Neck Circumference: An Alternative Tool for Screening Cardiovascular Risk among Adults
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 3
Abstract
ABSTRACT Introduction: Upper body obesity has been attributed to increased cardiovascular risk in various studies. Measuring the Neck Circumference (NC) is an easy and inexpensive method to determine the upper body obesity. Aim: To correlate NC with Waist to Hip ratio (W:H ratio) and to find critical cut off points for NC for the screening cardiovascular risk among adults. Materials and Methods: A community based cross-sectional study was conducted among apparently healthy adults in field practice area of a tertiary care hospital in Maharashtra, India. A predesigned and pretested questionnaire was used and following the standard guidelines Waist Circumference (WC), Hip Circumference (HC) and NC were measured. Necessary permissions were sought before the start of the study. Indian standard cut off for W:H ratio was used to classify the cardiovascular risk among the study subjects. Statistical analysis: Epi info 7.1 and Statistical Package for the Social Sciences (SPSS) version 20.00 was used for analysis. Chi square test (For proportions), independent t-test (For mean), Pearson’s correlation coefficient and Receiver Operating Characteristic (ROC) analysis was done. Sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy were calculated. Results: Total of 300 study subjects were recruited in the present study . There were equal number of males (n=150) and females (n=150) with the average age of the study population as 44.70±20.24 years. The Pearson’s correlation coefficient between NC and W:H ratio was 0.42 and 0.33 among males and females respectively. Based on receiver operating curve analysis for NC, cut off of 32.5 cm among females and 35.5 cm among males was defined as best critical cut off to screen the adults for cardiovascular risk. Conclusion: A significant association was observed between NC and W:H ratio (p<0.001). NC can be used as a fair test to screen cardiovascular risk among adults.
Authors and Affiliations
Chaitanya Rangangouda Patil, Jyotsna S Deshmukh, Chandan R Lalwani, Harshad Bagde
Keywords
Related Articles
- EP ID EP507898
- DOI 10.7860/JCDR/2018/30555.11235
- Views 70
- Downloads 0
Detection of blaCTX-M Extended Spectrum Beta-lactamase Producing Salmonella enterica Serotype Typhi in a Tertiary Care Centre
Introduction: Infections caused by Salmonella are an important public health threat in tropical and subtropical countries. Due to the emergence of resistance to ampicillin, chloramphenicol and trimethoprim/sulfamethoxazo...
Adnexal Torsion: Clinical Presentations and Challenges
ABSTRACT Introduction: Adnexal torsion contributes to 2.7-7.4% of all gynaecological emergencies and delayed or misdiagnosis results in loss of ovarian function. Diagnosis is not straight forward, both clinically and rad...
Adjuvant External Beam Radiotherapy with Concurrent Cisplatin after Resection of Gallbladder Cancer
ABSTRACT Introduction: Loco-regional failure is a serious problem in patients of gallbladder cancer following radical cholecystectomy. However, due to its rare occurrence the role of adjuvant chemo-radiotherapy is not we...
Comparison of Serum Levels of Endothelin-1 in Chronic Periodontitis Patients Before and After Treatment
Introduction: Endothelin-1 (ET-1) is a potent vasoconstrictive peptide with multi functional activity in various systemic diseases. Previous studies indicate the detection of ET-1 in gingival tissues and gingival crevicu...
A Successfully Treated Case of Criminal Thallium Poisoning
Thallium was once commonly used as a household rodent or ant killer, but many countries have banned such use due to unintentional or criminal poisonings of humans. A common initial clinical manifestation of thallium pois...