{"id":7653,"date":"2020-06-07T00:11:40","date_gmt":"2020-06-07T00:11:40","guid":{"rendered":"https:\/\/medicalcriteria.com\/web\/?p=7653"},"modified":"2026-01-08T19:03:27","modified_gmt":"2026-01-08T19:03:27","slug":"edmonton-obesity-staging","status":"publish","type":"post","link":"https:\/\/medicalcriteria.com\/web\/edmonton-obesity-staging\/","title":{"rendered":"Edmonton Obesity Staging System (EOSS)"},"content":{"rendered":"<div class=\"99c380e4b4a7b96c35d7ddf7dcb434e8\" data-index=\"1\" style=\"float: none; margin:0px 0 0px 0; text-align:center;\">\n<script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- MC 2019- Horizontal -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-0127150553352455\"\r\n     data-ad-slot=\"3806776041\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script>\n<\/div>\n<p>The Edmonton Obesity Staging System (EOSS) is a novel risk-stratification system that classifies obese individuals into 5 graded categories, based on their morbidity and health-risk profile.<!--more--><\/p>\n<p><strong>Edmonton Obesity Staging System (EOSS)<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%;\" border=\"1\">\n<tbody>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\"><strong>Stage<\/strong><\/td>\n<td style=\"width: 46.8606%;\"><strong>Conceptual description<\/strong><\/td>\n<td style=\"width: 44.4635%;\"><strong>Criteria<\/strong><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\">0<\/td>\n<td style=\"width: 46.8606%;\">No apparent obesity-related risk factors (e.g., BP, serum lipids, fasting glucose, etc., within normal range), no physical symptoms, no psychopathology, no functional limitations and (or) impairment of well being<\/td>\n<td style=\"width: 44.4635%;\">No reported EOSS factors<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\">1<\/td>\n<td style=\"width: 46.8606%;\">\n<ul>\n<li>Presence of obesity-related subclinical risk factors (e.g., borderline hypertension, impaired fasting glucose, elevated liver enzymes, etc.)<\/li>\n<li>Mild physical symptoms (e.g., dyspnea on moderate exertion, occasional aches and pains, fatigue, etc.)<\/li>\n<li>Mild functional limitations<\/li>\n<li>Mild psychopathology and (or)<\/li>\n<li>Mild impairment of well being<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 44.4635%;\">\n<ul>\n<li>BP \u2265130\/85 and (or) &lt;125\/75 mm Hg for individuals with T2D<\/li>\n<li>Fasting glucose \u2265100 and &lt;125 mg\/dL<\/li>\n<li>Cholesterol \u2265200 and&lt;240 mg\/dL<\/li>\n<li>Triglycerides \u2265150 and&lt;200 mg\/dL<\/li>\n<li>HDL &lt;60 mg\/dL<\/li>\n<li>Shortness of breath during physical activity<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\">2<\/td>\n<td style=\"width: 46.8606%;\">\n<ul>\n<li>Presence of established obesity-related chronic disease (e.g., hypertension, type 2 diabetes, sleep apnea, osteoarthritis, reflux disease, polycystic ovary syndrome, anxiety disorder, etc.)<\/li>\n<li>Moderate limitations in activities of daily living and (or)<\/li>\n<li>Moderate impairment of well being<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 44.4635%;\">\n<ul>\n<li>Diagnosed hypertension or hypertension medication<\/li>\n<li>BP \u2265140\/90 mm Hg or 130 \/80 for individuals with T2D<\/li>\n<li>T2D<\/li>\n<li>Fasting glucose \u2265125 mg\/dL<\/li>\n<li>Diagnosed hypercholesterolemia<\/li>\n<li>Cholesterol \u2265240 mg\/dL<\/li>\n<li>Diagnosed hypertriglyceridemia<\/li>\n<li>Triglycerides \u2265200 mg\/dL<\/li>\n<li>HDL &lt; 40 mg\/dL<\/li>\n<li>Gout<\/li>\n<li>Depression<\/li>\n<li>Fatigue<\/li>\n<li>Urinary leakage<\/li>\n<li>Low back pain<\/li>\n<li>Joint stiffness<\/li>\n<li>Reported emotional outlook of \u201cgenerally sad,\u201d or<\/li>\n<li>Self-reported health of \u201cfair\u201d<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\">3<\/td>\n<td style=\"width: 46.8606%;\">\n<ul>\n<li>Established end-organ damage (e.g., myocardial infarction, heart\u00a0failure, diabetic complications, incapacitating osteoarthritis, etc.)<\/li>\n<li>Significant psychopathology<\/li>\n<li>Significant functional limitations and (or)<\/li>\n<li>Significant impairment of well being<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 44.4635%;\">\n<ul>\n<li>Reported chest pain<\/li>\n<li>Chest pain during exercise<\/li>\n<li>Heart attack<\/li>\n<li><span style=\"font-family: inherit; font-size: inherit;\">Calf pain during exercise<\/span><\/li>\n<li><span style=\"font-family: inherit; font-size: inherit;\">Stroke<\/span><\/li>\n<li>Shortness of breath when sleeping<\/li>\n<li>Shortness of breath when sitting<\/li>\n<li>Psychiatric or psychological counseling, or<\/li>\n<li>Moderate or severe cardiomegaly<\/li>\n<li>Reported emotional outlook of \u201coften depressed\u201d, or<\/li>\n<li>Self-reported health of \u201cpoor\u201d<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 8.67577%; text-align: center;\">4<\/td>\n<td style=\"width: 46.8606%;\">\n<ul>\n<li>Severe (potentially end-stage) disabilities from obesity-related chronic diseases<\/li>\n<li>Severe disabling psychopathology<\/li>\n<li>Severe functional limitations and (or)<\/li>\n<li>Severe impairment of well being<\/li>\n<\/ul>\n<\/td>\n<td style=\"width: 44.4635%;\">Not examined<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Note: BP, blood pressure; HDL, high-density lipoprotein, T2D, type 2 diabetes.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Kuk JL, Ardern CI, Church TS, et al. Edmonton Obesity Staging System: association with weight history and mortality risk. Appl Physiol Nutr Metab. 2011;36(4):570\u2010576. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/21838602\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>Schwarz AC, Billeter AT, Scheurlen KM, Bl\u00fcher M, M\u00fcller-Stich BP. Comorbidities as an Indication for Metabolic Surgery. Visc Med. 2018;34(5):381\u2010387. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30498706\/\" target=\"_blank\" rel=\"noopener noreferrer\">[Medline]<\/a><\/li>\n<li>De Wolf A, Nauwynck E, Vanbesien J, Staels W, De Schepper J, Gies I. Optimizing Childhood Obesity Management: The Role of Edmonton Obesity Staging System in Personalized Care Pathways. Life (Basel). 2024 Feb 28;14(3):319. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/38541645\/\" target=\"_blank\" rel=\"noopener\">[Medline]<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Created: Jun 03, 2020.<br \/>\nUp-date: Jan 08, 2026.<\/p>\n\n<div style=\"font-size: 0px; height: 0px; line-height: 0px; margin: 0; padding: 0; clear: both;\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Sorry, this entry is only available in Espa\u00f1ol.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"no","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[98],"tags":[2201,2202,840,769,768,494,835,507],"class_list":["post-7653","post","type-post","status-publish","format-standard","hentry","category-nutrition","tag-edmonton","tag-eoss","tag-estadificacion","tag-obesidad","tag-obesity","tag-sistema","tag-staging","tag-system"],"modified_by":"Guillermo Firman","_links":{"self":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/comments?post=7653"}],"version-history":[{"count":14,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7653\/revisions"}],"predecessor-version":[{"id":10579,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/posts\/7653\/revisions\/10579"}],"wp:attachment":[{"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/media?parent=7653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/categories?post=7653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medicalcriteria.com\/web\/wp-json\/wp\/v2\/tags?post=7653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}