Visceral adiposity is closely correlated with neck circumference and represents a significant indicator of insulin resistance in WHO grade III obesity

Yang, Lina; Samarasinghe, Yohan; Kane, Pauline; Amiel, Stephanie A.; Aylwin, Simon

doi:10.1111/j.1365-2265.2009.03772.x

Cited by 80 publications

(90 citation statements)

References 18 publications

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“…32 On the other hand, BMI predictably correlated with abdominal subcutaneous adipose tissue ASAT (p = 0.002) but not VAT nor any index of insulin resistance in a study by Yang and colleagues. 32 NC used in combination with other measurements in a three compartment model of interpretable anthropometry separates the effects of visceral adipose tissue mass, subcutaneous tissue mass and subcutaneous adipose tissue distribution on metabolic parameters under crosssectional and longitudinal conditions. 24 These observations indicate that NC as an index of upper body fat distribution can be used to identify overweight and obese patients.…”

Section: Discussionmentioning

confidence: 91%

“…25 WC is therefore widely used as an indirect measure of visceral adipose tissue (VAT); while it is a well-validated anthropometric technique, [5][6][7][8][9][10][11][12][13][14][17][18][19][20][21][28][29][30][31][32][33][34] there is high measurement variability which rises with increasing BMI. 32 On the other hand, BMI predictably correlated with abdominal subcutaneous adipose tissue ASAT (p = 0.002) but not VAT nor any index of insulin resistance in a study by Yang and colleagues. 32 NC used in combination with other measurements in a three compartment model of interpretable anthropometry separates the effects of visceral adipose tissue mass, subcutaneous tissue mass and subcutaneous adipose tissue distribution on metabolic parameters under crosssectional and longitudinal conditions.…”

Section: Discussionmentioning

confidence: 99%

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Neck Circumference as a Screening Measure for Abdominal Obesity and its Association with Metabolic Syndrome among High Risk Filipino Patients in Makati Medical Center - A Pilot Study

Ang

Raboca

2011

JAFES

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Objectives. The study aims to determine the cut off level of neck circumference that would correlate with abdominal obesity, using waist circumference as the gold standard; and determine its relationship with metabolic syndrome among high risk filipino patients.Methods. A total of 425 high risk Filipino patients who sought consult at Makati Medical Center from the period of March to October 2010 were qualified to participate in the study. Pertinent history, including blood pressure measurement and anthropometric measurements such as height, weight, neck circumference and waist circumference were recorded; after an 8 hour overnight fast, blood samples were sent for fasting plasma glucose, HDL cholesterol and triglyceride levels.Results. Neck circumference cut off levels of ≥ 40cm for males and ≥ 33.8cm for females showed a low sensitivity and moderately high specificity for determining patients with abdominal obesity; 62.07% and 90.09% for males, 67.59% and 85.56% for females, respectively. In terms of determining patients with metabolic syndrome, it has a low sensitivity and specificity. However, obese by neck circumference cut off levels showed significant association (p value <0.001) with the component risk factors of metabolic syndrome, except for hypertriglyceridemia. Likewise, neck circumference also showed a strong positive linear relationship with waist circumference.Conclusion. Neck circumference showed a strong correlation with abdominal obesity, as well as with the component risk factors of metabolic syndrome, and therefore with risk of cardiovascular disease. Above the NC cut off levels, its predictive value for abdominal obesity is high; however, it has a poor ability to detect patients with abdominal obesity in the general population and therefore, cannot be used as a screening test.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Neck Circumference as a Screening Measure for Abdominal Obesity and its Association with Metabolic Syndrome among High Risk Filipino Patients in Makati Medical Center - A Pilot Study

Ang

Raboca

2011

JAFES

View full text Add to dashboard Cite

show abstract

“…Some recent studies indicated that NC is an index of upper body fat distribution that can be used to identify overweight and obese patients [3][4][5][6][7]. In the last decade, a few studies have suggested that NC surpasses other antropometric measurements as a powerful marker of both visceral adipose tissue and IR [11,[17][18][19]. It's reported that, NC lower than 34 cm in females and 37 cm in males indicates healthy body weight.…”

Section: Resultsmentioning

confidence: 99%

Neck and Wrist Circumferences Propose a Reliable Approach to Qualify Obesity and Insulin Resistance

Tatar¹,

Ersoy

Kaçan³

et al. 2014

Med-Science

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“…20 Finally, several recent studies in the able bodied identified a strong correlation between NC and visceral adipose tissue, as well as a correlation with CVD risk above and beyond the risk related to visceral fat. [25][26][27][28] Whether NC is also a predictor for obesity or other adverse cardiovascular risk factors in individuals with SCI is unknown.…”

mentioning

confidence: 99%

Waist Circumference Is the Best Index for Obesity-Related Cardiovascular Disease Risk in Individuals with Spinal Cord Injury

Ravensbergen

Lear

Claydon

2014

Journal of Neurotrauma

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Obesity is an important identifier of cardiovascular disease (CVD) risk, but is challenging to determine accurately in individuals with spinal cord injury (SCI). Body mass index (BMI) is used worldwide as a simple indicator of obesity, but is difficult to measure in individuals with SCI. Furthermore, standard BMI cutoffs underestimate obesity in this population. Therefore, we aimed to identify the best marker of obesity in individuals with SCI, considering both practicality, and ability to detect adiposity and CVD risk. Five anthropometric measures were evaluated: BMI; waist circumference (WC); waist-to-height ratio (WHtR); waist-to-hip ratio; and neck circumference. We evaluated relationships between these measures and abdominal and total body-fat percentage, seven cardiovascular metabolic risk factors (fasting insulin, glucose, glucose tolerance, triglycerides, high-density lipoprotein, low-density lipoprotein, and total cholesterol), and the Framingham risk score. BMI, WC, and WHtR were correlated with abdominal fat percentage. WC and WHtR were correlated with five metabolic risk factors as well as the Framingham risk score. WC is a more practical measure for an SCI population. The optimal cutoff for identifying adverse CVD risk in individuals with SCI was identified as WC ‡ 94 cm, with 100% sensitivity and 79% specificity. We propose that WC is a simple, more sensitive alternative to BMI in this population that is easy to use in multiple settings. The cutoff provides a simple tool to predict adverse CVD risk profiles that can be used to guide risk management, as well as as a practical aid for individuals with SCI to maintain a healthy body composition.

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Visceral adiposity is closely correlated with neck circumference and represents a significant indicator of insulin resistance in WHO grade III obesity

Abstract: Visceral adiposity remains a strongly significant indicator of insulin resistance in WHO grade III obesity. Neck circumference surpasses other anthropometric measurements as a powerful marker of both VAT and insulin resistance.

Cited by 80 publications

References 18 publications

Neck Circumference as a Screening Measure for Abdominal Obesity and its Association with Metabolic Syndrome among High Risk Filipino Patients in Makati Medical Center - A Pilot Study

Neck Circumference as a Screening Measure for Abdominal Obesity and its Association with Metabolic Syndrome among High Risk Filipino Patients in Makati Medical Center - A Pilot Study

Neck and Wrist Circumferences Propose a Reliable Approach to Qualify Obesity and Insulin Resistance

Waist Circumference Is the Best Index for Obesity-Related Cardiovascular Disease Risk in Individuals with Spinal Cord Injury

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