{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:02:13Z","timestamp":1787166133892,"version":"build-2736575974"},"reference-count":45,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Although body mass index (BMI) is widely used to diagnose obesity, it is an imprecise measure of health. The Edmonton Obesity Staging System (EOSS) assesses the health impacts of elevated BMI based on medical, mental and functional complications and has been shown to predict mortality more accurately than BMI alone. This study aimed to develop a simple clinical support tool for structured assessment of the EOSS domains in routine clinical practice. An EOSS\u2010based clinical support tool was developed through an iterative Delphi process with obesity\u2010care experts, including pilot testing with patients and general practitioners, a test\u2013retest reliability assessment and a final consensus meeting. The final instrument consists of 48 items across six domains: personal information, medical history, lifestyle, weight\u2010reduction measures, psychosocial burden and functional limitations. Pilot testing indicated good feasibility and clarity, and the test\u2013retest reliability assessment indicated good temporal stability; low\u2010reliability items were revised. This clinical support tool, based on the EOSS domains, is designed to support the structured collection of information on obesity\u2010related medical, functional and psychosocial aspects. Further research is needed to evaluate its validity, feasibility in routine practice and implementation across diverse primary care settings.<\/jats:p>","DOI":"10.1111\/cob.70088","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T08:31:04Z","timestamp":1780475464000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Edmonton Obesity Staging System Clinical Support Tool: A Structured\n                    <scp>EOSS<\/scp>\n                    \u2010Domain\u2010Based Tool for Primary Care"],"prefix":"10.1111","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-5078-1070","authenticated-orcid":false,"given":"Annalena","family":"Philipp","sequence":"first","affiliation":[{"name":"Department for Physical Activity in Public Health, Institute of Movement and Neurosciences German Sport University Cologne  Cologne North Rhine\u2010Westphalia Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christel","family":"Moll","sequence":"additional","affiliation":[{"name":"Adipositas Verband Deutschland e.V  Bottrop North Rhine\u2010Westphalia Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arya M.","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Dentistry University of Alberta  Edmonton Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2455-8901","authenticated-orcid":false,"given":"Christine","family":"Joisten","sequence":"additional","affiliation":[{"name":"Department for Physical Activity in Public Health, Institute of Movement and Neurosciences German Sport University Cologne  Cologne North Rhine\u2010Westphalia Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Obesity and Overweight","author":"WHO","year":"2024"},{"key":"e_1_2_12_3_1","volume-title":"Verbreitung von Adipositas und Rauchen bei Erwachsenen in Deutschland\u2014Entwicklung von 2003 bis 2023","author":"Robert Koch Institute","year":"2025"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00508\u2010023\u201002270\u20109"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)01919\u2010X"},{"key":"e_1_2_12_6_1","unstructured":"DAG \u201cInterdisziplin\u00e4re Leitlinie Der Qualit\u00e4t S3 Zur \u2018Pr\u00e4vention Und Therapie Der Adipositas\u2019 \u201d2024 https:\/\/register.awmf.org\/de\/leitlinien\/detail\/050\u2010001."},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102018\u2010028086"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12875\u2010020\u201001239\u20101"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11553\u2010020\u201000812\u2010x"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/dom.13752"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12872"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20108587(24)00316\u20104"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/ijo.2009.2"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12701"},{"key":"e_1_2_12_15_1","unstructured":"C. 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