Neck circumference as a novel screening method for estimating fat distribution and metabolic complications in obese children

Neck circumference as a novel screening method for estimating fat distribution and metabolic complications in obese children

Neck circumference (NC) has been shown to be an indicator of upper-body subcutaneous adipose tissue distribution. The aim of this study was to investigate the association between NC with pattern of fat distribution of obese children, hypertension, abnormal lipid profile and presence of insulin resis...

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Bibliographic Details
Published in:The Gazette of the Egyptian Paediatric Association Vol. 63; no. 3-4; pp. 91 - 97
Main Authors: Atef, Abeer, Ibrahim, Amany, Hassan, Nayera E., Elmasry, Sahar A., Elashry, Galal I.
Format: Journal Article
Language:English
Published: Cairo, Egypt Elsevier B.V 01-09-2015
Egyptian Pediatric Association
SpringerOpen
Subjects:
Central obesity
Children
Complications
Diseases
Neck circumference
Obesity in children
Pediatric obesity
Treatment
الأطفال
الأمراض
السمنة
SBP
Weight SDS
Height SDS
IR
Neck circumference
FBG
WC
BP
RDA
TC
DEMPU
HDL
HOMA-IR
W/H ratio
DBP
TG
CV
BMI SDS
LDL
NC
Pediatric obesity
HC
Central obesity
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Summary:Neck circumference (NC) has been shown to be an indicator of upper-body subcutaneous adipose tissue distribution. The aim of this study was to investigate the association between NC with pattern of fat distribution of obese children, hypertension, abnormal lipid profile and presence of insulin resistance. A cross sectional case-control study was conducted on 50 obese subjects (27 male, 23 female), body mass index (BMI) ⩾95th percentile for age and sex, aged 7–12years and 50 healthy children (25 male, 25 female), BMI 15th to <85th percentile, age and sex matched as a control group. All children were subjected to history taking, complete clinical examination, blood pressure (BP), and anthropometric assessment (weight, height, BMI, NC, waist circumference (WC) and hip circumference (HC), biceps; triceps and sub scapular skin fold thickness); and fasting blood glucose, insulin and lipid profile estimation. All studied anthropometric parameters; including NC, were significantly higher in obese than control for total sample, males and females separately. The obese subjects also, showed statistically significantly higher low density lipoproteins (LDL), cholesterol, triglycerides (TG), glucose, insulin and homeostatic model assessment-insulin resistance (HOMA-IR). A significant positive correlation was recorded between NC and weight, height, BMI, WC, HC, triceps skin fold and diastolic blood pressure. NC is a valuable predictor for body fat distribution among obese children either central (WC and HC) or peripheral (triceps skin fold). It should be used as a screening tool in population-based studies.
ISSN:1110-6638
2090-9942
DOI:10.1016/j.epag.2015.09.001