Association between neck circumferences and cardiometabolic risk factors
DOI:
https://doi.org/10.18203/2349-3933.ijam20191075Keywords:
Cardiovascular events, Cardiometabolic risk factors, Metabolic syndrome, Neck circumferenceAbstract
Background: Anthropometric measures have been used for screening patients for cardiovascular abnormalities and metabolic syndrome since many years. There are numerous methods to assessing overweight and obesity, such as measurements of weight, height, waist circumference, hip circumference and calculation of waist hip ratio and BMI. Due to cultural inhibitions measurement of hip, thigh or waist circumference is cumbersome in females, neck circumference could be an acceptable option for such patients.
Methods: A cross-sectional study was conducted on patients attending the outpatient department in Yenepoya medical college Hospital between the period of May 2017 to May 2018. Total 201 patients chosen randomly in which 145 males and 56 females, fulfilling criteria of age >20 years were included. Pregnant females, patients with thyroid disorders, history of previous neck surgery were excluded.
Results: Out of the 201 population studied, Cardio metabolic syndrome was present in 94 participants according to criteria of NCEP ATP III. In our study there is a significant correlation between neck circumference and metabolic syndrome (p value <0.001).
Conclusions: Patients with Neck Circumference (NC) >37 cm in males and >34 cm in females are more prone for having cardio metabolic risk factors than patients with NC <37 cm in males and <34 cm in females. NC may be used as a simple and time saving screening measure to identify cardio metabolic risk factors in patients.
Metrics
References
Sawant A, Mankeshwar R, Shah S, Raghavan R, Dhongde G, Raje H, et al. Prevalence of Metabolic Syndrome in Urban India. Cholesterol. 2011;2011:1-7.
Alberti KGMM, Zimmet P, Shaw J. Metabolic syndrome-a new world-wide definition. A Consensus Statement from the International Diabetes Federation. Diab Med. 2006;23(5):469-80.
Kaur J. A Comprehensive Review on Metabolic Syndrome. Cardiol Res Pract. 2014;2014.
Onat A, Hergenç G, Yüksel H, Can G, Ayhan E, Kaya Z, et al. Neck circumference as a measure of central obesity: associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference. Clin Nutr Edinb Scotl. 2009 Feb;28(1):46-51.
Zhou J, Ge H, Zhu M, Wang L, Chen L, Tan Y, et al. Neck circumference as an independent predictive contributor to cardio-metabolic syndrome. Cardiovasc Diabetol. 2013 May 16;12:76.
Ben-Noun LL, Laor A. Relationship between changes in neck circumference and cardiovascular risk factors. Exp Clin Cardiol. 2006;11(1):14-20.
Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol In Adults 2001 Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). JAMA. 2011;285:2486-97.
Ben-Noun L, Sohar E, Laor A. Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res. 2001 Aug; 9(8):470-7.
Preis SR, Massaro JM, Hoffmann U, D’Agostino RB, Levy D, Robins SJ, et al. Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab. 2010 Aug;95(8):3701-10.
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(1):62-6.
Ben-Noun L, Laor A. Relationship between changes in neck circumference and changes in blood pressure. Am J Hypertension. 2004 May 1;17(5):409-14.
Ben-Noun L, Laor A. Relationship of neck circumference to cardiovascular risk factors. Obes Res. 2003 Feb;11(2):226-31.
Yan Q, Sun D, Li X, Zheng Q, Li L, Gu C, et al. Neck circumference is a valuable tool for identifying metabolic syndrome and obesity in Chinese elder subjects: a community-based study. Diab Metab Res Rev. 2014 Jan; 30(1):69-76.
Hingorjo MR, Zehra S, Imran E, Qureshi MA. Neck circumference: A supplemental tool for the diagnosis of metabolic syndrome. J Pak Med Assoc. 2016 Oct;66(10):1221-6.