Role of neck circumference in measuring obesity in healthy adults
DOI:
https://doi.org/10.47203/IJCH.2019.v31i02.017Keywords:
Neck Circumference, Obesity, Visceral Fat Area, Body Fat PercentageAbstract
Background: Visceral fat or intra-abdominal fat is the adipose tissue surrounding mesenteries and omentum. This has been linked to lifestyle diseases like heart diseases, arthritis, stroke and even cancer. At present we have three tools to measure visceral fat area (VFA) – Bio impedance analysis, Magnetic resonance analyser and DEXA scan. Neck circumference measurement is a simple, easy to do and a quantifiable method of measuring visceral fat. Aim & Objective: This study aims to find correlation of visceral body fat with Neck Circumference (NC) and Body Mass Index. Methodology: A cross sectional study was carried out in a medical college of western Maharashtra, wherein 290 healthy males (>18 years) were selected by simple random sampling over a period of 7 months from (February 2018 – August 2018). Data was analyzed using SPSS version 20.0. Visceral body fat was measured using Body Space 720 and neck circumference using measuring tape. Results: We found a significant association between neck circumference and VFA. There is a strong association between NC of >35cm and VFA >100cm2. NC can be useful in field settings as it can be used easily by health care workers in predicting risk of lifestyle diseases.
Downloads
References
Pei X, Liu L, Imam MU, Lu M, Chen Y, Sun P, Guo Y, Xu Y, Ping Z, Fu X. Neck circumference may be a valuable tool for screening individuals with obesity: findings from a young Chinese population and a meta-analysis. BMC public health. 2018 Dec; 18(1):529.
Behl S, Misra A. Management of obesity in adult Asian Indians. Indian Heart J. 2017 Jul - Aug;69(4):539-544. doi: 10.1016/j.ihj.2017.04.015. Epub 2017 May 11. Review. PubMed PMID: 28822528; PubMed Central PMCID: PMC5560889.[PubMed]
Gadekar T, Dudeja P, Basu I, Vashisht S, Mukherji S. Correlation of visceral body fat with waist–hip ratio, waist circumference and body mass index in healthy adults: A cross sectional study. Medical Journal Armed Forces India. 2018(In press).
Després JP. Abdominal obesity: the most prevalent cause of the metabolic syndrome and related cardiometabolic risk. European Heart Journal Supplements. 2006. 1;8(suppl_B):B4-12.
Koppad AK, Kaulgud RS, Arun BS. A Study of Correlation of Neck Circumference with Framingham Risk Score as a Predictor of Coronary Artery Disease. J Clin Diagn Res. 2017 Sep;11(9):OC17-OC20. doi: 10.7860/JCDR/2017/25710.10609. Epub 2017 Sep 1. PubMed PMID: 29207753; PubMed Central PMCID: PMC5713775.[PubMed]
Yang GR, Yuan SY, Fu HJ, Wan G, Zhu LX, Bu XL, Zhang JD, Du XP, Li YL, Ji Y, Gu XN, Li Y. Neck circumference positively related with central obesity, overweight, and metabolic syndrome in Chinese subjects with type 2 diabetes: Beijing Community Diabetes Study 4. Diabetes Care. 2010 Nov;33(11):2465-7. doi: 10.2337/dc10-0798. Epub 2010 Aug 19. PubMed PMID: 20724650; PubMed Central PMCID: PMC2963514.[PubMed].
Lin S, Hu L, Li P, Li X, Lin K, Zhu B, Mu P, Zeng L. Utility of Neck Circumference for Identifying Metabolic Syndrome by Different Definitions in Chinese Subjects over 50 Years Old: A Community-Based Study. J Diabetes Res. 2018;2018:3708939. doi: 10.1155/2018/3708939. eCollection 2018. PubMed PMID: 29850603; PubMed Central PMCID: PMC5925132.[PubMed].
Küçük U, Küçük HO, Cüce F, Balta S. Relationship Between Neck Circumference and Epicardial Fat Thickness in a Healthy Male Population. Arq Bras Cardiol. 2016 Sep;107(3):266-270. doi: 10.5935/abc.20160112. Epub 2016 Aug 8. PubMed PMID: 27509093; PubMed Central PMCID: PMC5053195.[PubMed].
WHO EC. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England).2004. 10;363(9403):157.
Manjavong M, Limpawattana P, Rattanachaiwong S, Mairiang P, Reungjui S. Utility of body mass index and neck circumference to screen for metabolic syndrome in Thai people. Asian Biomedicine. 2017.;11(1):55-63.
Qureshi NK, Hossain T, Hassan MI, Akter N, Rahman MM, Sultana MM, Ashrafuzzaman SM, Latif ZA. Neck Circumference as a Marker of Overweight and Obesity and Cutoff Values for Bangladeshi Adults. Indian J Endocrinol Metab. 2017 Nov-Dec;21(6):803-808. doi: 10.4103/ijem.IJEM_196_17. PubMed PMID: 29285438; PubMed Central PMCID: PMC5729663.[PubMed].
Kroll C, Mastroeni SS, Czarnobay SA, Ekwaru JP, Veugelers PJ, Mastroeni MF. The accuracy of neck circumference for assessing overweight and obesity: a systematic review and meta-analysis. Annals of human biology. 2017. 17;44(8):667-77.
Ayhan NY, Iplikçi G,Ozturkk ME, Er NT, Yilmaz HÖ. The Relationship between Neck Circumference and Obesity in Children and Adolescents. International Journal of Food Engineering. 2018 Jun;4(2).
Lindarto D, Shierly, Syafril S. Neck Circumference in Overweight/Obese Subjects who Visited the Binjai Supermall in Indonesia. Open Access Maced J Med Sci. 2016 Sep 15;4(3):319-323. doi: 10.3889/oamjms.2016.072. Epub 2016 Jul 16. PubMed PMID: 27703549; PubMed Central PMCID: PMC5042609.[PubMed].
Atwa H, Fiala L, Handoka NM. Neck circumference as an additional tool for detecting children with high body mass index. J Am Sci. 2012;8(10):442-6
Downloads
Published
How to Cite
License
Copyright (c) 2019 Indian Journal of Community Health
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.