Usefulness of the Edmonton Obesity Staging System for stratifying the presence and severity of weight-related health problems in clinical and community settings: A rapid review of observational studies
Corresponding Author
Evan Atlantis
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
School of Medicine, The University of Adelaide, Adelaide, South Australia, Australia
Correspondence
Evan Atlantis, School of Nursing and Midwifery, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, New South Wales 2751, Australia.
Email: [email protected]
Search for more papers by this authorMehdi Sahebolamri
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
Department of Endocrinology (Obesity), Nepean Hospital, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
Search for more papers by this authorBirinder S. Cheema
School of Health Sciences and the National Institute of Complementary Medicine, Western Sydney University, Penrith, New South Wales, Australia
Search for more papers by this authorKathryn Williams
Department of Endocrinology (Obesity), Nepean Hospital, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
Charles Perkins Centre–Nepean, The University of Sydney, Kingswood, New South Wales, Australia
Search for more papers by this authorCorresponding Author
Evan Atlantis
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
School of Medicine, The University of Adelaide, Adelaide, South Australia, Australia
Correspondence
Evan Atlantis, School of Nursing and Midwifery, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith, New South Wales 2751, Australia.
Email: [email protected]
Search for more papers by this authorMehdi Sahebolamri
School of Nursing and Midwifery, Western Sydney University, Penrith, New South Wales, Australia
Department of Endocrinology (Obesity), Nepean Hospital, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
Search for more papers by this authorBirinder S. Cheema
School of Health Sciences and the National Institute of Complementary Medicine, Western Sydney University, Penrith, New South Wales, Australia
Search for more papers by this authorKathryn Williams
Department of Endocrinology (Obesity), Nepean Hospital, Nepean Blue Mountains Local Health District, Kingswood, New South Wales, Australia
Charles Perkins Centre–Nepean, The University of Sydney, Kingswood, New South Wales, Australia
Search for more papers by this authorSummary
This rapid review aimed to examine the usefulness of the Edmonton Obesity Staging System (EOSS) for stratifying the presence and severity of weight-related health problems in clinical and community settings. We searched PubMed, CINAHL and ProQuest for records from 2009 to May 2020. We considered observational studies in participants with overweight or obesity that investigated the risk of any clinical outcome associated with increasing EOSS. We reviewed and appraised 20 observational studies (cohort = 4, case series = 7, cross-sectional = 9) published between 2011 and 2020. Of 12 studies in clinical populations, the EOSS was most consistently associated with an increased risk of postoperative complications following bariatric surgery, especially for EOSS 3–4, and inversely associated with weight loss, treatment time and resolution of hypertension following bariatric surgery and clinical weight management. Of eight studies in community populations, the EOSS most consistently predicted mortality outcomes, especially for EOSS 3, and was associated with polypharmacy, service use and poorer work outcomes. Studies reported diverse EOSS definitions and outcomes, which slightly weakens the overall evidence base. The EOSS should be routinely used for predicting risks and benefits of surgical and nonsurgical weight management, but it should be applied with caution for population health planning.
CONFLICT OF INTERESTS
E.A. is President of the National Association of Clinical Obesity Services (NACOS) and in the last 12 months has received honoraria from Novo Nordisk Pharmaceuticals Pty Ltd for projects unrelated to this paper. K.W. is Vice President of the NACOS and in the last 12 months has received honoraria from Novo Nordisk Pharmaceuticals Pty Ltd. for projects unrelated to this paper. M.S. is employed on a grant from NACOS and Western Sydney University on a project unrelated to this paper. No conflict of interest was declared for B.S.C.
Supporting Information
| Filename | Description |
|---|---|
| obr13120-sup-0001-Supporting Information.docxWord 2007 document , 37.6 KB |
Table S1: Search strategy and electronic databases Table S2: List of excluded studies with reasons1-8 Table S3: Risk of bias assessments |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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