Abstract
Purpose: To allocate obese patients to the correct therapeutic setting, the Italian Obesity Society (SIO) has suggested a new algorithm based on the Edmonton obesity staging system (EOSS). The aim of our study was to apply in two retrospective cohorts of obese patients both the EOSS and the activities of daily life (ADL) scale to identify also their rehabilitation needs. Methods: 288 out-patients and 298 in-patients were recruited. All patients were evaluated with a multidisciplinary approach and the mental, mechanical, and metabolic comorbidities were scored. Results: The 2 groups differed for gender (28.8% men in out-patients, p = 0.001), age (> 60 years in in-patients, p = 0.03), BMI (40.8 ± 6.3 kg/m2 in in-patients, p < 0.001), and ADL (44.0 ± 16.0 in in-patients, p < 0.001). EOSS distribution was significant different: stages 0 and 1 were more present in out-patients and stages 3 and 4 in in-patients. In both groups, BMI increased significantly in EOSS category [95% CI + 1.4 (+ 0.5; + 2.2) for out-patients and + 1.7 (+ 0.7; + 2.6) for in-patients] and ADL were positively correlated with EOSS [95% CI + 5.0 (+ 2.5; + 7.4) for out-patients and + 9.9 (+ 7.7; + 12.2) for in-patients]. Mean ADL difference between the two groups, adjusted for age (over/under 60 years), BMI category, and EOSS was 24.8 (p < 0.0001). Conclusions: SIO algorithm seems an effective tool for staging obesity in relation to the clinical impairment. To better define the correct rehabilitative allocation of obese patients, we suggest to integrate the SIO algorithm with the ADL score. Level of evidence: Level III, retrospective case-control analytic study.
| Original language | English |
|---|---|
| Pages (from-to) | 871-876 |
| Journal | Eating and Weight Disorders |
| Volume | 23 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - 2018 |
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Keywords
- Activities of Daily Life (ADL) scale
- Edmonton Obesity Staging System (EOSS)
- Obesity
- SIO algorithm
ASJC Scopus subject areas
- Clinical Psychology
- Psychiatry and Mental health
Cite this
Defining the appropriate setting for treating obese patients : do we have the right tools? / Vigna, Luisella; Brunani, Amelia; Agnelli, Gianna Maria; Ingenito, Maria Rosaria; Tomaino, Silvia; Consonni, Dario; Capodaglio, Paolo; Donini, Lorenzo Maria.
In: Eating and Weight Disorders, Vol. 23, No. 6, 2018, p. 871-876.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Defining the appropriate setting for treating obese patients
T2 - do we have the right tools?
AU - Vigna, Luisella
AU - Brunani, Amelia
AU - Agnelli, Gianna Maria
AU - Ingenito, Maria Rosaria
AU - Tomaino, Silvia
AU - Consonni, Dario
AU - Capodaglio, Paolo
AU - Donini, Lorenzo Maria
PY - 2018
Y1 - 2018
N2 - Purpose: To allocate obese patients to the correct therapeutic setting, the Italian Obesity Society (SIO) has suggested a new algorithm based on the Edmonton obesity staging system (EOSS). The aim of our study was to apply in two retrospective cohorts of obese patients both the EOSS and the activities of daily life (ADL) scale to identify also their rehabilitation needs. Methods: 288 out-patients and 298 in-patients were recruited. All patients were evaluated with a multidisciplinary approach and the mental, mechanical, and metabolic comorbidities were scored. Results: The 2 groups differed for gender (28.8% men in out-patients, p = 0.001), age (> 60 years in in-patients, p = 0.03), BMI (40.8 ± 6.3 kg/m2 in in-patients, p < 0.001), and ADL (44.0 ± 16.0 in in-patients, p < 0.001). EOSS distribution was significant different: stages 0 and 1 were more present in out-patients and stages 3 and 4 in in-patients. In both groups, BMI increased significantly in EOSS category [95% CI + 1.4 (+ 0.5; + 2.2) for out-patients and + 1.7 (+ 0.7; + 2.6) for in-patients] and ADL were positively correlated with EOSS [95% CI + 5.0 (+ 2.5; + 7.4) for out-patients and + 9.9 (+ 7.7; + 12.2) for in-patients]. Mean ADL difference between the two groups, adjusted for age (over/under 60 years), BMI category, and EOSS was 24.8 (p < 0.0001). Conclusions: SIO algorithm seems an effective tool for staging obesity in relation to the clinical impairment. To better define the correct rehabilitative allocation of obese patients, we suggest to integrate the SIO algorithm with the ADL score. Level of evidence: Level III, retrospective case-control analytic study.
AB - Purpose: To allocate obese patients to the correct therapeutic setting, the Italian Obesity Society (SIO) has suggested a new algorithm based on the Edmonton obesity staging system (EOSS). The aim of our study was to apply in two retrospective cohorts of obese patients both the EOSS and the activities of daily life (ADL) scale to identify also their rehabilitation needs. Methods: 288 out-patients and 298 in-patients were recruited. All patients were evaluated with a multidisciplinary approach and the mental, mechanical, and metabolic comorbidities were scored. Results: The 2 groups differed for gender (28.8% men in out-patients, p = 0.001), age (> 60 years in in-patients, p = 0.03), BMI (40.8 ± 6.3 kg/m2 in in-patients, p < 0.001), and ADL (44.0 ± 16.0 in in-patients, p < 0.001). EOSS distribution was significant different: stages 0 and 1 were more present in out-patients and stages 3 and 4 in in-patients. In both groups, BMI increased significantly in EOSS category [95% CI + 1.4 (+ 0.5; + 2.2) for out-patients and + 1.7 (+ 0.7; + 2.6) for in-patients] and ADL were positively correlated with EOSS [95% CI + 5.0 (+ 2.5; + 7.4) for out-patients and + 9.9 (+ 7.7; + 12.2) for in-patients]. Mean ADL difference between the two groups, adjusted for age (over/under 60 years), BMI category, and EOSS was 24.8 (p < 0.0001). Conclusions: SIO algorithm seems an effective tool for staging obesity in relation to the clinical impairment. To better define the correct rehabilitative allocation of obese patients, we suggest to integrate the SIO algorithm with the ADL score. Level of evidence: Level III, retrospective case-control analytic study.
KW - Activities of Daily Life (ADL) scale
KW - Edmonton Obesity Staging System (EOSS)
KW - Obesity
KW - SIO algorithm
UR - http://www.scopus.com/inward/record.url?scp=85055747198&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85055747198&partnerID=8YFLogxK
U2 - 10.1007/s40519-018-0595-x
DO - 10.1007/s40519-018-0595-x
M3 - Article
AN - SCOPUS:85055747198
VL - 23
SP - 871
EP - 876
JO - Eating and Weight Disorders
JF - Eating and Weight Disorders
SN - 1124-4909
IS - 6
ER -