Neck Circumference: A Novel Anthropometric Tool for Screening Obesity Among Young Adults

Authors

  • Mouna Hogalagere Sriramappa Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India
  • Hamsa Lokanath Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
  • Jai Krishna Madarakkal Gunaseelan Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
  • Chittem Sravana Deepthi Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India
  • Anu Priya Mathew Chirakkara Bangalore Medical College and Research Institute, Bengaluru, Karnataka, India
  • Tapasi Lahari Reddy Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India

DOI:

https://doi.org/10.55489/njcm.151020244412

Keywords:

Anthropometry, Body Mass Index, Medical students, Neck circumference measurement, Waist-to-Hip Ratio

Abstract

Background: Obesity is a global health concern characterized by excessive fat accumulation, posing significant health risks that affect all age groups. Particularly among young adults, including medical students, obesity can lead to physical and psychosocial consequences, emphasizing the need for effective screening. The study was conducted to evaluate the effectiveness of using neck circumference as a screening tool for detecting obesity among young adults by assessing its correlation with other anthropometric measurements and determining the appropriate cut-off points

Methodology: A cross-sectional study was conducted among 146 medical students at the Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh. Data were collected using a semi-structured questionnaire and various anthropometric measurements, including neck circumference.

Results: Neck circumference was higher among males, with a mean of 34.4±2.1cm for males and 30.2±1.9cm for females. Neck circumference showed significant positive correlations with height, weight, Body Mass Index, waist-hip ratio, hip and waist circumference. Neck circumference is proposed as a screening tool for assessing obesity among young adults, with cut-off values of 34cm for males and 30cm for females.

Conclusions: Neck circumference is an effective screening tool for obesity among young adults, correlating with conventional anthropometric measures.

References

World Health Organization (WHO). Obesity. [Internet]. Available from: https://www.who.int/health-topics/obesity/#tab=tab_1. Accessed on June 7th, 2024

World Health Organization (WHO). Obesity and overweight. [Internet]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed on June 7th, 2024

Ministry of Health and Family Welfare (MOHFW). Compendium Of Fact Sheets. National Family Health Survey (NFHS-5). MOHFW. 2019-21. [Internet]. Available from: https://mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf. Accessed on June 7th, 2024

Raju A, Santhanakrishnan N, Sathiyaseelan M. Neck Circumference is Associated with General and Central Obesity in Young Indian Adults. Indian J Community Med. 2023 Mar 1;48(2):264-8. Doi: https://doi.org/10.4103/ijcm.ijcm_209_22

Verma M, Rajput M, Sahoo SS, et al. Neck Circumference: Independent Predictor for Overweight and Obesity in Adult Population. Indian J Community Med. 2017 Oct 1;42(4):209-13. Doi: https://doi.org/10.4103/ijcm.IJCM_196_16

Ben‐Noun L, Sohar E, Laor A. Neck Circumference as a Simple Screening Measure for Identifying Overweight and Obese Patients. Obesity research. 2001 Aug;9(8):470-7. Doi: https://doi.org/10.1038/oby.2001.61

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 Jan 1;62(1):36.

Yan Q, Sun D, Li XU, et al. Neck circumference is a valuable tool for identifying metabolic syndrome and obesity in Chinese elder subjects: a community‐based study. Diabetes/metabolism research and reviews. 2014 Jan;30(1):69-76. Doi: https://doi.org/10.1002/dmrr.2464

Preis SR, Massaro JM, Hoffmann U, et al. Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab. 2010 Aug 1;95(8):3701-10. Doi: https://doi.org/10.1210/jc.2009-1779

Kumar NV, Ismail MH, Mahesha P, M G, et al. Neck Circumference and Cardio-Metabolic Syndrome. Journal of Clinical and Diagnostic Research. 2014 Jul;8(7):MC23.

Özkaya İ, Tunçkale A. Neck circumference positively related with central obesity and overweight in Turkish university students: a preliminary study. Cent Eur J Public Health. 2016 Jun 1;24(2):91-4. Doi: https://doi.org/10.21101/cejph.a4555

Brown A, Flint SW, Batterham RL. Pervasiveness, impact and implications of weight stigma. EClinicalMedicine. 2022 May 1;47. Doi: https://doi.org/10.1016/j.eclinm.2022.101408

Shrestha N. Neck Circumference as an Indicator of Overweight and Obesity in Young Adults. Am. J. Appl. Math. Stat. 2018;6:176-80. Doi: https://doi.org/10.12691/ajams-6-5-1

Patil C, Deshmukh J, Yadav S, et al. Neck circumference: A novel anthropometric tool for screening obesity in adults. International Journal of Collaborative Research on Internal Medicine & Public Health. 2017;9(7):711-20.

World Health Organization (WHO). The Asia-Pacific perspective : redefining obesity and its treatment [Internet]. Available from: https://iris.who.int/handle/10665/206936. Accessed on June 7th, 2024

Castro-Piñero J, Delgado-Alfonso A, Gracia-Marco L, et al. Neck circumference and clustered cardiovascular risk factors in children and adolescents: cross-sectional study. BMJ open. 2017 Sep 1;7(9):e016048. Doi: https://doi.org/10.1136/bmjopen-2017-016048

Adamu LH, Asuku AY, Taura MG, et al. Neck circumference: An upcoming tool of adiposity indices. Nigerian Journal of Basic and Clinical Sciences. 2013 Jul 1;10(2):82-5. Doi: https://doi.org/10.4103/0331-8540.122766

Pei X, Liu L, Imam MU, et al. Neck circumference may be a valuable tool for screening individuals with obesity: findings from a young Chinese population and a meta-analysis. BMC Public Health. 2018 Dec;18:1-0. Doi: https://doi.org/10.1186/s12889-018-5448-z

Liria-Domínguez R, Pérez-Albela M, Vásquez MP, et al. Correlation between Neck Circumference and Other Anthropometric Measurements in Eight Latin American Countries. Results from ELANS Study. International Journal of Environmental Research and Public Health. 2021 Nov 15;18(22):11975. Doi: https://doi.org/10.3390/ijerph182211975

R SP, V CR. Neck circumference-A simple and valid screening tool for obesity in school children. J Surg Med. 2021 Nov 25;5(12):1184-7. Doi: https://doi.org/10.28982/josam.899255

Mondal N, Sen J, Bose K, et al.. Neck circumference as a screening measure of overweight/obesity among Indian adults. Anthropological Review. 2016 Sep 30;79(3):347-65. Doi: https://doi.org/10.1515/anre-2016-0025

R K, Harshitha, Bhargava M. Mid-upper arm circumference and neck circumference to screen for overweight-obesity in young adults in South India. Heliyon. 2022 Dec 1;8(12). Doi: https://doi.org/10.1016/j.heliyon.2022.e12173

Arnold TJ, Schweitzer A, Hoffman HJ, et al. Neck and waist circumference biomarkers of cardiovascular risk in a cohort of predominantly African-American college students: a preliminary study. J Acad Nutr Diet. 2014 Jan 1;114(1):107-16. Doi: https://doi.org/10.1016/j.jand.2013.07.005

Pereira DCR, De Araújo MFM, De Freitas RWJF, et al. Neck circumference as a potential marker of metabolic syndrome among college students. Rev. Latino-Am. Enfermagem. 2014 Nov;22:973-9. Doi: https://doi.org/10.1590/0104-1169.3565.2505

Bertsias G, Mammas I, Linardakis M, et al. Overweight and obesity in relation to cardiovascular disease risk factors among medical students in Crete, Greece. BMC Public Health. 2003 Dec;3:1-9. Doi: https://doi.org/10.1186/1471-2458-3-3

Published

2024-10-01

How to Cite

1.
Sriramappa MH, Lokanath H, Gunaseelan JKM, Sravana Deepthi C, Chirakkara APM, Reddy TL. Neck Circumference: A Novel Anthropometric Tool for Screening Obesity Among Young Adults. Natl J Community Med [Internet]. 2024 Oct. 1 [cited 2024 Nov. 19];15(10):806-11. Available from: https://njcmindia.com/index.php/file/article/view/4412

Issue

Section

Original Research Articles