OSD
·
Cx
Obesity Staging & Burden Score — a multi-axis clinical staging instrument
weighting v0.1
research use only
⚠ Investigational instrument — weights are literature-anchored but not yet validated. Does not replace clinical judgement. Not a diagnostic device.
P
Patient details
optional identifiers
Patient ID
Patient name
O
Anthropometric grade
Asian-Indian cut-offs
Sex
Not assessed
Male
Female
Age
years · BMI %ile for 2–<20
Height
cm
Weight
kg
Waist
cm · raised ≥90 M / ≥80 F
Hip
cm · optional
Body Fat %
recorded · not scored
BMI
—
BMI %ile
—
WHtR
—
WHR
—
Grade
—
S
System involvement
S0–S4 per system
Cardiovascular
HTN / IHD / heart failure
Not assessed
S1 · S0 — none
S1 · S1 — mild involvement without need for medication
S1 · S2 — system involvement requiring a single medicine
S1 · S3 — multiple medications needed
S1 · S4 — uncontrolled with or without medication
Endocrine / Metabolic
T2DM · metabolic syndrome
Not assessed
S2 · S0 — none
S2 · S1 — mild involvement without need for medication
S2 · S2 — system involvement requiring a single medicine
S2 · S3 — multiple medications needed
S2 · S4 — uncontrolled with or without medication
Respiratory (OSA)
AHI 5–15 / 15–30 / >30 (AASM)
Not assessed
S3 · S0 — none
S3 · S1 — mild involvement without need for medication
S3 · S2 — system involvement requiring a single medicine
S3 · S3 — multiple medications needed
S3 · S4 — uncontrolled with or without medication
Musculoskeletal
Kellgren–Lawrence 0–4
Not assessed
S4 · S0 — none
S4 · S1 — mild involvement without need for medication
S4 · S2 — system involvement requiring a single medicine
S4 · S3 — multiple medications needed
S4 · S4 — uncontrolled with or without medication
Renal
KDIGO G-stage / albuminuria
Not assessed
S5 · S0 — none
S5 · S1 — mild involvement without need for medication
S5 · S2 — system involvement requiring a single medicine
S5 · S3 — multiple medications needed
S5 · S4 — uncontrolled with or without medication
Hepatic (MASLD)
Fibrosis F0–F4
Not assessed
S6 · S0 — none
S6 · S1 — mild involvement without need for medication
S6 · S2 — system involvement requiring a single medicine
S6 · S3 — multiple medications needed
S6 · S4 — uncontrolled with or without medication
Reproductive (PCOS)
interim
Rotterdam · morbidity only
Not assessed
S7 · S0 — none
S7 · S1 — mild involvement without need for medication
S7 · S2 — system involvement requiring a single medicine
Psychosocial
mood / mental-health burden
Not assessed
S8 · S0 — none
S8 · S1 — mild involvement without need for medication
S8 · S2 — system involvement requiring a single medicine
S8 · S3 — multiple medications needed
S8 · S4 — uncontrolled with or without medication
D
End-organ damage / complications
overrides staging
Highest end-organ damage present
Not assessed
D0 — none
D1 — early / potentially reversible organ injury
D2 — established and stable single-organ damage
D3.1 — established single-organ failure
D3.2 — multiple-organ involvement / progressive disease
D4 — loss of organ/function or life-threatening complication
D3.1 and D3.2 score as D3 · D3/D4 force advanced staging
M
Modifiers
context — added to score
Family history
interim
genetic / familial predisposition
Not assessed
F0 — none
F1 — one first-degree relative
F2 — multiple / early-onset clustering
F3 — suspected monogenic / syndromic
Quality of life
interim
BAROS / Moorehead-Ardelt
Not assessed
Q0 — none
Q1 — mild
Q2 — moderate
Q3 — severe
Q4 — disabling
BAROS / Moorehead-Ardelt domains
not auto-scored
Self-esteem
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Physical activity / mobility
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Social contacts / social life
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Work / ability to perform usual role
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Sexual activity / interest
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Eating behaviour / relationship with food
—
Very good / no impact
Good / mild impact
Fair / moderate impact
Poor / severe impact
Very poor / disabling
Treatment resistance
interim
failed attempts / weight regain
Not assessed
T0 — none / first presentation
T1 — one self-directed attempt
T2 — repeated regain
T3 — failed supervised programme
Medicine complexity
polypharmacy / control status
Not assessed
0 — none
1 — single medicine
2 — multiple medicines
3 — uncontrolled / specialist-level