Neck circumference as an anthropometric parameter for obesity/overweight in type 2 diabetes mellitus

Author(s):  
Ruby Sharma ◽  
Sandeep Joshi ◽  
Harpreet Grewal ◽  
Ankur Goel
2020 ◽  
Vol 42 (3) ◽  
pp. 92-96
Author(s):  
Ishwor Sharma ◽  
Sanjay K Gupta ◽  
Kiran Niraula

Introduction Overweight and obesity with their surrogate anthropometric markers like body mass index (BMI), waist circumference (WC) and waist hip ratio (WHR) have been shown to be strongly associated with Type 2 diabetes mellitus. Neck circumference (NC) though less used can be an equally effective alternative to diagnose overweight and obesity in patients with Type 2 diabetes mellitus in a resource limited setting. MethodsPatients who had Type 2 Diabetes Mellitus for 5 years or more and above 35 years underwent simple random sampling. Weight, height, WC and NC were measured. BMI was calculated and patients were graded into overweight and obesity based on the Asian cutoffs for BMI and abdominal obesity. ResultsAmong 100 patients enrolled in this study, 45% were men and the mean age was 53.05. Mean neck circumference was 36.55 ± 1.28 cm and 35.27 ± 1.78 cm for male and female respectively. NC was positively correlated with WC and BMI in both men and women (p ˂ 0.001). In the ROC curves, NC presented the largest area under the curve (AUC) for overweight in males (p ˂ 0.001), while NC presented a large AUC for central obesity in both genders. Furthermore, the cut off value of neck circumference for overweight was 35.6 cm in males vs 35.2 cm in females and for central obesity was 36.75 cm in males vs 34.75 cm in females. ConclusionNeck circumference was positively associated with overweight and central obesity in patients with type 2 diabetes mellitus.


2016 ◽  
Vol 13 (4) ◽  
pp. 215-216
Author(s):  
Athanasia Papazafiropoulou ◽  
Konstantina Anagnostopoulou ◽  
Nikolaos Papanas ◽  
Konstantina Petropoulou ◽  
Andreas Melidonis

Objective: Detection of OSA by results of the Stop-bang questionnaire in patients with type 2 diabetes mellitus. Material and Methods: Total of 300 patients was examined (mean age was 59.4 ± 6.66 years). All examined were divided to male and female. 150 female patients mean age 57.4 ± 7.6 years, mean body mass index (BMI) 31.2 ± 5.0 kg / mІ, neck circumference, (mean 38.04 ± 2 cm). 150 male patients, men with type 2 diabetes (mean age 54 ± 8.3 years), mean BMI - 28.9 ± 7.2 kg / mІ, neck circumference 41.8 cm ± 3 cm. Results: According to the results of the questionnaire, it was noted that 45.4% of men had a snore in a dream, 75.7% had a female among those suffering from T2DM. In each group, 87% of the patients complained of weakness during the day. In 25.7% of women and 10.6% of men, periodic respiratory arrest in a dream was detected. A direct correlation between T2DM, BMI and sleep apnea (p <0.01). Conclusions: According to the Stop-bang questionnaire, the high risk of developing OSA among men and women in the Uzbek nationality. 37.5% of men with T2DM and 40.9% of women with T2D who had a high risk of developing sleep apnea. Given that the quality of life indicator is an indicator of the state of health, any violation of them dictates the need for timely detection and correction of OSA. The results obtained make it possible to recommend further investigation of patients with a polysomnography to determine the diagnosis of OSA and treatment.


2015 ◽  
Vol 21 ◽  
pp. 280-281
Author(s):  
Medha Munshi ◽  
Jasvinder Gill ◽  
Jason Chao ◽  
Elena Nikonova ◽  
Andreas Stuhr ◽  
...  

2015 ◽  
Vol 21 ◽  
pp. 106
Author(s):  
Franco Grimaldi ◽  
Laura Tonutti ◽  
Claudia Cipri ◽  
Cecilia Motta ◽  
Maria Antonietta Pellegrini ◽  
...  

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