Evidence map›Paper›PMID 26941556›Full record

ArticlePaediatrics & child health

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 and 4 more

Abstract read
In one paragraph

Article in Paediatrics & child health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Validity of non-traditional measures of obesity compared to total body fat across the life course: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Obesity in South and Southeast Asia-A new consensus on care and management.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2023
    Guideline
  3. Pooled it
  4. Article
  5. Article
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  7. Discrepancies Between Recommendations in Evidence-Based Guidelines for the Management of Obesity in Adolescents and Adults: An Evidence Map.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  8. Article
  9. Review
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  12. Advancing precision public health for obesity in children.Reviews in endocrine & metabolic disorders · 2023
    Review
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  17. Critical examination of relationships between early growth and childhood overweight in extremely preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Stasia HadjiyannakisDepartment of Pediatrics, University of Ottawa;; Children's Hospital of Eastern Ontario Research Institute;
Annick BuchholzChildren's Hospital of Eastern Ontario Research Institute;; Department of Psychology, Carleton University, Ottawa, Ontario;
Jean-Pierre ChanoineDepartment of Pediatrics, University of British Columbia; British Columbia Children's Hospital, Vancouver, British Columbia;
Mary M JethaDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta;; Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
Laurie GabouryStollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;
Jill HamiltonDepartment of Pediatrics, University of Toronto; The Hospital for Sick Children, Toronto;
Catherine BirkenDepartment of Pediatrics, University of Toronto; The Hospital for Sick Children, Toronto;
Katherine M MorrisonDepartment of Pediatrics, McMaster University; McMaster Children's Hospital, Hamilton, Ontario;
Laurent LegaultDepartment of Pediatrics, McGill University; Montreal Children's Hospital, Montreal, Quebec;
Tracey BridgerDepartment of Pediatrics, Memorial University; Janeway Children's Hospital, St John's, Newfoundland and Labrador;
Stephen R CookUniversity of Rochester Medical Center, Rochester, New York, USA;
John LyonsSchool of Psychology, Faculty of Social Sciences, University of Ottawa, Ottawa, Ontario;
Arya M SharmaDepartment of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta.
Geoff Dc BallDepartment of Pediatrics, Faculty of Medicine and Dentistry, University of Alberta;; Stollery Children's Hospital, Alberta Health Services, Edmonton, Alberta;

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

CanadaChildHealth riskObesityTreatment

Identifiers

PMID26941556
PMCPMC4758422

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.