Neck circumference as an indicator of central obesity in healthy young Bosnian Adults: Cross-sectional study

Measurement of waist circumference has substantial variability and some limitations, while neck circumference is a simple and reliable anthropometric measure. This study aimed to assess the association between neck circumference and waist circumference and to identify the best cutoff of neck circumference that could predict central obesity in prediabetic patients. This cross-sectional study included adult patients with prediabetes, defined as having fasting plasma glucose levels ranging from 100 to 125 mg/dL or HbA1c ranging from 5.7 to 6.49%, who visited the outpatient clinic of Family Medicine Department, Ramathibodi Hospital, Thailand, during October 2014 and March 2016. Neck circumference was measured from the level just below the laryngeal prominence perpendicular to the long axis of the neck. Central obesity was defined as having waist circumference measurements greater than 90 and 80 cm for males and females, respectively. The correlation between neck circumference and waist circumference was explored by applying pairwise correlation coefficient. Receiver operating characteristic (ROC) curve analysis was performed and Youden index equal to “sensitivity – (1-specificity)” was calculated. Neck circumference that yielded the maximum Youden index was determined as the optimal cutoff point for prediction of central obesity. There were 1,534 patients eligible for this study. After adjusting for covariables, neck circumference was found to be significantly associated with waist circumference in both females and males, with β-coefficients of 1.01 (95% CI: 0.83, 1.20) and 0.65 (95% CI: 0.46, 0.85), respectively. After applying the ROC analysis, neck circumferences ≥ 32 cm in females and ≥ 38 cm in males were determined as the best cutoff values to predict central obesity. Neck circumference is strongly correlated with waist circumference in prediabetics and should be considered as an alternative to the waist circumference measurement in screening for central obesity.

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Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population

BMJ Open ◽

10.1136/bmjopen-2018-028305 ◽

2019 ◽

Vol 9 (11) ◽

pp. e028305 ◽

Cited By ~ 4

Author(s):

Patricia Caro ◽

Ximena Guerra ◽

Andrea Canals ◽

Gerardo Weisstaub ◽

Carlos Sandaña

Keyword(s):

Clinical Practice ◽

Cardiovascular Risk ◽

Waist Circumference ◽

Central Obesity ◽

Cross Sectional Study ◽

Neck Circumference ◽

Secondary Outcome ◽

Sectional Study ◽

Cross Sectional ◽

Chilean Population

ObjectivesNeck circumference has emerged as a predictor of obesity and metabolic syndrome, but its clinical usefulness for different groups of population is not clearly defined. The aim is to evaluate the predictive capacity of neck circumference in order to detect cardiovascular risks (CVRs) on the Chilean population and to compare it with waist circumference performance.DesignCross-sectional study.SettingGeneral Chilean population.ParticipantsData of 4607 adults aged 18 and over from the Chilean National Health Survey 2009–2010 were analysed.Primary and secondary outcome measuresAnthropometrics measures included neck and waist circumference, height and weight. CVR was identified according to the Framingham tables adapted for the Chilean population. Receiver operating characteristics curves and logistic regression models were made to evaluate the performance of neck circumference to predict a moderate/high CVR, comparing it to waist circumference.ResultsAlmost 10% of the sample had a moderate or high CVR. The probability of having a moderate/high cardiovascular risk increase with cervical obesity (OR 1.95, 95% CI 1.04 to 3.68) and central obesity (OR 4.5, 95% CI 2.47 to 8.22). The area under the curves were high for cervical obesity (AUC 81.4%, 95% CI 78.8% to 84.0%) and central obesity (AUC 82.2%, 95% CI 79.7% to 84.7%) and not statistically different (p=0.152).ConclusionsNeck obesity has a high capacity to predict moderate/high CVR in the Chilean population. Its good performance appears as an opportunity to use it in clinical practice when waist circumference measurement is difficult to measure and eventually replace the waist circumference measurement as the technique is easier.

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Central Obesity and Comorbidity Risk in Hemodialysis Patients: A Cross Sectional Study in Lebanon

Open Journal of Nephrology ◽

10.4236/ojneph.2012.24018 ◽

2012 ◽

Vol 02 (04) ◽

pp. 109-115 ◽

Cited By ~ 2

Author(s):

Ibtissam Sabbah ◽

Hala Sabbah ◽

Sanaa Sabbah ◽

Hussein Akoum ◽

Nabil Droubi

Keyword(s):

Central Obesity ◽

Cross Sectional Study ◽

Hemodialysis Patients ◽

Sectional Study ◽

Cross Sectional

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Neck Circumference, a Novel Predictor of Overweight/ Obesity in School Children in Pokhara

Med Phoenix ◽

10.3126/medphoenix.v5i1.31396 ◽

2020 ◽

Vol 5 (1) ◽

pp. 32-39

Author(s):

Manisha Maskey ◽

KK Dutta Gupta ◽

Meraj Ahmed

Keyword(s):

Waist Circumference ◽

School Children ◽

Good Predictor ◽

Central Obesity ◽

Characteristic Curve ◽

Cross Sectional Study ◽

Neck Circumference ◽

Anthropometric Parameters ◽

Cross Sectional ◽

High Bmi

Background: Calculating BMI in an individual is a standard anthropometric procedure to estimate overweight/obesity. But it has been observed to be a bad predictor of central obesity. On the other hand, waist circumference, in many studies, has been found to be a good predictor of central obesity but not so frequently used because of tendency to vary throughout the day. In the recent years, NC has been found to have a good correlation with both BMI and WC. The aim of this study was to find out whether neck circumference is a good predictor of Overweight/Obesity or not. Methods: This was a cross sectional study carried out among the school children, aged 12 to 15 years, in Pokhara city, Nepal. In total, 408 students, 238 males and 170 females were screened. Anthropometric markers of obesity measured: included body mass index (BMI), waist circumference (WC), and compared with neck circumference (NC) of the same subjects. Pearson’s correlation test was used to see the correlation between NC with BMI and WC, and receiver operating characteristic curve analysis was used to determine the best cut off value of neck circumference in predicting high BMI. Results: Among 408 students, 238 (58.3%) were male and 170 (41.7%) were female. Among them 37 (9.1%) were overweight and 32 (7.8%) were obese. All the anthropometric parameters were significantly higher in cases, except height in male, than in controls. NC was significantly correlated with age, BMI, and waist circumference in both boys and girls. The best cut-off value of neck circumference by ROC to identify boys with a high BMI was 29.5 with sensitivity of (76%), specificity (54%), and for girls was 28.5 with sensitivity of (97%), specificity (48%). Conclusion: Statistically significant positive correlation was found between NC with BMI and WC. The value of NC as a screening tool has been found comparably lower in compare to WC.

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Central obesity associates with renal hyperfiltration in the non-diabetic general population: a cross-sectional study

BMC Nephrology ◽

10.1186/s12882-016-0386-4 ◽

2016 ◽

Vol 17 (1) ◽

Cited By ~ 22

Author(s):

Vidar Tor Nyborg Stefansson ◽

Jørgen Schei ◽

Trond Geir Jenssen ◽

Toralf Melsom ◽

Bjørn Odvar Eriksen

Keyword(s):

General Population ◽

Central Obesity ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Renal Hyperfiltration

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Central obesity indicating a higher prevalence of lower urinary tract symptoms: A case‐control matching analysis from a Chinese cross‐sectional study in males

LUTS Lower Urinary Tract Symptoms ◽

10.1111/luts.12231 ◽

2018 ◽

Vol 11 (2) ◽

pp. O135-O140

Author(s):

Lianguang Xie ◽

Yang Chen ◽

Aihua Tan ◽

Yong Gao ◽

Xiaobo Yang ◽

...

Keyword(s):

Urinary Tract ◽

Lower Urinary Tract Symptoms ◽

Central Obesity ◽

Lower Urinary Tract ◽

Cross Sectional Study ◽

Case Control ◽

Sectional Study ◽

Cross Sectional ◽

Urinary Tract Symptoms ◽

Lower Urinary

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Neck circumference as a risk indicator for type 2 diabetes mellitus: a community based cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20195032 ◽

2019 ◽

Vol 6 (11) ◽

pp. 4624

Author(s):

Balaji Arumugam ◽

Aadarshna R. ◽

Suganya E.

Keyword(s):

Diabetes Mellitus ◽

Waist Circumference ◽

Risk Score ◽

Cross Sectional Study ◽

Neck Circumference ◽

Rank Test ◽

Sectional Study ◽

Cross Sectional ◽

Sign Rank Test ◽

Study Participants

Background: Diabetes mellitus is a metabolic syndrome due to insulin deficiency, characterized by hyperglycaemia. Indian diabetes risk score (IDRS) is the most commonly used one to determine the risk status. However there is lot of inconvenience and possible errors in measuring the waist circumference to determine the IDRS, hence the study was planned to evaluate if neck circumference could replace waist circumference in determining the diabetes risk.Methods: This cross sectional study was conducted among 300 study participants fulfilling the eligible criteria. Socio-demographic variables, parameters required for determining the IDRS was assessed, in addition, neck circumference (NC) was measured using standard protocol. Another risk score was calculated by replacing waist circumference (WC) with neck circumference and scoring was named as IDRS-NC. Pearson correlation and Wilcoxan sign rank test was done to find out the relationship between WC and NC and also to determine if IDRS-NC could replace IDRS.Results: Out of 300 study population, majority of the participants are in the age group of <35 years 129 (43%) and around 2/3rd of the participants were females. Among the study participants proportion of participants belonging to low risk, medium risk and high risk assessed using IDRS and IDRS-NC was 18.7%, 41%, 40.3% and 31.7%, 38%, 30.3% respectively. There was a strong positive correlation (r=0.837) between the neck circumference and waist circumference. Wilcoxan sign rank test was significant between the 2 scores having a p value of <0.05.Conclusions: In our study there was a positive correlation between neck circumference and waist circumference.

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