Journal of Mahatma Gandhi University of Medical Sciences and Technology

Register      Login

VOLUME 7 , ISSUE 3 ( September-December, 2022 ) > List of Articles

Original Article

To Evaluate the Association of Neck Circumference and Mid-arm Circumference to the Components of Metabolic Syndrome

Komal Girdhar, Puneet Rijhwani, Mukesh Sarna, Pardeep Agarwal, Sumeet Garg, Mohammed Shoaib

Keywords : Metabolic syndrome, Mid-upper arm circumference, Neck circumference

Citation Information : Girdhar K, Rijhwani P, Sarna M, Agarwal P, Garg S, Shoaib M. To Evaluate the Association of Neck Circumference and Mid-arm Circumference to the Components of Metabolic Syndrome. J Mahatma Gandhi Univ Med Sci Tech 2022; 7 (3):72-74.

DOI: 10.5005/jp-journals-10057-0218

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Background: Metabolic syndrome (MS) has been long recognized as a risk factor for diseases like diabetes and coronary diseases; hence an easy and inexpensive screening tool is required for early diagnosis and appropriate intervention. Hence the present study was conducted to establish the role of neck circumference (NC) and to explore the role of mid-arm circumference for the screening of MS in day-to-day practice. Materials and methods: The present study was a hospital-based observational, descriptive, and comparative analysis conducted at a tertiary care center in West India after taking Ethical Committee clearance and written informed consent. A total of 159 subjects aged 18–65 years were selected consecutively after inclusion and exclusion criteria, from patients attending General Medicine's Outpatient Department and Inpatient Department. The sample size was calculated at an α-error of 0.05 and a study power of 80%. Results: Neck circumference (NC) and mid-arm circumference were found to be statistically significantly associated with MS and its individual components and cardiovascular risk factors like lipid profile, fasting blood glucose, blood pressure (BP), and waist circumference. Conclusion: In this study, NC, waist circumference, and mid-upper arm circumference (MUAC) were all found to be significantly associated with metabolic parameters. Our results indicated that NC, waist circumference, and MUAC in routine clinical measurement are necessary to screen for metabolic disorders, including dyslipidemia, diabetes, and hypertension. However, NC was discovered to be a simple yet reliable measure that can be used to enhance anthropometric indices in the diagnosis of MS and abdominal obesity.

  1. Kim KY, Moon HR, Yun JM. Neck circumference as a predictor of metabolic syndrome in koreans: a cross-sectional study. Nutrients 2021;13(9):3029. DOI: 10.3390/nu13093029
  2. Ataie-Jafari A, Namazi N, Djalalinia S, et al. Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis. Diabetol Metab Syndr 2018;10:72. DOI: 10.1186/s13098-018-0373-y
  3. Akbulut G, Köksal E, Bilici S, et al. Metabolic syndrome (MS) in the elderly: a cross sectional survey. Arch Gerontol Geriatr 2011;53(3):e263–e266. DOI: 10.1016/j.archger.2010.11.021
  4. Alberti KG, Eckel RH, Grundy SM, et al. Harmonizing the metabolic syndrome: a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International. Circulation 2009;120(16):1640–1645. DOI: 10.1161/CIRCULATIONAHA.109.192644
  5. Hoang KC, Le TV, Wong ND. The metabolic syndrome in East Asians. J Cardiometab Syndr 2007;2(4):276–282. DOI: 10.1111/j.1559-4564.2007.07491.x
  6. Hwang LC, Bai CH, Chen CJ. Prevalence of obesity and metabolic syndrome in Taiwan. J Formos Med Assoc 2006;105(8):626–635. DOI: 10.1016/S0929-6646(09)60161-3
  7. Gupta R, Sharma KK, Gupta A, et al. Persistent high prevalence of cardiovascular risk factors in the urban middle class in India: Jaipur Heart Watch-5. J Assoc Physicians India 2012;60:11–16.
  8. Vague J. The degree of masculine differentiation of obesities: a factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease.1956. Nutrition 1999;15(1):89–90. DOI: 10.1016/s0899-9007(98)00131-2
  9. Sjöström CD, Håkangård AC, Lissner L, et al. Body compartment and subcutaneous adipose tissue distribution – risk factor patterns in obese subjects. Obes Res 1995;3(1):9–22. DOI: 10.1002/j.1550-8528.1995.tb00116.x
  10. Joshipura K, Munoz-Torres F, Vergara J, et al. Neck circumference may be a better alternative to standard anthropometric measures. J Diabetes Res 2016;2016:6058916. DOI: 10.1155/2016/6058916
  11. Nestel P, Lyu R, Low LP, et al. Metabolic syndrome: recent prevalence in East and Southeast Asian populations. Asia Pac J Clin Nutr 2007;16(2):362–367.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.