Reliability of body condition scoring using the Rabbit Size-O-Meter in companion rabbits (Oryctolagus cuniculus)
Mette Louise Halck1, Kathrine Stenberg1, Antonia Vania Adji2
1Department of Veterinary Clinical Sciences, University of Copenhagen, Frederiksberg, Denmark.
The Veterinary Record
|December 3, 2025
Summary
The Rabbit Size-O-Meter (RSOM) shows high intra-rater reliability but poor inter-rater reliability among rabbit owners and professionals. Further validation and modifications are needed for accurate rabbit body condition scoring.
Area of Science:
- Veterinary Medicine
- Animal Science
- Comparative Physiology
Background:
- Body condition scoring systems are crucial for monitoring companion animal adiposity.
- Existing systems lack validation for rabbits, a common pet species.
- Assessing the reliability of the Rabbit Size-O-Meter (RSOM) scale is essential for accurate rabbit health assessments.
Purpose of the Study:
- To evaluate the inter- and intra-rater reliability of the five-point Rabbit Size-O-Meter (RSOM) scale.
- To assess the scale's consistency across different rater experience levels (veterinary professionals, students, laypersons).
- To investigate the influence of rabbit demographics (age, sex, breed) on body condition scores.
Main Methods:
- 205 rabbits were scored using the RSOM by three distinct rater groups.
- Inter-rater reliability was quantified using Krippendorff's alpha.
- Intra-rater reliability was assessed using Cohen's kappa, with a subset of 10 rabbits re-scored.
Main Results:
- Overall inter-rater reliability was poor (α = 0.58), though moderate among veterinary professionals (α = 0.72).
- Agreement decreased significantly with less experienced raters (students, laypersons).
- Intra-rater reliability demonstrated substantial to almost perfect agreement (κ = 0.69‒0.90).
Conclusions:
- The RSOM exhibits high consistency when used by the same individual (intra-rater reliability).
- Significant variability exists between different individuals scoring rabbit body condition (inter-rater reliability).
- Recommendations include refining the RSOM and validating it against objective adiposity measures.


