Validating neck circumference and waist circumference as anthropometric measures of overweight/obesity in adolescents

被引:28
作者
Patnaik L. [1 ]
Pattnaik S. [1 ]
Rao E.V. [1 ]
Sahu T. [1 ]
机构
[1] Department of Community Medicine, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan University, Sector-8, Kalinga Nagar, Ghatikia, Bhubaneswar, 751 003, Odisha
关键词
Anthropometry; Body mass index; Diagnosis; Screening;
D O I
10.1007/s13312-017-1110-6
中图分类号
学科分类号
摘要
Objective: To measure neck circumference and waist circumference, to compare it between normal and overweight/obese adolescents, and to validate these with body mass index. Methods: This cross-sectional study was conducted in 1800 school-going adolescents. Body mass index, waist circumference and neck circumference were measured. Independent samples t-test and Pearson’s correlation were used as tests of significance to analyze quantitative data. Results: Positive correlation of neck circumference and waist circumference with body mass index was observed. The neck circumference and waist circumference in overweight/obese adolescents were significantly higher than adolescents with normal body mass index (P<0.001). Area under curve of waist circumference was more than area under curve of neck circumference. Cut-off values of neck circumference for screening adolescent obesity in boys and girls were 30.75 cm, and 29.75 cm, respectively, and waist circumference cut-off value were 70.75 cm for boys and 69.25 cm for girls at fairly good levels of sensitivity and specificity. Conclusion: Neck circumference and waist circumference may be used in clinical practice and epidemiological studies as an index of overweight/ obesity among school-going adolescents. © 2017, Indian Academy of Pediatrics.
引用
收藏
页码:377 / 380
页数:3
相关论文
共 9 条
[1]  
Walton C., Lees B., Crook D., Worthington M., Godsland I.F., Stevenson J.C., Body fat distribution, rather than overall adiposity, influences serum lipids and lipoproteins in healthy men independently of age, Am J Med., 99, pp. 459-464, (1995)
[2]  
Khadilkar V.V., Khadilkar A.V., Borade A.B., Chiplonkar S.A., Body mass index cut-offs for screening for childhood overweight and Obesity in Indian children, Indian Pediatr., 49, pp. 29-34, (2012)
[3]  
Waist Circumference and Waist-Hip Ratio, Report of a WHO Expert Consultation, (2008)
[4]  
Nafiu O.O., Burke C., Lee J., Voepel-Lewis T., Malviya S., Tremper K.K., Neck circumference as a screening measure for identifying children with high Body Mass Index, Pediatrics., 126, pp. e306-e310, (2010)
[5]  
Ruopp M.D., Perkins N.J., Whitcomb B.W., Schisterman E.F., Youden Index and optimal cut-point estimated from observations affected by a lower limit of detection, Biom J., 50, pp. 419-430, (2008)
[6]  
Taheri M., Kajbaf T.Z., Taheri M.R., Aminzadeh M., Neck circumference as a useful marker for screening overweight and obesity in children and adolescents, Oman Med J., 31, pp. 170-175, (2016)
[7]  
Goncalve V.S.S., Faria E.R.D., Franceschini S.D.C.C., Priore S.E., Neck circumference as predictor of excess body fat and cardiovascular risk factors in adolescents, Rev Nutr., 27, pp. 161-171, (2014)
[8]  
Ferretti R.L., Cintra I.P., Passos M.A.Z., Ferrari G.M., Fisberg M., Elevated neck circumference and associated factors in adolescents, BMC Public Health., 15, (2015)
[9]  
Bizheh N., Abdollahi A.R., Jaafari M., Ajam Zibad Z., Relationship between neck circumference with cardiovascular risk factors, J Babol Univ Med Sci., 13, pp. 36-43, (2011)