Neck circumference as a marker of overweight and obesity and cutoff values for Bangladeshi adults

Qureshi, Nazmul Kabir; Hossain, Tofazzal; Hassan, Mohammed Imrul; Akter, Nazma; Rahman, M Tanvir; Sultana, Moushumi M; Ashrafuzzaman, SM; Latif, Zafar Ahmed

doi:10.4103/ijem.ijem_196_17

Cited by 29 publications

(29 citation statements)

References 11 publications

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“…The differences are not unexpected given the relationship between NC with age, BMI and WC. Consistent with previous studies men had a higher mean NC [14,18,21].…”

Section: Discussionsupporting

confidence: 92%

“…A study conducted among the Turks [11,13] and Saudi Arabs [14] revealed that NC had positive correlation with indices of general and central obesity. Similar studies among the Chinese [15][16][17], Indians [18,19], Indonesians [20], and other Asian populations [21], also confirmed the positive association between NC with established anthropometric indices and cardiovascular risk factors. Specifically, Fan et al, [22] examined the relationship between NC and arterial hypertension, and found that NC predicted blood pressure, independent of other anthropometric indices.…”

Section: Introductionsupporting

confidence: 73%

“…We found no correlation between NC and WHtR in this study. Other workers also found significant correlation between NC and indices of general and central obesity, blood pressure and blood glucose [11,17,21,25,26]. Additionally, some workers also found correlation between NC and other metabolic parameters such as serum total cholesterol, high density lipoprotein (HDL-C), triglycerides, C-reactive protein and insulin resistance [26].…”

Section: Discussionmentioning

confidence: 95%

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Positive association of neck circumference and cardio-metabolic risk factors in Ekiti, Nigeria

Raimi¹,

Dada²,

Solanke³

2018

Journal of Surgery and Medicine

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Aim: The association between neck circumference (NC) and cardiometabolic risk factors in Southwest Nigeria is unknown. The study aimed at determining the relationship between NC and cardiometabolic risk factors. Methods: Result of a cross-sectional health survey involving residents of Ado-Ekiti/Ika community in Ekiti State was analyzed. Clinical measurements of body mass index (BMI), waist circumference (WC), waist-to-height ratio (WHtR), neck circumference, systolic/diastolic blood pressures (SBP & DBP) were taken, and random blood glucose (RBG) determined. Bivariate correlations and linear regression models were computed for each sex. Results: There were 211 participants out of which 78 (37.0%) were men. Among men, NC was significantly correlated with weight (r=0.412, p<0.001) and BMI (r=0.362, p<0.01). Among women, NC correlated with weight (r=0.319, p<0.001), BMI (r=0.228, p<0.01), WC (r=0.238, p<0.01), SBP (r=0.444, p<0.001), DBP (r=0.423, p<0.05), and RBG (r=0.203, p<0.05). NC independently predicted SBP, ORs (95%CI), 2.707 (1.468-3.946) and DBP, ORs (95%CI), 1.780 (0.950-2.611) in women, but not in men. While only the NC of men with general obesity was greater than those who do not have, 39.27(5.68)cm vs 36.96(3.46)cm, p=0.04, the NC of women who were obese or had hypertension were significantly greater than those who were not: general obesity, 33.17(2.58)cm vs 31.57(3.08cm), p=0.002; central obesity, 32.88(2.99)cm vs 31.09(2.62)cm, p<0.001; hypertension, 34.39(2.77)cm vs 31.88(2.88)cm, p=0.001). Compared with those in the upper tertile, men with NC in the middle tertile had lower mean weight [60.82 (8.67) kg vs 68.90 (10.08) kg, p=0.005], BMI [21.31 (2.54) kgm2 vs 23.72 (3.77) kgm2, p=0.022], WC [78.32 (5.57) cm vs 85.14 (8.72), p=0.003], and WHtR [0.464 (0.06) vs 0.50 (0.06), p=0.004].Compared with those in the upper tertile, women with NC in the lower tertile had lower mean weight [56.81(9.80) kg vs 66.08(13.50)kg, p=0.031], SBP [107.53 (15.59) mmHg vs 132.38 (15.85) mmHg, p<0.001], and DBP [69.27 (10.91) mmHg vs 84.69 (10.52) mmHg, p<0.001]. Conclusions: Neck circumference has positive association with, and predicts cardiometabolic risk factors, and may serve as an index of obesity in Ekiti, Nigeria.

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“…The differences are not unexpected given the relationship between NC with age, BMI and WC. Consistent with previous studies men had a higher mean NC [14,18,21].…”

Section: Discussionsupporting

confidence: 92%

Section: Introductionsupporting

confidence: 73%

Section: Discussionmentioning

confidence: 95%

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Positive association of neck circumference and cardio-metabolic risk factors in Ekiti, Nigeria

Raimi¹,

Dada²,

Solanke³

2018

Journal of Surgery and Medicine

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“…NC provide high values in prediction of distribution of upper-body subcutaneous, is valid marker and the data collection is simple to execute [52–56]. BMI and others anthropometric indicators have long been suggested of defining the overweight and obesity of person [57].…”

Section: Discussionmentioning

confidence: 99%

Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries

Ferrari

Kovalskys²,

Fisberg

et al. 2019

BMC Public Health

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Background Physical activity is a cornerstone in the prevention and treatment of obesity. There are relatively few studies that explore the effect of accelerometer-determined moderate-to-vigorous physical activity (MVPA) on neck circumference (NC), most of them confined to single high-income countries. The present study investigated the association of accelerometer-determined MVPA with NC in adolescents and adults from eight Latin American countries, which are mostly upper-middle income countries. Methods The sample consisted of 2370 participants (47.8% male) from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries (Argentina, Brazil, Chile, Colombia, Costa Rica, Ecuador, Peru, and Venezuela). Times (min/day) in MVPA (defined as time accumulated at ≥1952 activity counts/min) was assessed by ActiGraph GT3X+ accelerometer over 7 days. NC for adolescent was categorized as abnormal if circumference was > 34.5 cm for boys and > 31.25 for girls, whereas for adults the cut-off points for abnormal were > 39 cm for men and > 35 cm women. Multilevel logistic models, including country and region as random effects and adjusted for sex, age, socioeconomic level, and educational level, were used to study the association between MVPA and NC . Results The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. Conclusions The present study provided evidence of significant associations between MVPA and NC in adolescents and adults from Latin America, independent of sex, age, socioeconomic level, and educational level. This analysis of accelerometry data and NC represents the first examination of these associations in eight Latin America countries. Further research is required to understand the differences between countries in the observed associations. Trial registration ClinicalTrials.Gov NCT02226627 . Retrospectively registered on August 27, 2014.

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“…The study proposed cutoffs of 33.5 cm among the females and 37 cm among the males with high value of speci city and sensitivity. Among Bangladesh adults, NC was found to have the ability to distinguish overweight and obese adults from their counterparts [11]. Findings from a study that included 864 children and adolescents from Iran, showed that NC was signi cantly correlated with BMI, WC and Mid upper arm circumference (MUAC) [14].…”

Section: Introductionmentioning

confidence: 99%

The Use of Neck Circumference as Marker of Overweight and Obesity Among Adolescents Aged 12-19 Years. A Case of Southwestern Uganda Secondary School Adolescents

Katamba

Agaba

Muzaale

et al. 2020

Preprint

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Background: Overweight and obesity have become more common among adolescents. Various indicators have been used to assess this burden across populations. Recent findings elsewhere have found neck circumference to be useful in defining overweight and obesity. However, the use of neck circumference as marker of overweight and obesity needs to be further explored among adolescents in Uganda. Objective: To assess the usefulness of neck circumference as a marker of overweight and obesity. Methods: A cross sectional study was conducted among secondary adolescents aged 12-19 years from May to August in 2018, Height was measured using a wall mount height board and weight using a standard weighing scale. Neck circumference was measured using an inelastic measuring tape. Pearson correlation coefficient was used to determine the correlation between neck circumference, height, weight and body mass index. Receiver operating characteristic (ROC) curve analysis was used to determine the suitable cutoff of neck circumference for overweight and obesity. Results: We enrolled 616 adolescents aged 12-19 years, with mean age of 15.6±2.0 years. Most (65.6%) were female. Neck circumference was significantly correlated with height (p<0.01), weight (p<0.01) and body mass index (p<0.01). The best cutoff of neck circumference to identify participants with obesity were ≥31.0 cm with AUC of 0.83[0.73-0.94] and ≥32.0cm with an AUC of 0.59[0.11-1.00] among the females and males respectively. Conclusion: Neck circumference was useful in defining and hence classifying for overweight or obesity among the female adolescents in our study population. It could useful for screening for overweight and obesity among the female adolescents.

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Neck circumference as a marker of overweight and obesity and cutoff values for Bangladeshi adults

Cited by 29 publications

References 11 publications

Positive association of neck circumference and cardio-metabolic risk factors in Ekiti, Nigeria

Positive association of neck circumference and cardio-metabolic risk factors in Ekiti, Nigeria

Association of moderate-to-vigorous physical activity with neck circumference in eight Latin American countries

The Use of Neck Circumference as Marker of Overweight and Obesity Among Adolescents Aged 12-19 Years. A Case of Southwestern Uganda Secondary School Adolescents

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