Neck Circumference as a Useful Marker for Screening Overweight and Obesity in Children and Adolescents

Taheri, Mehri; Kajbaf, Tahereh Ziaei; Taheri, Mohammad-Reza; Aminzadeh, Majid

doi:10.5001/omj.2016.34

Cited by 35 publications

(43 citation statements)

References 12 publications

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“…Overall, this suggests that measures of NC and BMI contain similar information, and thus may fail to explain additional variability in the outcome when set as joint, rather than single, predictors. These results are consistent with studies where NC was able to classify individuals with elevated BMI (Hatipoglu et al 2010;Nafiu et al 2010;Katz et al 2014;Taheri et al 2016), although predicting BMI from NC may be of limited value if the goal is to move beyond BMI to more useful markers of metabolic risk.…”

Section: Discussionsupporting

confidence: 88%

“…As a relatively simple anthropometric measurement, NC, like WC, was proposed as an easy-to-employ proxy for metabolically harmful FM deposited in the upper body (Tchernof and Després 2013). Studies have shown that NC and WC associate with one another (Hatipoglu et al 2010;Nafiu et al 2010;Katz et al 2014;Hassan et al 2015;Taheri et al 2016;Castro-Piñero et al 2017), and that their degree of association with outcomes such as overweight/obesity, HOMA, and SBP is similar (Hatipoglu et al 2010;Androutsos et al 2012). At the same time, some have argued that NC is preferable to WC, as the former does not demonstrate pre-versus postprandial variation, depend on the consistency of measurements taken at the end of an expired breath, or necessitate the removal of clothing (Hatipoglu et al 2010;Nafiu et al 2010;Taheri et al 2016).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of neck circumference as a predictor of elevated cardiometabolic risk outcomes in 5–8-year-old Brazilian children

Shirley

Pereira-Freire

Frota

et al. 2020

Child and Adolescent Obesity

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Background: Childhood overweight and obesity is a global health problem that continues to worsen in many low-and middle-income countries. Low-cost measurements for monitoring overweight and relative metabolic risk, such as neck circumference (NC), should be evaluated in different populations and age groups. Aim: To test associations of NC and BMI with cardiometabolic parameters in 5-8-year-old Brazilian children. Methods: This cross-sectional study carried out from 2004-2006 measured height, weight and NC by anthropometry, and estimated fat and fat-free mass by bioelectrical impedance. Cardiometabolic risk factors assessed were systolic and diastolic blood pressure, high-and low-density lipoprotein cholesterol, triglycerides, and homeostatic model assessment of insulin resistance (HOMA). Associations of NC and BMI with cardiometabolic risk factors were tested using multiple regression and precision-recall plot analysis. Results: Analyses included 371 children (52% female). NC associated positively with BMI, fat mass, and fat-free mass, and with systolic blood pressure and HOMA following adjustment for age in sex-stratified multiple regression models. However, the latter relationships largely disappeared following adjustment for BMI. Area under the curve for NC or BMI in association with systolic blood pressure or HOMA >90 th percentile was low in the pooled sample, indicating poor classifier performance.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Evaluation of neck circumference as a predictor of elevated cardiometabolic risk outcomes in 5–8-year-old Brazilian children

Shirley

Pereira-Freire

Frota

et al. 2020

Child and Adolescent Obesity

View full text Add to dashboard Cite

show abstract

“…13 Similarly, larger cut-off values of NC for the prediction of overweight and obesity were also noted in an Iranian population-based study. 36 Another Iranian study by Taheri et al 16 also described the comparison in NC cut-offs, sensitivity and specificity values among different countries. A notable variation was observed in the cut-off values of NC, sensitivity and specificity across the countries.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings also suggest an action level lower than previous published studies. 13,16,36 Gender-and-ethnic differences in body size might partially explain the heterogeneity in the optimal cut-offs among different populations. Furthermore, differences in sensitivity, specificity of the NC measuring method in different studies may be explained due to sample size and age range (i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Studies with different pediatric sample showed that the NC performed well as an index of high BMI in young children and adolescents. 13,15,16 However in Pakistan, there is a scarcity of data about the use of NC as an indicator of overweight and obesity in children. Only one investigator 17 has attempted to use NC to screen for high BMI among young adults aged 18-20 years.…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Performance of Neck Circumference and Cut-off Values for Identifying Overweight and Obese Pakistani Children: A Receiver Operating Characteristic Analysis

Asif¹,

Aslam²,

Wyszyńska³

et al. 2020

Jcrpe

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What is already known on this topic?Childhood obesity is a growing problem in Pakistan, therefore there is a need to determine quick and simple tool for screening obesity. Neck circumference (NC) may be a valuable tool for screening individuals with overweight/obesity. What this study adds?This is the first study evaluating the correlation between NC and body mass index among Pakistani children. We also determined the most sensitive and specific cut-off points of NC for identification of overweight and obese children using receiver operating characteristic (ROC) analysis. AbstractObjective: Neck circumference (NC) is considered to be an alternative screening method for obesity. The aims of this investigation were (1) to examine the correlation between BMI and NC and (2) to determine diagnostic performance, the best cut-off points of NC for identification of overweight and obese Pakistani children. Methods:We studied a sample of 7921 children aged 5-14 years by a cross-sectional survey carried-out in four major cities of Pakistan. Receiver operating characteristic (ROC) analysis was used to see the diagnostics performance of NC and to determine the optimal cut-off points for identifying children with overweight and obesity. Results: The mean of each anthropometric variable (i.e., height, weight, BMI and NC) increased with age in both sexes. In the overall sample studied, NC also had a good positive correlation (r=0.61, p <0.01) with BMI. NC optimal cut-off points for identifying overweight and obesity in Pakistani boys ranged between 25.00 to 30.35 cm and the corresponding values for the girls were 24.00 to 31.62 cm. In the prepubertal period, NC cut-off points indicative overweight, in both boys and girls were 26.36 cm and 25.27 cm, respectively; the corresponding values for obesity were 26.78 cm and 25.02 cm. The cut-off values of 28.32cm and 28.57cm for overweight and obesity; were reported in boys and 28.70 cm and 28.82 cm in girls at puberty stage. Conclusion: NC could potentially be used as a simple and widely-acceptable indicator in clinical settings for identification of overweight and obesity with a reasonable accuracy in children.

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Youth helmet design in sports with repetitive low- and medium-energy impacts: a systematic review

et al. 2016

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Neck Circumference as a Useful Marker for Screening Overweight and Obesity in Children and Adolescents

Abstract: NC is significantly correlated with overweight and obesity. It can be used with great reliability to screen overweight and obesity in children, and to identify those with a high BMI.

Cited by 35 publications

References 12 publications

Evaluation of neck circumference as a predictor of elevated cardiometabolic risk outcomes in 5–8-year-old Brazilian children

Evaluation of neck circumference as a predictor of elevated cardiometabolic risk outcomes in 5–8-year-old Brazilian children

Diagnostic Performance of Neck Circumference and Cut-off Values for Identifying Overweight and Obese Pakistani Children: A Receiver Operating Characteristic Analysis

Youth helmet design in sports with repetitive low- and medium-energy impacts: a systematic review

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