stage 6 million 2www.drsharma.ca Padwal R, Sharma AM et al. CMAJ 2011
  12. 12. EOSS Case 1 24 year-old physically active female, BMI of 32 Kg/m2 no demonstrable risk factors, no functional limitations, or mental health issues Class I, Stage 0 Obesity - Focus on prevention of further weight gain - Health benefits of more aggressive obesity treatment likely marginalwww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  13. 13. EOSS Case 2 32 year-old male BMI of 36 Kg/m2 hypertension, sleep apnea, depression Class 2, Stage 2 Obesity - Clear benefits of obesity treatmentwww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  14. 14. EOSS Case 3 63 year-old male BMI of 74 Kg/m2 disabling osteoarthritis (wheel chair) severe hypoventilation, fibromyalgia, generalized anxiety disorder Class 3, Stage 4 Obesity - Aggressive obesity treatment unless deemed palliativewww.drsharma.ca Sharma AM & Kushner RF, Int J Obes 2009
  15. 15. www.drsharma.ca
  16. 16. www.drsharma.ca
  17. 17. www.drsharma.ca
  18. 18. Key Points• EOSS provides a rational framework for clinical prioritization and management• EOSS stage is a better predictor of obesity risk than BMI or waist circumference• Assessing EOSS stage should be part of the clinical assessment of obesity• Management strategies should be based on EOSS stagewww.drsharma.ca
  19. 19. www.DrSharma.ca

×