Neck circumference as a discriminator of obesity in older women enrolled in a physical activity program

Daniel Rogério Petreça, Enaiane Cristina Menezes, Paula Fabricio Sandreschi, Felipe Fank, Giovana Zarpellon Mazo


The aim of this study was to evaluate neck circumference (NC) as a discriminator of overweight and obesity and to establish cut-off points for physically active older women. The sample consisted of 170 older women (69.5 ± 6.8 years) practicing physical activity. Anthropometric measures (body weight, height, waist circumference – WC, and NC) were obtained and the body mass index (BMI) was calculated. Correlation analysis was performed and ROC curves were constructed. NC was significantly correlated with BMI (rho = 0.656; p<0.0001) and WC (r = 0.561; p<0.0001). Correlating BMI with NC, areas under the ROC curve of 0.819 (p=0.0001) for overweight and of 0.902 (p=0.0001) for obesity were obtained, with suggested cut-off points of 33.07 and 34.05 cm, respectively. Correlating WC with NC, areas under the ROC curve of 0.711 (p=0.0014) for moderate risk (WC) and of 0.864 (p=0.0001) for high risk were obtained, with suggested cut-off points of 32.15 and 34.15 cm, respectively. NC was associated with BMI and WC. An NC ≥ 34 cm was a risk factor for obesity and abnormal body fat distribution in the older women studied. This anthropometric parameter is an alternative to discriminate overweight and obesity in physically active older women.


Anthropometry; Motor activity; Neck; Obesity; ROC curve

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The abbreviated title of the journal is Rev. Bras. Cineantropom. Desempenho Hum, which should be used in bibliographies, footnotes and bibliographical references. E-ISSN 1980-0037, impressa ISSN 1415-8426, Florianópolis, Santa Catarina, Brazil. This work is licensed under a Creative Commons Attribution 4.0 International License.