A comparison of the clinical usefulness of neck circumference and waist circumference in individuals with severe obesity

Assyov, Yavor; Gateva, Antoaneta; Tsakova, Adelina; Kamenov, Zdravko

doi:10.3109/07435800.2016.1155598

Cited by 54 publications

(47 citation statements)

References 23 publications

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“…This notion is supported by a previous study in which the combination SAD and WC showed the most accurate prediction of abdominal fat distribution as assessed by MRI [39]. Of note, other anthropometric measures like the neck circumference, not reflecting abdominal obesity, might further improve the prediction of metabolic alterations as has recently been shown in obese women and men [40]. SAD on the other hand has previously been shown to predict the risk of cancer incidence in a non-obese population [41] and also in subjects with severe obesity [42].…”

Section: Discussionsupporting

confidence: 72%

Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Zazai

Wilms

Ernst

et al. 2017

Exp Clin Endocrinol Diabetes

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Section: Discussionsupporting

confidence: 72%

Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Zazai

Wilms

Ernst

et al. 2017

Exp Clin Endocrinol Diabetes

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“…Several researchers have reported similar associations of NC with BMI, WC, HC and WHR (Fink et al 2006;BenNoun and Laor 2006;Onat et al 2009;Hingorjo et al 2012;Adamu et al 2013;Aswathappa et al 2013Aswathappa et al , 2014Wang et al 2015;Özkaya and Tunçkale 2016). Furthermore, studies reported that NC has a potential role to surpassing excess adiposity marker over the conventional anthropometric measures (e.g., BMI, WC and WHR) in metabolic disorders (Onat et al 2009;Yang et al 2010;Adamu et al 2013;Aswathappa et al 2013;Wang et al 2015;Assyov et al 2016). The BMI has also shown a reasonably good correlation with the other conventional anthropometric variables of excess adiposity in adults (Dudeja et al 2001;Das and Bose 2006;Sarkar et al 2009;Hingorjo et al 2012;Aswathappa et al 2013).…”

Section: Discussionmentioning

confidence: 87%

“…Therefore, it was opined that BMI can be used to determine and monitor changes in the prevalence of overweight/obesity (Dudeja et al 2001;Das and Bose 2006;Onat et al 2009;Mondal and Sen 2014;Rengma et al 2015). Recent studies have reported that NC has a potential role to play as an excess adiposity marker over the conventional anthropo-metric variables in metabolic disorders in adults (Onat et al 2009;Yang et al 2010;Aswathappa et al 2013;Adamu et al 2013;Wang et al 2015;Assyov et al 2016). The present study also showed a high prevalence of overall and regional adiposity using the conventional anthropometric variables (such as BMI, WC, WHR and WC/height) among adults (Table 3).…”

Section: Discussionmentioning

confidence: 99%

“…Studies have further observed that higher NC values were associated with increased risk of type-2 diabetes and hypertension (Noun and Laor 2003;Yang et al 2010;Aswathappa et al 2013), cardiovascular diseases (Sjöström et al 1997;BenNoun and Laor 2006;Fink et al 2006) and metabolic disorders (Sjöström et al 1997;Ben-Noun and Laor 2006;Onat et al 2009;Yang et al 2010;Stabe et al 2013;Wang et al 2015). Studies have reported significant associations between NC and conventional anthropometric variables (such as BMI, WC and WHR) during the assessment of obesity and metabolic disorders among adults (BenNoun and Laor 2006;Onat et al 2009;Hingorjo et al 2012;Adamu et al 2013;Aswathappa et al 2013Aswathappa et al , 2014Stabe et al 2013;Assyov et al 2016).…”

Section: Introductionmentioning

confidence: 99%

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Neck circumference as a screening measure of overweight/obesity among Indian adults

Mondal

Sen

Bose

et al. 2016

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Neck circumference (NC) is an anthropometric measurement of differentiating body fat distributions and a marker of upper subcutaneous adiposity. The present study highlights the association and importance of NC as a suitable proxy screening measure of overweight/obesity as compared to the conventional anthropometric variables used among Indian adults. The present community based cross-sectional study was undertaken among 1169 Karbi adults (males: 625; females: 544) residing in Karbi Anglong district of Assam, Northeast India, who were selected through a multistage stratified random sampling method. Height, weight, waist circumference (WC), hip circumference (HC) and NC were recorded using standard procedures. The body mass index (BMI) was calculated and prevalence of overweight/obesity was assessed using standard cut-offs. The prevalence of obesity using BMI (≥25.00 kg m -2 ) was 15.52% and 15.26% among males and females, respectively (p≥0.05).The prevalence of obesity using NC was observed to be significantly higher among males (48.80%) than females (19.12%) (p<0.01). The binary logistic regression analysis showed that NC predicted obesity over the conventional anthropometric variables with reasonable accuracy (p<0.01). The ROC-AUC analysis showed a relatively greater significant association between BMI, WC and HC and NC for obesity (p<0.01). Thus, NC appears to be a potentially simple, easyto-use screening measure for predicting obesity among adults. Further studies are required to validate its use for screening of obesity among other ethnic populations in India.

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“…(1,7,15,21,(25)(26) Th is study showed that NTR is not the most appropriate measure to estimate MS in a popula- tion of Brazilian university students. However, NC and TC have been shown to be useful in predicting metabolic and cardiovascular dysfunctions related to the progression of diseases such as diabetes, atherosclerotic disease, systemic arterial hypertension, or others involving the accumulation of visceral and subcutaneous adiposity, infl uencing the development of components for MS. (27)(28)(29)(30) In the analysis of the correlation between NTR and MS componentes, it was observed that the establishment of this anthropometric index has a positive impact with almost all, being an excellent indicator of risk through these biomarkers. Changes in biomarkers that signal MS, indicated by the NTR, are directly linked to the genesis of overweight/obesity, which in turn are the main determinants of dyslipidaemia, diabetes and hypertension.…”

Section: Discussionmentioning

confidence: 99%

A relação pescoço-coxa (RPCx) pode servir como índice antropométrico para diagnosticar a síndrome metabólica?

et al. 2018

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A relação pescoço-coxa (RPCx) pode servir como índice antropométrico para diagnosticar a síndrome metabólica? ¿La Relación Cuello-Muslo (RCMx) puede servir como índice antropométrico para diagnosticar el Síndrome Metabólico?Abstract Objective: Investigate the Neck-to-Thigh Ratio (NTR) as an anthropometric index for the diagnosis of Metabolic Syndrome in Brazilian university students. Methods: A cross-sectional study with 691 adults (> 18 years) of both sexes. Anthropometric parameters were investigated: abdominal circumference, neck circumference, thigh circumference, body mass index, and NTR. In addition, laboratory data were collected, such as: triglycerides, glycaemia and HDL cholesterol. Results: The abdominal circumference (83.59 ± 10.68 cm), neck (37.29 ± 2.36 cm), thigh (52.37 ± 5.71 cm) and the neck-thigh ratio (0.72 ± 0.07 cm) was higher among men (p <0.001). In the analysis of the components of the syndrome, the NTR showed a statistically signifi cant positive linear correlation with all.Conclusion: This research showed that NTR is not a criterion capable of diagnosing MS, but indicates changes in the components that form the syndrome. ResumoObjetivo: Investigar a Relação Pescoço-Coxa (RPCx) como índice antropométrico para diagnosticar a Síndrome Metabólica em estudantes universitários brasileiros. Métodos: Estudo transversal com 691 adultos (> 18 anos) de ambos os sexos. Foram investigados os seguintes parâmetros antropométricos: circumferência abdominal, circumferência de pescoço, circumferência de coxa, índice de massa corporal e RPCx. Além disso, foram coletados dados laboratoriais, tais como: triglicérides, glicemia e colesterol HDL. Resultados: Foram encontrados valores de circumferência abdominal (83,59 ± 10,68 cm), de pescoço (37,29 ± 2,36 cm), coxa (52,37 ± 5,71 cm) e relação de pescoço-coxa (0,72 ± 0,07 cm) superiores entre os homens (p <0,001). Ao analisar os componentes da síndrome, a RPCx mostrou uma correlação linear positiva estatisticamente signifi cante com todos. Conclusão: Nesta pesquisa foi demonstrado que a RPCx não serve como critério diagnóstico da SM, mas indica alterações nos componentes constituintes da síndrome. ResumenObjetivo: Investigar la Relación Cuello-Muslo (RCMx) como índice antropométrico para diagnosticar el Síndrome Metabólico en estudiantes universitarios brasileños. Métodos: Estudio transversal con 691 adultos (>18 años) de ambos sexos. Se investigaron los siguientes parámetros antropométricos: circunferencia abdominal, circunferencia de cuello, circunferencia de muslo, índice de masa corporal y RCMx. Además, se recogieron datos de laboratorio, tales como triglicéridos, glicemia y colesterol HDL. Resultados: Se encontraron valores de circunferencia abdominal (83,59 ± 10,68 cm), de cuello (37,29 ± 2,36 cm), muslo (52,37 ± 5,71 cm) y relación de cuello-muslo (0, 72 ± 0,07 cm) superiores entre los hombres (p <0,001). Al analizar los componentes del síndrome, la RCMx mostró una correlación lineal positiva estadísticamente signifi cativa para todos los casos. Conclusió...

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A comparison of the clinical usefulness of neck circumference and waist circumference in individuals with severe obesity

Abstract: In individuals with severe obesity, NC performs better than WC in the assessment of metabolic health.

Cited by 54 publications

References 23 publications

Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Sagittal Abdominal Diameter does not Predict Metabolic Traits Better than Waist Circumference-Related Measures of Abdominal Obesity in Obese Subjects

Neck circumference as a screening measure of overweight/obesity among Indian adults

A relação pescoço-coxa (RPCx) pode servir como índice antropométrico para diagnosticar a síndrome metabólica?

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