Neck Circumference as A Screening Tool to Predict Obesity: A Cross Sectional Study in Coastal Karnataka, India

Authors

  • Shyamsundar Shreedhar Karwar Institute of Medical Sciences, Karwar, Karnataka, India
  • Prashant M Naik Karwar Institute of Medical Sciences, Karwar, Karnataka, India
  • Geeta Karwar Institute of Medical Sciences, Karwar, Karnataka, India
  • Naveenkumar Havale Karwar Institute of Medical Sciences, Karwar, Karnataka, India https://orcid.org/0000-0001-9709-8072
  • Manjula MN Karwar Institute of Medical Sciences, Karwar, Karnataka, India

DOI:

https://doi.org/10.55489/njcm.131120222273

Keywords:

Neck circumference, BMI, obesity, ROC

Abstract

Background: Obesity is a disease of public health importance impacting most body systems. It leads to a range of NCD’s. BMI is commonly used to classify overweight and obesity in adults. Others measurements such as WC and WHR are considered as acceptable measures of obesity.  However in community settings these can be a time consuming method. Instead Neck circumference (NC) can be used to screen for obesity.

Methodology: A cross sectional study conducted among 310 study participants in rural field practice area of Government medical college, Karwar. Socio demographic characteristics were collected using pre designed semi structured questionnaire and anthropometric measurements as per standard guidelines. Data analyzed using Epi-info 7.2 version. Statistical tests like Pearson’s correlation coefficient were used to assess correlation. NC cut off values were obtained from ROC.

Results: In our study, the correlation of NC with BMI was highly correlated among both males(r=0.529), and females (r=0.565). Kappa statistics depicted moderate agreement with BMI [males (κ = 0.512) ; females (κ = 0.496) and NC in the study population. The cut-off values obtained for neck circumference using ROC curve for males (35.5cm) and females (31.5cm) were statically significant associated in comparison to BMI to determine obesity in both males (χ2 = 58.57,  and females (χ2 = 21.54).

Conclusion: This study concluded that men with NC ≥ 35.5 cms and females with NC ≥ 31.5 cms are to be considered obese. The sensitivity  of  this screening  test  for  these  cut-off’s  was  79.83%  and  82.4%  in  males  and  females  respectively.

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Published

2022-11-30

How to Cite

1.
Shreedhar S, Naik PM, Geeta, Havale N, Manjula MN. Neck Circumference as A Screening Tool to Predict Obesity: A Cross Sectional Study in Coastal Karnataka, India. Natl J Community Med [Internet]. 2022 Nov. 30 [cited 2023 Feb. 4];13(11):782-7. Available from: https://njcmindia.com/index.php/file/article/view/2273

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Original Research Articles