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Edmonton Obesity Staging System (EOSS) and Work Ability in the Evaluation of Workers Affected by Obesity

A Preliminary Report

Vigna, Luisella M. MD; Brunani, Amelia MD; Gori, Francesca MSc; Mussino, Fabio MD; Tomaino, Silvia C.M. BPsyc; Agnelli, Gianna M. MPsyc; Consonni, Dario MD; Riboldi, Luciano MD

Journal of Occupational and Environmental Medicine: August 2018 - Volume 60 - Issue 8 - p 732–736
doi: 10.1097/JOM.0000000000001321
ORIGINAL ARTICLES
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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/m2) and 658 female (48.4 ± 9.7 years; BMI 33.6 ± 5.4 kg/m2) 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.

Workers’ 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).

Address correspondence to: Luisella M. Vigna, MD, Obesity and Work Unit., Workers’ Health Protection and Promotion Unit, Clinica del Lavoro “L. Devoto”, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, via Francesco Sforza 35, 20122 Milan, Italy (luisella.vigna@policlinico.mi.it).

The Authors have no conflicts of interest.

Copyright © 2018 by the American College of Occupational and Environmental Medicine