Neck circumference as a marker of obesity and a predictor of cardiometabolic risk among Saudi subjects

Eman M. Alfadhli, Alaa A. Sandokji, Basma N. Zahid, Mohammed A. Makkawi, Reem F. Alshenaifi, Tafani S. Thani, Hanan A. Habeeb

Abstract


Objectives: To determine the optimal cutoff value for neck circumference (NC) that define overweight/obesity and assess its predictive potential for cardiometabolic risks (CMR) among Saudi subjects. 

 

Methods: A cross sectional study of 785 adults recruited from a public health awareness campaign in Medina, Saudi Arabia during June 2015. Waist circumference (WC), NC, body mass index (BMI), blood pressure (BP), and random blood glucose (RBG) were assessed, and the presence of CMR were collected by a questionnaire. Pearson’s correlation coefficients were used to evaluate the associations of NC with other anthropometric indices and CMR. The optimal cutoff value for NC to identify overweight/obesity was determined by receiver operating characteristic (ROC) curves.

 

Results: There were significant correlations between NC and BMI, weight, WC, age, RBG, and BP. The area under the curve for NC and WC in the ROC analysis was 0.86 for men and 0.77 for women, and NC ≥39.25 cm for men and ≥34.75 cm for women were the best cutoff levels for identifying subjects with central obesity with an 89% sensitivity and a 71% specificity for men and an 80% sensitivity and a 65% specificity for women. These cutoff levels for NC were associated with a significantly increased risk for diabetes, dyslipidemia, and hypertension. 

 

Conclusion: Neck circumference is positively correlated with BMI and WC, and can be used to identify overweight/obesity and predict CMR in Saudi individuals. 


Saudi Med J 2017; Vol. 38 (12): 1219-1223
doi: 10.15537/smj.2017.12.20926


How to cite this article:
Alfadhli EM, Sandokji AA, Zahid BN, Makkawi MA, Alshenaifi RF, Thani TS, Habeeb HA.Neck circumference as a marker of obesity and a predictor of cardiometabolic risk among Saudi subjects. Saudi Med J. 2017 Dec;38(12):1219-1223. doi: 10.15537/smj.2017.12.20926.



Keywords


Neck circumference; obesity; waist circumference; BMI; Saudi Arabia

Full Text:

PDF HTML

References


Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res 2001; 9: 470-477.

Joshipura K, Mu-oz-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.

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: 570-575.

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.

Hatipoglu N, Mazicioglu MM, Kurtoglu S, Kendirci M. Neck circumference: an additional tool of screening overweight and obesity in childhood. Eur J Pediatr 2010; 169: 733-739.

Sarry El Din A, Hassan N, El-Masry S, Al-Tohamy M. Neck circumference as a simple screening measure for identifying Egyptian overweight and obese adults. Maced J Med Sci 2013; 6: 232-237.

Zhou JY, Ge H, Zhu MF, Wang LJ, Chen L, Tan YZ, et al. Neck circumference as an independent predictive contributor to cardio-metabolic syndrome. Cardiovasc Diabetol 2013; 12: 76.

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: 874-881.

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: 3701-3710.

Ben-Noun L, Laor A. Relationship of neck circumference to cardiovascular risk factors. Obes Res 2003; 11: 226-231.

Alberti KG, Zimmet P, Shaw J. Metabolic syndrome--a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diabet Med 2006; 23: 469-480.

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; 4: 319-323.

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: 578-581.

World Health Organization. Global Health Observatory (GHO). Global and regional trends by WHO Regions, 1990-2013. Overweight. [Internet]. Geneva (CH): WHO; 2014. Available from: http://www.who.int/gho/en/

Li HX, Zhang F, Zhao D, Xin Z, Guo SQ, Wang SM, et al. Neck circumference as a measure of neck fat and abdominal visceral fat in Chinese adults. BMC Public Health 2014; 14: 311.


Refbacks

  • There are currently no refbacks.




Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.