Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians
Background and Aims. Upper body fat distribution is more related to cardiometabolic diseases than central obesity. Neck circumference (NC) and neck-to-height ratio (NHtR) are two indicators of upper body obesity that are affordable, easy to obtain, highly reproducible, and more practical in the crow...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Nutrition and Metabolism |
| Online Access: | http://dx.doi.org/10.1155/2023/6612411 |
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| author | Toktam Alirezaei Hamid Soori Rana Irilouzadian Hadis Najafimehr |
| author_facet | Toktam Alirezaei Hamid Soori Rana Irilouzadian Hadis Najafimehr |
| author_sort | Toktam Alirezaei |
| collection | DOAJ |
| description | Background and Aims. Upper body fat distribution is more related to cardiometabolic diseases than central obesity. Neck circumference (NC) and neck-to-height ratio (NHtR) are two indicators of upper body obesity that are affordable, easy to obtain, highly reproducible, and more practical in the crowded health centers than the classic anthropometric indices. Methods. 18–65-year-old individuals with no past medical history were included. After obtaining written informed consent, they were screened for hypertension, high blood glucose, and other abnormal laboratory results. Data were analyzed using SPSS and Mann–Whitney U test, Chi square test, Spearman’s correlation coefficient, and ROC curve. Results. In our 2,812 participants, NC had the lowest area under the curve (AUC) in both male and female obese and overweight subjects. NHtR and hip circumference (HC) had the highest AUC in men and women with obesity, respectively. The highest sensitivity for overweight men and women belonged to waist circumference (WC) and waist-to-height ratio (WHtR), respectively, and for both males and females with obesity, NHtR had the highest sensitivity. The cutoff point of NHtR had the same value for males and females. HC and NHtR had the highest positive likelihood ratio (PLR) for obesity in men. In addition, HC and WC had the highest PLR for obesity in women. Conclusion. In this study, we revealed that NC had the lowest and NHtR and HC had the highest predictive value for obesity. Furthermore, for both males and females with obesity, NHtR had the highest sensitivity. HC had the highest PLR for obesity in both genders. Our results warrant prospective studies to evaluate the role of NHtR and other novel anthropometric indices in the risk of cardiometabolic diseases. |
| format | Article |
| id | doaj-art-917e7c908e5e47c9a215e6a17bc3be3d |
| institution | Kabale University |
| issn | 2090-0732 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Nutrition and Metabolism |
| spelling | doaj-art-917e7c908e5e47c9a215e6a17bc3be3d2025-02-03T01:29:26ZengWileyJournal of Nutrition and Metabolism2090-07322023-01-01202310.1155/2023/6612411Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy IraniansToktam Alirezaei0Hamid Soori1Rana Irilouzadian2Hadis Najafimehr3Men’s Health and Reproductive Health Research CenterSafety Promotion and Injury Prevention of Research CenterBurn Research CenterSafety Promotion and Injury Prevention of Research CenterBackground and Aims. Upper body fat distribution is more related to cardiometabolic diseases than central obesity. Neck circumference (NC) and neck-to-height ratio (NHtR) are two indicators of upper body obesity that are affordable, easy to obtain, highly reproducible, and more practical in the crowded health centers than the classic anthropometric indices. Methods. 18–65-year-old individuals with no past medical history were included. After obtaining written informed consent, they were screened for hypertension, high blood glucose, and other abnormal laboratory results. Data were analyzed using SPSS and Mann–Whitney U test, Chi square test, Spearman’s correlation coefficient, and ROC curve. Results. In our 2,812 participants, NC had the lowest area under the curve (AUC) in both male and female obese and overweight subjects. NHtR and hip circumference (HC) had the highest AUC in men and women with obesity, respectively. The highest sensitivity for overweight men and women belonged to waist circumference (WC) and waist-to-height ratio (WHtR), respectively, and for both males and females with obesity, NHtR had the highest sensitivity. The cutoff point of NHtR had the same value for males and females. HC and NHtR had the highest positive likelihood ratio (PLR) for obesity in men. In addition, HC and WC had the highest PLR for obesity in women. Conclusion. In this study, we revealed that NC had the lowest and NHtR and HC had the highest predictive value for obesity. Furthermore, for both males and females with obesity, NHtR had the highest sensitivity. HC had the highest PLR for obesity in both genders. Our results warrant prospective studies to evaluate the role of NHtR and other novel anthropometric indices in the risk of cardiometabolic diseases.http://dx.doi.org/10.1155/2023/6612411 |
| spellingShingle | Toktam Alirezaei Hamid Soori Rana Irilouzadian Hadis Najafimehr Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians Journal of Nutrition and Metabolism |
| title | Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians |
| title_full | Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians |
| title_fullStr | Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians |
| title_full_unstemmed | Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians |
| title_short | Novel Anthropometric Indices as Screening Tools for Obesity: A Study on Healthy Iranians |
| title_sort | novel anthropometric indices as screening tools for obesity a study on healthy iranians |
| url | http://dx.doi.org/10.1155/2023/6612411 |
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