Abstract
Background: Upper body subcutaneous fat, as estimated by neck circumference, may confer risk above and beyond visceral abdominal fat. Anatomically, upper-body subcutaneous fat is a unique fat depot located in a separate compartment compared with visceral adipose tissue.
Aims and Objective: to determine the reliability of neck circumference as a measure of obesity and as a marker of coronary artery disease as compared to BMI or waist circumference.(W/H ratio) and to identify the cutoff point for overweight and obesity for young adults using neck circumference.
Material and Method: It was prospective case control study. Data collected from tertiary care centre, Jabalpur over the period of one year. Data was analyzed using paired t test and chi square test.
Result: In our study neck circumference ≥35.5 cms in males and ≥30.4 cms in females is significantly associated with the CAD , as p value is <0.05 in both male and female patients having CAD.
Conclusion: Age of onset of Coronary artery disease is less in males as compared to female.
Neck circumference ≥35.5 cms in males and ≥30.4 cms infemales was significantly associated with the CAD. It is a good clinical measure for screening CAD patient .It may also be a useful alternative to waist circumference in persons with flabby / distended abdomen due to various muscular medical or surgical causes.
Keywords: Neck circumference, Coronary artery disease, Obesity, BMI.
References
- HARRISON’S PRINCIPLES OF INTERNAL MEDICINE 19th Edition.
- A Onat, G Hergençd, H Yu¨ksel, G Can, E Ayhan, Z Kaya, et al. Neck circumference as a measure of central obesity: Associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference. Clinical Nutrition 2009;28:46–51.
- Jing-ya Zhou, GeHui, Ming-fan ZHU, Li-jun Wang, Li Chen, Yao-zong Tan, et al. Neck Circumference as an Independent Predictive Contributor to Cardio-Metabolic Syndrome. Cardiovascular Diabetology. 2013;12(76)
- Jensen MD Lipolysis : Contribution from regional fat –Annual Review :Nutrition; 1997 17:127-39.
- Smith SR, Zachwieja JJ 1999 Visceral adipose tissue: a critical review of intervention strategies. Int J Obes 23:329–335.
- Koutsari C, Snozek CL, Jensen MD 2008 Plasma NEFA storage in adipose tissue in the postprandial state: sex-related and regional differences. Diabetologia 51:2041–2048.
- Ben-Noun L, Laor A 2003 Relationship of neck circumference to cardiovascular risk factors. Obes Res 11:226–231.
- Ben-Noun LL, Laor A 2006 Relationship between changes in neck circumference and cardiovascular risk factors. Exp Clin Cardol 11:14–20.
- Freedman DS, Rimm AA 1989 The relation of body fat distribution, as assessed by six girth measurements, to diabetes mellitus in women. Am J Public Health 79:715–720.
- Laakso M, Matilainen V, Keinänen-Kiukaanniemi S 2002 Association of neck circumference with insulin resistance-related factors. Int J Obes Relat Metab Disord 26:873–875.
- Sex, Age, Cardiovascular Risk Factors, and Coronary Heart Disease Pekka Jousilahti, MD; Erkki Vartiainen, MD; Jaakko Tuomilehto, MD; Pekka Puska, MD Finland 1999.
- R Gupta, Priyanka Rastogi, M Sarna, VP Gupta, SK Sharma, K Kothari on Body – Mass Index ,Waist- Hip Ratio and cardiovascular risk factors.
- Ben-Noun,Sohar E, Laor A in which Neck circumference used as a simple measure for identifying overweight and obese patients.
- Sharma R.S, Rao V.G Jan 2011- in which neck circumference was correlated with MI and other measures of cardiometabolic risk factors.
- JPMA (Journal of Pakistan medical association) by Hingorjo MR1,Qureshi MA, Mehdi A.
Corresponding Author
Dr Tarunendra Kumar Mishra
Department of Medicine, Government Medical College, Ratlam, Madhya Pradesh, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.175
