Neck Circumference in Overweight/Obese Subjects who Visited the Binjai Supermall in Indonesia
DOI:
https://doi.org/10.3889/oamjms.2016.072Keywords:
obesity, neck circumference, cutoff point, overweight, BMIAbstract
BACKGROUND: Neck circumference (NC) is a simple screening measure for identifying overweight and obesity, it reflects upper-body fat distribution and central obesity.
AIM: To determine whether a single measure of NC might be used to identify overweight/obesity.
MATERIAL AND METHODS: An observational, analytical, cross-sectional study was done. The subjects consisted of all consecutive subjects who visited Binjai Supermall (North Sumatera Province, Indonesia) between 23rd and 29th September 2015 and agreed to participate in the study. NC, weight, height, body mass index (BMI), and waist circumference (WC) were measured. Overweight and obesity were defined as BMIs of 23.0–24.9 and ≥ 25 kg/m2, respectively.
RESULTS: In total, 1554 subjects participated. Of these, 1238 (79.7%) were overweight/obese. NC correlated significantly with weight, height, BMI, and WC. Receiver operating characteristic (ROC) analysis showed that for all men and women, the area under the curve of overweight/obesity for NC was 0.83 and 0.79, respectively. The best NC cutoff points for males and females that indicated overweight/obesity were ≥ 37 cm (sensitivity, 78.3% and specificity, 75.5%) and ≥ 33.5 cm (sensitivity, 76.6% and specificity, 66.7%), respectively.
CONCLUSION: The NC cutoffs that were identified may be useful for screening for overweight/obesity and related co-morbidities.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Stunkard AJ, Wadden TA. Obesity: Theory and Therapy. Second ed. New York, NY: Raven Press, 1993:163-79.
Flegal KM, Carroll MD, Kit BK, Ogden CL. Prevalence of obesity and trends in the distribution of body mass index among US adults, 1999-2010. JAMA. 2012;307:491-7. http://dx.doi.org/10.1001/jama.2012.39 PMid:22253363
Clinical guidelines on the Identification, evaluation, and treatment of overweight and obesity in Adults the evidence report. National Institutes of health Obes Res. 1998;6(Suppl 2):51s–209s. PMid:9813653
Alaba O, Chola L. Socioeconomic inequalities in adult obesity prevalence in south Africa: a decomposition analysis. Int J Environ Res Public Health. 2014;11:3387-406. http://dx.doi.org/10.3390/ijerph110303387 PMid:24662998 PMCid:PMC3987040
RISKESDAS. Badan Penelitian dan Pengembangan Kesehatan, Kementerian Kesehatan RI. Riset kesehatan dasar 2013. Jakarta: Badan Penelitian dan Pengembangan Kesehatan, KementerianKesehatan RI. 2013;224.
Hatipoğlu N, Mazıcıoğlu M, Kurtoğlu, Kendirci M. Neck circumference: an additional tool of screening overweight and obesity in chilhood. Eur J Pediatr. 2010;169:733-9. http://dx.doi.org/10.1007/s00431-009-1104-z PMid:19936785
Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obesıty Research. 2001;9 (8):470-7. http://dx.doi.org/10.1038/oby.2001.61 PMid:11500527
Ben-Noun L, Laor A. Relationship between changes in NC and change blood pressure. Am J of Hypertention. 2004;17(5):409-14. http://dx.doi.org/10.1016/j.amjhyper.2004.02.005 PMid:15110899
Preis SR, Massaro JM, Hoffmann U, D'Agostino RB Sr, Levy D, Robins SJ, et al: Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab. 2010;95(8):3701–10. http://dx.doi.org/10.1210/jc.2009-1779 PMid:20484490 PMCid:PMC2913042
Kumar NV, Ismail MH, Mahesha P, Girish M, Tripathy M. Neck Circumference and Cardio-Metabolic Syndrome. Journal of Clinical and Diagnostic Research. 2014;8(7):MC23-MC5. PMid:25177592 PMCid:PMC4149098
Yang GR, Yuan SY, Fu HJ, Wan G, Zhu LX, Bu XL, et al. Beijing Community Diabetes Study Group: 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; 33(11):2465–7. http://dx.doi.org/10.2337/dc10-0798 PMid:20724650 PMCid:PMC2963514
Din ASE, Hassan N, El-Masry S, Al-Tohamy M. Neck circumference as a simple screening measure for indentifyingegyptian overweight and obese adults. Maced J Med Sci 2013;6(3):232-7. http://dx.doi.org/10.3889/MJMS.1857-5773.2013.0309
WHO/IASO/IOTF. The Asia-Pacific Perspective: Redefining Obesity and itsTreatment. Health Communications Australia Pty Ltd, 2000:18.
Preis SR, Pencina MJ, D'Agostino RB, Meigs JB, Vasan RS, and Fox CS. Neck circumference and the development of cardiovascular disease risk factors in the Framingham Heart Study. Diabetes Care. 2013;1(36):e2. http://dx.doi.org/10.2337/dc12-0738
Vague J. The degree of masculine differentiation of obesities: a factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease. Am J Clin Nutr. 1956;4:20–4. PMid:13282851
Vallianou NG, Evangelopoulos AA, Bountziouka V, Vogiatzakis ED, Bonou MS, Barbetseas J, et al. Neck circumference is correlated with triglycerides and inversely related with HDL cholesterol beyond BMI and waist circumference. Diabetes Metab Res Rev. 2013;29(1):90-7. http://dx.doi.org/10.1002/dmrr.2369 PMid:23135790
Onat A, Hergenc G, Yuksel H, Can G, Ayhan E, Kaya Z. Neck circumference as a measure of central obesity: Associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference. Clin Nutr. 2009;28:46-51. http://dx.doi.org/10.1016/j.clnu.2008.10.006 PMid:19010573
Nafiu OO, Burke C, Lee J, Voepel-Lewis T, Malviya S, Tremper KK. Neck circumference as a screening measure for identifying children with high body mass index. Pediatrics. 2010;126: e306-e10. http://dx.doi.org/10.1542/peds.2010-0242 PMid:20603254
Papandreou D, Noor ZT, Rashed M, Jaberi HA. Association of Neck Circumference with Obesity in Female College Students. Open Access Maced J Med Sci. 2015;3(4):578-81. http://dx.doi.org/10.3889/oamjms.2015.118 PMid:27275290 PMCid:PMC4877890
Aswathappa J, Garg S, Kutty K, Shankar K. Utility of Neck Circumference, A Simple And Novel Measure As Anthropometric Marker Of Obesity In Adults. World Journal Of Pharmacy And Pharmaceutical Sciences. 2014;3(3):1618-1629.
Hingorjo MR, Qureshi MA, Mehdhi A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist circumference. J Park Med Assoc. 2012;62(1):36-44. PMid:22352099
Ang NS, Raboca JC. Neck circumference as a screening measure for abdominal obesity and its association with metabolic syndrome among high risk filipino patients in makati medical center-a pilot study. Journal of the Asean Federation of Endocrine Societies. 2011;26(2):150-8. http://dx.doi.org/10.15605/jafes.026.02.13
Hatamizadeh M, Ranjbar H, Arab M, Abbaszadeh A, Ranjbar A, Soltanahmadi J. Association between neck circumference and cardiovascular risk factors in patients with acute coronary syndrome. Annals of Military and Health Sciences Research. 2014;12(3):100-5.
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0
