Abstract: Aims and Objectives:
To explore performance of neck circumference to predict obesity and metabolic syndrome among adults.
Materials & Methods: In this prospective study, totally Three hundred cases of both sexes, between 30 to 75 years old, were evaluated. A convenience sampling strategy was used. The sample comprised cases treated at an outpatient clinic for obese children and adolescents in the Hospital. The study included overweight, obese, and normal weight subjects, according to criteria from the Centers for Disease Control and Prevention (CDC). Exclusion criteria were: cervical lymph nodes or deformities, goitre, late neuropsychological and motor development, congenital syndromes, hepatopathy, nephropathy, metabolic disorders (such as type 1 diabetes, hypothyroidism, and hyperthyroidism) and use of systemic corticosteroids.
Results: In the present study, 17 cases belongs to age group of less than 31 years, 70 cases belongs to 31 to 40 year group, 43 cases belongs to 41 to 50 year group and 170 cases belongs to more than 50 year age group, 159 cases were male and 131 cases were female, one case belongs to underweight category, 84 cases belongs to normal weight category, 152 cases belongs to overweight category and 63 cases belongs to obese category. In males, 32 cases NC was less than 37 cms and 127 cases was more than 37 cms and In females, 47 cases NC was less than 34 cms and 84 cases was more than 34 cms. 86 cases were suffering from diabetes, 135 cases were suffering from hyperlipidemia, 2 cases were suffering from chronic kidney disease, 4 cases were suffering from coronary artery disease, 29 cases were suffering from hypertension, 15 cases were suffering from hypothyroidism, FBS was normal in range in 174 cases and abnormal in 126 cases, HBA1C was normal in 174 cases and abnormal in 126 cases.
Conclusion: Strength of the study is that it was community based, making it more precise in the results and wider age groups have been included in the study. In spite of all the limitations, measuring upper body fat by neck circumference is a reasonable method to evaluate the obesity status.