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Multidisciplinary Approach to Obesity Management: A Case Report
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Edmonton Obesity Staging System (EOSS) and Work Ability in the Evaluation of Workers Affected by Obesity: A
Luisella M Vigna1, Amelia Brunani, Francesca Gori
1Workers' Health Protection and Promotion Unit, Clinica del Lavoro "L. Devoto," Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy (Dr Vigna, Ms Gori, Ms Agnelli, Dr Riboldi); Division of Rehabilitation Medicine, IRCCS Istituto Auxologico Italiano, Ospedale San Giuseppe, Verbania, Italy (Dr Brunani); Postgraduate School of Occupational Health, University of Milan, Milan, Italy (Dr Mussino); Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy (Ms Tomaino); and Epidemiology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy (Dr Consonni).
Objective:
Obesity and work-ability may be influenced by reduced performance, associated diseases, and obesogenic environment.
Methods:
Two hundred seventy-six male (46.7 ± 10.6 years; BMI 33.3 ± 4.4 kg/m) and 658 female (48.4 ± 9.7 years; BMI 33.6 ± 5.4 kg/m) were enrolled. They were classified by Edmonton Obesity Staging System (EOSS) and interviewed for "perceived" work-ability.
Results:
Total work ability score was 1.3 ± 2.1 in EOSS 0, 1.2 ± 1.5 in EOSS 1, 1.8 ± 2 in EOSS 2, 2.0 ± 2.2 in EOSS 3. Work-ability, in relation to EOSS adjusted for sex, age, work categories referred to EOSS 0, was highest in EOSS stage 3 (P < 0.001 for trend) and with reference to Administration; Industries showed the worst score (P < 0.001) followed by Health (P = 0.001) and Service (P = 0.01).
Conclusion:
The relation between EOSS and work-ability empowers clinical decision-making and helps to assess the impact of overweight on health and fitness for work.
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