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Cited by 9Obesity, Physical Activity, DietObesity and Health PracticesBariatric Surgery and Outcomes

More than just body mass index: Using the Edmonton obesity staging system for pediatrics to define obesity severity in a multi‐ethnic Australian pediatric clinical cohort

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Southcombe, Faye, Vivekanandarajah, Sinthu, Krstic, Slavica, Lin, Fang, Chay, Paul, Williams, Mandy, Khan, Jahidur Rahman, Hu, Nan +4 more·2023·Obesity Science & Practice
DOI 10.1002/osp4.648PMC PMC10242255
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Abstract

Background: Despite advancements in the use of body mass index (BMI) to categorize obesity severity in pediatrics, its utility in guiding individual clinical decision making remains limited. The Edmonton Obesity Staging System for Pediatrics (EOSS‐P) provides a way to categorize the medical and functional impacts of obesity according to the severity of impairment. The aim of this study was to describe the severity of obesity among a sample of multicultural Australian children using both BMI and EOSS‐P tools. Methods: This cross‐sectional study included children aged 2–17 years receiving obesity treatment through the Growing Health Kids (GHK) multi‐disciplinary weight management service in Australia between January to December 2021. BMI severity was determined using the 95th percentile for BMI on age and gender standardized Centre for Disease Control and Prevention (CDC) growth charts. The EOSS‐P staging system was applied across the four health domains (metabolic, mechanical, mental health and social milieu) using clinical information. Results: Complete data was obtained for 338 children (age 10.0 ± 3.66 years), of whom 69.5% were affected by severe obesity. An EOSS‐P stage 3 (most severe) was assigned to 49.7% of children, the remaining 48.5% were assigned stage 2 and 1.5% were assigned stage 1 (least severe). BMI predicted health risk as defined by EOSS‐P overall score. BMI class did not predict poor mental health. Conclusion: Used in combination, BMI and EOSS‐P provide improved risk stratification of pediatric obesity. This additional tool can help focus resources and develop comprehensive multidisciplinary treatment plans.

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  • BMI is relatively simple to measure in adults and functionally sums a variety of complex body indicators.

    “BMI is relatively simple to measure in adults [4,5,6,7,8,9] and functionally sums a variety of complex body indicators.”

    From Advantages and Limitations of the Body Mass Index (BMI) to Assess Adult Obesity (2024) · cites this paper as [6]

    The Methods (BMI classification; page unavailable) describe routinely collecting BMI from measured height and weight, which supports the idea that it is relatively straightforward to obtain. The study concerns children aged 2–17, however, and does not address how simple BMI is to measure in adults. The citation is attached to that first clause, not the subsequent claim about complex body indicators. (LLM, conf=0.81)

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Authors
Southcombe, F., Vivekanandarajah, S., Krstic, S., Lin, F., Chay, P., Williams, M., Khan, J. R., Hu, N., Eapen, V., Dennis, S., Denney‐Wilson, E., & Lingam, R.
Affiliations
  • The University of Sydney (AU)
  • South Western Sydney Local Health District (AU)
  • UNSW Sydney (AU)
  • South Western Sydney Local Health District Sydney New South Wales Australia
Corresponding author
Southcombe, Faye
ORCID
Venue
Obesity Science & Practice
Publisher
Wiley
Published
2022-12-23
Volume
9
Issue
3
Pages
285-295
ISSN
2055-2238 (ISSN-L)
DOI
10.1002/osp4.648
PMC
PMC10242255
OpenAlex
W4311440799
Cited by
9
References
2
Citations by year
2026: 2 · 2025: 4 · 2024: 2 · 2022: 1
FWCI
1.55
Type
journal article
Language
en
Open access
Licence
Locations
  • Obesity Science & Practice (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
  • Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
  • Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Keywords
childhood obesity, obesity severity, body mass index, risk stratification, morbid obesity, mental health, multicultural children, functional disability

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