Title: To study the hip circumference to neck circumference ratio and neck circumference as a risk factor for coronary artery disease
Authors: Dr Priyanka Kukrele, Dr Tarunendra Kumar Mishra
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.175
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.
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