Neck Circumference: A Possible Predictor of Metabolic Disorders in Hospital Setting

Introduction: Malnutrition is one of the serious problems among patients admitted to hospitals, which finally leads to increased hospitalization admission time and treatment costs, as well as increased mortality. The aim of this study is the evaluate of neck circumference as a possible predictor of metabolic disorders in the hospital settings. Methods: 300 participants selected among patients hospitalized in internal disease wards and general characteristics, medical history and medication use, anthropometric, biochemical assessments were obtained. Dietary supplement use, nutritional support, and PA were also achieved using a subjective global assessment (SGA) tool and NC was measured by the researcher. Data were analyzed using SPSS version 16.0 software. Results: 61.8% of men and 65.9% of women had NC equal or higher than normal. We used the chi-square test for categorical and one-way ANOVA test for continuous variables. There was a significant correlation between NC and gender, BMI, marital status, occupation, PA, current nutrition, and some of the past medical histories such as Diabetes Mellitus (DM), HTN, and kidney disease as well as consumption of some drugs (p <0.05). There was significant correlation between NC and albumin(p=0.025), MCV(p=0.001) and Total Billi (p=0.034) levels. Systolic blood pressure (p=0.033) was also significantly correlated with NC. Conclusion: NC is a relatively new anthropometric assessment, rarely used in clinical practice, easy to perform, and with excellent reproducibility. There was a relationship between NC and DM and hypertension. Further studies are suggested to establish the best relationship between NC and metabolic disorders and their correlation with biochemical factors.

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