NECK CIRCUMFERENCE AS AN INDICATOR OF OBESITY IN YOUNG ADULTS

Authors

  • Vinodhini Vm Department of Biochemistry, SRM Medical College Hospital and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India.
  • Vinothkumar Ganesan Department of Medical Research, SRM Medical College Hospital and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India.

DOI:

https://doi.org/10.22159/ajpcr.2018.v11i3.22773

Keywords:

obesity, Neck circumference, BMI, Triglyceride

Abstract

 Objective: Neck circumference (NC) is considered to be an indicator of upper-body subcutaneous adipose tissue distribution. An upper body distribution of fat, especially with increased visceral adipose tissue, is considered to be predictive of cardiometabolic outcomes. Therefore, in this study, we have studied the relationship between NC and the conventional marker of obesity, namely, body mass index (BMI) and also the triglyceride levels in a group of young adults.

Methods: There were 60 participants in this study in the age group of 18-42 years of both genders with no known major medical conditions (viz., diabetes, coronary artery disease, hypertension, thyroid diseases, or malignancy) NC was measured at mid-neck height. The analysis of serum triglycerides was carried out after an overnight fast using Beckman Coulter autoanalyzer.

Results: A significantly positive correlation was found between NC and BMI (r=0.8154, p<0.0001). A positive correlation was found between NC and triglyceride levels (r=0.0316, p=0.9934).

Measurement of NC may be more useful in morbidly obese people, bedridden patients, and pregnant women. NC is found to have a positive correlation with insulin resistance and various components of the metabolic syndrome.

Conclusion: NC can be considered as a simple, useful, and reliable tool to identify overweight and obesity. This can be used as an alternative method to assess the fat distribution in health-care centers and also in population studies.

Downloads

Download data is not yet available.

Author Biographies

Vinodhini Vm, Department of Biochemistry, SRM Medical College Hospital and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India.

Department of Biochemistry

Vinothkumar Ganesan, Department of Medical Research, SRM Medical College Hospital and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India.

Biochemistry

References

Klein S, Allison DB, Heymsfield SB, Kelley DE, Leibel RL, Nonas C, et al. Waist circumference and cardiometabolic risk: A consensus statement from shaping America’s health: Association for weight management and obesity prevention; NAASO, the obesity society; the American society for nutrition; and the American diabetes association. Am J Clin Nutr 2007;85:1197-202.

Nakamura Y, Turin TC, Kita Y, Tamaki S, Tsujita Y, Kadowaki T, et al. Associations of obesity measures with metabolic risk factors in a community-based population in Japan. Circ J 2007;71:776-81.

Palacios C, Pérez CM, Guzmán M, Ortiz AP, Ayala A, Suárez E, et al. Association between adiposity indices and cardiometabolic risk factors among adults living in Puerto Rico. Public Health Nutr 2011;14:1714 23.

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;3:578-81.

Rothman KJ. BMI-related errors in the measurement of obesity. Int J Obes (Lond) 2008;32 Suppl 3:S56-9.

Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:i-xii, 1-253.

Walton C, Lees B, Crook D, Worthington M, Godsland IF, Stevenson JC, et al. Body fat distribution, rather than overall adiposity, influences serum lipids and lipoproteins in healthy men independently of age. Am J Med 1995;99:459-64.

Kissebah AH, Peiris AN. Biology of regional body fat distribution: Relationship to non-insulin-dependent diabetes mellitus. Diabetes Metab Rev 1989;5:83-109.

Levine JA, Ray A, Jensen MD. Relation between chubby cheeks and visceral fat. N Engl J Med 1998;339:1946-7.

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;95:3701-10.

Micklesfield LK, Goedecke JH, Punyanitya M, Wilson KE, Kelly TL. Dual-energy X-ray performs as well as clinical computed tomography for the measurement of visceral fat. Obesity (Silver Spring) 2012;20:1109-14.

Wells JC, Fewtrell MS. Measuring body composition. Arch Dis Child 2006;91:612-7.

Aswathappa J, Garg S, Kutty K, Shankar V. Neck circumference as an anthropometric measure of obesity in diabetics. N Am J Med Sci 2013;5:28-31.

Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res 2001;9:470-7.

Arafat MO, Salam AI, Arafat OS. The association of Type 2 diabetes with obesity and other factors: In multinational community. Int J Pharm Pharm Sci 2014;6:257-60.

1Fox CS, Massaro JM, Hoffmann U, Pou KM, Maurovich-Horvat P, Liu CY, et al. Abdominal visceral and subcutaneous adipose tissue compartments: Association with metabolic risk factors in the Framingham heart study. Circulation 2007;116:39-48.

Pathak KY, Mohanan A, Acharya S, Mandavia D, Jadhav HR. Exploring visceral adiposity index as a predictor of visceral adiposity dysfunction and evaluating its performance in predicting hepatic insulin resistance in Indian Type 2 diabetics. Int J Pharm Pharm Sci 2016;8:297-301.

Seidell JC, Pérusse L, Després JP, Bouchard C. Waist and hip circumferences have independent and opposite effects on cardiovascular disease risk factors: The Quebec family study. Am J Clin Nutr 2001;74:315-21.

Zhu S, Wang Z, Heshka S, Heo M, Faith MS, Heymsfield SB, et al. Waist circumference and obesity-associated risk factors among whites in the third national health and nutrition examination survey: Clinical action thresholds. Am J Clin Nutr 2002;76:743-9.

Weits T, van der Beek EJ, Wedel M, Ter Haar Romeny BM. Computed tomography measurement of abdominal fat deposition in relation to anthropometry. Int J Obes 1988;12:217-25.

Vinodhini VM, Sudhan KB. Gamma-glutamyl transferase as an indicator of obesity: A cross-sectional study. Asian J Pharm Clin Res 2016;9:240-2.

Saka M, Türker P, Ercan A, Kiziltan G, Baş M. Is neck circumference measurement an indicator for abdominal obesity? A pilot study on Turkish adults. Afr Health Sci 2014;14:570-5.

Stabe C, Vasques AC, Lima MM, Tambascia MA, Pareja JC, Yamanaka A, et al. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: Results from the Brazilian metabolic syndrome study. Clin Endocrinol (Oxf) 2013;78:874-81.

Atef A, Ibrahim A, Hassan NE, Elmasry SA, Elashry GI. Neck circumference as a novel screening method for estimating fat distribution and metabolic complications in obese children. Egypt Pediatr Assoc Gaz 2015;63:91-7.

Hingorjo MR, Qureshi MA, Mehdi A. Neck circumference as a useful marker of obesity: A comparison with body mass index and waist circumference. J Pak Med Assoc 2012;62:36-40.

Kumar S, Gupta A, Jain S. Neck circumference as a predictor of obesity and overweight in rural central India. Int J Med Public Health 2012;2:62-6.

Joshipura K, Muñoz-Torres F, Vergara J, Palacios C, Pérez CM. Neck circumference may be a better alternative to standard anthropometric measures. J Diabetes Res 2016;2016:6058916.

Koutsari C, Jensen MD. Thematic review series: Patient-oriented research. Free fatty acid metabolism in human obesity. J Lipid Res 2006;47:1643-50.

Cho NH, Oh TJ, Kim KM, Choi SH, Lee JH, Park KS, et al. Neck circumference and incidence of diabetes mellitus over 10 years in the Korean genome and epidemiology study (KoGES). Sci Rep 2015;5:18565.

Published

01-03-2018

How to Cite

Vm, V., and V. Ganesan. “NECK CIRCUMFERENCE AS AN INDICATOR OF OBESITY IN YOUNG ADULTS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 3, Mar. 2018, pp. 390-2, doi:10.22159/ajpcr.2018.v11i3.22773.

Issue

Section

Original Article(s)