Neck circumference as screening measure for identifying adolescents with overweight and obesity

Souza, Márcia Ferreira Cândido de; Gurgel, Ricardo Queiróz; Barreto, Íkaro Daniel de Carvalho; Saravanan, Saran

doi:10.7322/jhgd.119302

Cited by 10 publications

(8 citation statements)

References 17 publications

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“…The PI is the ratio of mass in grams per length in centimeter 3 and not of mass in kilograms per length in meters [3], like TMI. Although the PI was proposed many years ago, according to various authors, the literature about use of PI or TMI in the first years of life is restricted [9,10,21,22,23,24,25,26,27,28].…”

Section: Discussionmentioning

confidence: 99%

Tri-Ponderal Mass Index: A Screening Tool for Risk of Central Fat Accumulation in Brazilian Preschool Children

et al. 2019

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Background and Objectives: To verify the use of the tri-ponderalmass index (TMI) as a screening tool for risk of central fat accumulation in preschool children. Materials and Methods: An observational, analytical study was carried out on samples from children 2 to 5 years of age. The body mass index (BMI) and the tri-ponderalmass index (TMI: Weight/height3) were calculated. The waist circumference-to-height ratio (WHtR) was used to classify central fat accumulation risk. Preschoolers whose WHtRwas in the upper tertile of the sample were classified as at risk for central fat accumulation. A comparison of the two indicators (BMI and TMI) was made from the area under the receiver operator characteristics (ROC) curve (AUC) in the discrimination of the WHtR. Results: The sample used for analysis was 919 preschoolers. The mean age of the children was 3.9 years (SD = 0.7). The difference in AUC was 5% higher for TMI (p < 0.0001). In the individual analysis of the ROC curve of the TMI, favoring a higher sensitivity, the cutoff point of 14.0 kg/m3 showed a sensitivity of 99.3% (95% CI: 97.6–99.9). Conclusion: Considering WHtR as a marker of possible future metabolic risk among preschool children, TMI proved to be a useful tool, superior to BMI, in screening for risk of central fat accumulation in preschool children.

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Section: Discussionmentioning

confidence: 99%

Tri-Ponderal Mass Index: A Screening Tool for Risk of Central Fat Accumulation in Brazilian Preschool Children

et al. 2019

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“…Moreover, it is time consuming to measure weight, height, and interpret the value with a reference chart [7,8]. An important approach to promote early identification and surveillance of overweight and obesity among adolescents is developing an easy to use, inexpensive and reliable screening tool for identifying adolescents with overweight and obesity [9].…”

Section: Introductionmentioning

confidence: 99%

Performance of mid-upper arm circumference as a screening tool for identifying adolescents with overweight and obesity

et al. 2020

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Background Adolescent overweight and obesity is a global public health problem, associated with an increased risk of metabolic syndrome. Recently, mid-upper arm circumference (MUAC) has been suggested as a screening tool to identify overweight and obesity among school-age children and early adolescents (5-14 years). However, little is known about the potential use of MUAC in the late adolescence period (15-19 years). Therefore, the present study aimed to evaluate the performance of MUAC to identify overweight (including obesity) in the late adolescence period in Ethiopia. Methods We conducted a cross-sectional study among 851 adolescents aged 15 to 19 years. We collected anthropometric data including MUAC, weight and height with the help of trained field workers. The receiver operating characteristic (ROC) curve analysis was used to examine the validity of MUAC compared to BMI Z score in identifying adolescents with overweight or obesity. Furthermore, we calculated the sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), proportion of correctly classified, positive, and negative likelihood ratio for the proposed optimal cutoffs. Results MUAC was strongly correlated with BMI Z score with a correlation coefficient (r) of 0.81 (95% CI; 0.79-0.84). The optimal MUAC cutoff for identifying adolescents with overweight or obesity was 27.7 cm for males and 27.9 cm for females. The area under the ROC curve (AUC) was 0.96 (95% CI; 0.93-0.98) for males and 0.96 (95% CI; 0.94-0.98) for females. The accuracy level of MUAC to identify adolescents with overweight (including obesity) was high for both sexes (overall a sensitivity of 91.1% and a specificity of 90.3%).

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“…In our study, results for AUC values between 70% and 90% in various age-groups were similar to those found in the Iranian cross-sectional study ( 36 ), suggesting that NC could serve to accurately identify children who are overweight or obese. Another Brazilian study, Souza et al ( 39 ), has also established NC as an adequate indicator to identify adolescents with high BMI. Similar to two recent studies ( 40 , 41 ), our results also suggest that NC has good diagnostic ability, as indicated by an AUC >0.65, for identifying overweight and obesity in children and adolescents and could be used to screen for excess body weight in routine medical practice.…”

Section: Discussionmentioning

confidence: 99%

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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Neck circumference as screening measure for identifying adolescents with overweight and obesity

Cited by 10 publications

References 17 publications

Tri-Ponderal Mass Index: A Screening Tool for Risk of Central Fat Accumulation in Brazilian Preschool Children

Tri-Ponderal Mass Index: A Screening Tool for Risk of Central Fat Accumulation in Brazilian Preschool Children

Performance of mid-upper arm circumference as a screening tool for identifying adolescents with overweight and obesity

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

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