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American Journal of Applied Mathematics and Statistics. 2018, 6(5), 176-180
DOI: 10.12691/AJAMS-6-5-1
Original Research

Neck Circumference as an Indicator of Overweight and Obesity in Young Adults

Noora Shrestha1,

1Department of Mathematics and Statistics, Padma Kanya Multiple Campus, Tribhuvan University, Kathmandu, Nepal

Pub. Date: September 18, 2018

Cite this paper

Noora Shrestha. Neck Circumference as an Indicator of Overweight and Obesity in Young Adults. American Journal of Applied Mathematics and Statistics. 2018; 6(5):176-180. doi: 10.12691/AJAMS-6-5-1

Abstract

Neck circumference (NC) measurement is one of the simple screening measurements, that can be used as a marker of upper body fat distribution to notice overweight. The objective of this study is to evaluate the relationship between NC and overweight/obesity. In this cross-sectional study a total 198 college students (120 Female, 78 Male) aged 18-23 years were participated using convenience method. Anthropometric measurements of students were measured according to the guidelines of world health organization. Students with NC ≥37 cm for male and ≥34 cm for female and BMI ≥ 25 kg/m2 are identified as overweight. The percentages of the male and female students with BMI ≥ 25 kg/m2 were 9% and 15.8% respectively and with high NC were 47.4% and 23.3 % respectively. In both male and female students, there were significant and positive correlation of neck circumference with body weight (male, r=0.572; female, r=0.629; p=0.001), waist circumference (male, r= 0.407; female, r= 0.623; p=0.001), hip circumference (male, r=0.546; female, r=0.579; p=0.001), BMI (male, r= 0.532; female, r= 0.588; p=0.001), waist to hip ratio (female, r = .376; p= .001), and waist to height ratio (male, r= 0.33; female, r= 0.574; p=0.001). A significant and independent association was found between NC and overweight levels using multiple regression analysis in young adults. This study indicates neck circumference is a simple screening measure that can be used to identify overweight/obesity.

Keywords

neck circumference, body mass index, overweight, anthropometry

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  World Health Organization. (2018, June). Obesity and Overweight. Available:http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight.
 
[2]  Polymeris, A., Papapetrou, P. D., and Katsoulis, G. (2014). “An Average Body Circumference Can Be a Substitute for Body Mass Index in Women”. Advances in Medicine, 2014, 6.
 
[3]  Braulio, V. B., Furtado, V. C. S., Silveira, M. G., Fonseca, M. H., and Oliveira, J. E. (2010). “Comparison of body composition methods in overweight and obese Brazilian women”. Arquivos Brasileiros de Endocrinologia and Metabologia, 54(4), 398-405.
 
[4]  World Health Organization. (2016, June). Global strategy on diet, physical activity, and health. Available: http://www.who.int/dietphysicalactivity/childhood_what/en/.
 
[5]  World Obesity. (2018, July). How is obesity measured? Available: https://www.worldobesity.org/data/cut-points-used.
 
[6]  Tybor, D. J., Lichtenstein, A. H., Dallal, G. E., and Must, A. (2008). “Waist-to-height ratio is correlated with height in US children and adolescents aged 2-18 years”. International Journal of Pediatric Obesity: IJPO: An Official Journal of the International Association for the Study of Obesity, 3(3), 148-151.
 
[7]  World Health Organization. (2008). Report of a WHO expert consultation waist circumference and waist-hip ratio. Geneva. Available: http://www.who.int/nutrition/publications/obesity/WHO_report_waistcircumference_and_waisthip_ratio/en/
 
[8]  Czernichow, S., Kengne, A.P., Huxley, R. R., Batty, G. D., de Galan, B., Grobbee, D., … Chalmers, J. (2011). “Comparison of waist-to-hip ratio and other obesity indices as predictors of cardiovascular disease risk in people with type 2 diabetes: a prospective cohort study from ADVANCE”. European Journal of Cardiovascular Prevention and Rehabilitation: Official Journal of the European Society of Cardiology, Working Groups on Epidemiology and Prevention and Cardiac Rehabilitation and Exercise Physiology, 18(2), 312-319.
 
[9]  Lawrence, D. K., Anwar, T. M., Janice, P., and Sonia, S. A. (2007). “Waist circumference and waist-to-hip ratio as predictors of cardiovascular events: meta-regression analysis of prospective studies”. European Heart Journal, 28(7), 850-856.
 
[10]  Lee, C.M., Huxley, R.R., Wildman, R.P., and Woodward, M. (2008). “Indices of abdominal obesity are better discriminators of cardiovascular risk factors than BMI: a meta-analysis”. Journal of Clinical Epidemiology, 61(7), 646-653.
 
[11]  Ashwell, M., Gunn, P., and Gibson, S. (2012). “Waist-to-height ratio is a better screening tool than waist circumference and BMI for adult cardio metabolic risk factors: systematic review and meta-analysis”. Obesity Reviews, 13, 275-286.
 
[12]  Schneider, H.J. et al., (2010). “The predictive value of different measures of obesity for incident cardiovascular events and mortality”. The Journal of Clinical Endocrinology and Metabolism, 95(4), 1777-85.
 
[13]  Rezende, et al. (2018). “Is waist-to-height ratio the best predictive indicator of hypertension incidence? A cohort study”. BMC Public Health, 18: 281.
 
[14]  Ben-Noun, L.L., Sohar, E., and Loar, A. (2001). “Neck circumference as a simple screening measure for identifying overweight and obese patients”. Obesity Research, 9: 470-7.
 
[15]  Nafiu, O.O., Burke, C., Lee, J., Voepel-Lewis, T., Malviya, S., Tremper, K.K. (2010). “Neck circumference as a screening measure for identifying children with high body mass index”. Pediatrics, 126(2).
 
[16]  Laor, A., and Ben-Noun, L.L. (2004). “Relationship between changes in neck circumference and changes in blood pressure”. American Journal of Hypertension, 17: 409-14.
 
[17]  Asija, Z., Mehmed, E., Nermina. B., Nesina, A., Amela, D., and Jasminko, H. (2018). “Neck circumference as an indicator of central obesity in healthy young bosnian adults: Cross-sectional study”. International Journal of Preventive Medicine, 9: 42.
 
[18]  World Health Organization. (2000). Obesity: preventing and managing the global epidemic. Report of a WHO Consultation. WHO Technical Report Series 894. Available: http://www.who.int/topics/obesity/en/.
 
[19]  Field, A. P. (2009). Discovering statistics using SPSS: (and sex and drugs and rock 'n' roll). SAGE Publications, Thousand Oaks, Calif.: Los Angeles.
 
[20]  Barton, B. and Peat, J. K.  (2014).  Medical Statistics: a guide to SPSS, data analysis, and critical appraisal. Wiley Blackwell/BMJ Books, Chichester, West Sussex; Hoboken, NJ.
 
[21]  Popkin, B.M., Adair, L.S., and Ng, S.W. (2012). “Global nutrition transition and the pandemic of obesity in developing countries”. Nutrition Reviews, 70:3-21.
 
[22]  Hu, F. (2008). Measurements of Adiposity and Body Composition. In: Hu F, ed. Obesity Epidemiology, Oxford University Press, New York City, 53-83.
 
[23]  Sharma, S. K., Ghimire, A., Radhakrishnan, J., Thapa, L., Shrestha, N. R., Paudel, N., … Brodie, D. (2011). “Prevalence of Hypertension, Obesity, Diabetes, and Metabolic Syndrome in Nepal”. International Journal of Hypertension, 821971.
 
[24]  World Health Organization. (2013). Non-Communicable Disease Risk Factor Survey Nepal 2013, Kathmandu: World Health Organization. Available: http://www.searo.who.int/nepal/mediacentre/non_communicable_diseases_risk_factors_steps_survey_nepal_2013.pdf.
 
[25]  Flegal, K. M., Shepherd, J. A., Looker, A. C., Graubard, B. I., Borrud, L. G., Ogden, C. L., … Schenker, N. (2009). “Comparisons of percentage body fat, body mass index, waist circumference, and waist-stature ratio in adults”. The American Journal of Clinical Nutrition, 89(2).
 
[26]  Duren, D. L., Sherwood, R. J., Czerwinski, S. A., Lee, M., Choh, A. C., Siervogel, R. M., and Cameron, C.W. (2008). “Body Composition Methods: Comparisons and Interpretation”. Journal of Diabetes Science and Technology, 2(6), 1139-1146.
 
[27]  Nkeh-Chungag, B. N., Mxhosa, T. H., and Mgoduka, P. N. (2015). “Association of waist and hip circumferences with the presence of hypertension and pre-hypertension in young South African adults”. African Health Sciences, 15(3), 908-916.
 
[28]  Chong, H. K. (2016). “Measurements of Adiposity and Body Composition”. Korean Journal of Obesity, 25(3), 115-120.
 
[29]  Ashwell, M., and Hsieh, S.D. (2005). “Six reasons why the waist-to-height ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity”. International Journal of Food Sciences and Nutrition, 56, 303-7.
 
[30]  Janosen I, Heymsfield SB, et al. (2002). “Body mass index and waist circumference independently contribute to the prediction of non-abdominal, abdominal subcutaneous and visceral fat”. American Journal of Clinical Nutrition, 75, 683-8.
 
[31]  Kumar, S., Gupta, A., and Jain, S. (2012). “Neck circumference as a predictor of obesity and overweight in rural central India”. International Journal of Medicine and Public health, 2(1).
 
[32]  Papandreou, D., Noor, Z. T., Rashed, M., and Jaberi, H. A. (2015). “Association of Neck Circumference with Obesity in Female College Students”. Open Access Macedonian Journal of Medical Sciences, 3(4), 578-581.