Exploring cardiovascular risk: The significance of neck circumference in predicting upper body obesity and metabolic health

K. Kavitha, Masilamani Elayaraja, Kuppusamy Maheshkumar, Sunil Kumar, Anurag Pathak, Aakash Dhiman, Rajesh Kumar, Jagadeesan Thanalakshmi, Dilara Kamaldeen, Dilpreet Kaur, Kavita Marwah, Rakesh Bharti, Hemantajit Gogoi, Karuppasamy Govindasamy

K. Kavitha, Masilamani Elayaraja, Kuppusamy Maheshkumar, Sunil Kumar, Anurag Pathak, Aakash Dhiman, Rajesh Kumar, Jagadeesan Thanalakshmi, Dilara Kamaldeen, Dilpreet Kaur, Kavita Marwah, Rakesh Bharti, Hemantajit Gogoi, Karuppasamy Govindasamy – Exploring cardiovascular risk: The significance of neck circumference in predicting upper body obesity and metabolic health – Fizjoterapia Polska 2024; 24(2); 266-270

DOI: https://doi.org/10.56984/8ZG5608RY0

Abstract
Anthropometric measurements play a crucial role in assessing metabolic variables and predicting cardiovascular risk. Neck circumference (NC), a simple and time-saving measure, has emerged as a potential indicator of central obesity and a predictor for cardiovascular risk factors. This study aims to explore the correlation between NC and lipid profile, emphasizing its significance as a screening tool for overweight individuals. The primary objectives of this cross-sectional study are to determine whether NC alone can predict overweight and obesity and to assess the association between NC and cardiovascular risk factors. Ethical clearance was obtained, and written consent was obtained from 100 subjects (50 males and 50 females) aged 25 to 50 years undergoing master health checkups. Exclusion criteria included systemic diseases, smoking, alcohol consumption, medication, and diet restrictions. Anthropometric measurements, including NC, BMI, and lipid profile, were recorded. Significant gender-based differences were observed in NC, with males having higher values. NC correlated positively with BMI, weight, cholesterol, LDL, and triglycerides in both genders. NC > 38 cm for males and > 34 cm for females were identified as optimal cutoff points for determining overweight/obesity. The study also revealed associations between NC and blood pressure, heart rate, and lipid profile. Neck circumference demonstrates a strong correlation with lipid profile factors and cardiovascular risk, making it a potential screening tool for upper-body obesity. Gender-specific cutoff values were established for identifying overweight and obese subjects. NC’s simplicity, cultural acceptability, and ease of measurement suggest its utility in primary care settings for obesity assessment and cardiovascular risk prediction. Further research is warranted to establish standardized NC cutoff values for the Indian population.
Keywords
upper body obesity, neck circumference, blood pressure, heart rate, lipid profile
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Effect of yoga practice on heart rate variability in healthy young adults with intellectual disability

Sangeeta Karlekar, Sigamani Jayasingh Albert Chandrasekar, Mou Pramanik, Masilamani Elayaraja, Sambhu Prasad, Tarak Nath Pramanik, Kavita Marwah, Vikas Mehta, Hemantajit Gogoi, Karuppasamy Govindasamy

Sangeeta Karlekar, Sigamani Jayasingh Albert Chandrasekar, Mou Pramanik, Masilamani Elayaraja, Sambhu Prasad, Tarak Nath Pramanik, Kavita Marwah, Vikas Mehta, Hemantajit Gogoi, Karuppasamy Govindasamy – Effect of yoga practice on heart rate variability in healthy young adults with intellectual disability – Fizjoterapia Polska 2024; 24(2); 183-189

DOI: https://doi.org/10.56984/8ZG5608LW1

Abstract
Individuals with intellectual disabilities (ID) often encounter challenges related to both physical and mental well-being. Recognising the widely acknowledged benefits of yoga in promoting overall health, this study aimed to assess the impact of a 12-week yoga program on heart rate variability (HRV), an indicator of autonomic nervous system function, in healthy young female adults with ID. A total of 56 healthy young female adults with ID participated in the study, engaging in a tailored 12-week yoga program. Regular yoga sessions, adapted to their abilities and needs, were provided. HRV was measured using electrocardiography (ECG) at baseline and post-intervention. Age-matched peers with ID, who did not partake in the yoga program constituted the control group. Following the 12-week yoga intervention, a significant (P < 0.05) reduction was observed in systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), and pulse pressure (PP) within the yoga group compared to the control group. Short-term HRV analysis revealed a significant (P < 0.05) increase in time domain parameters among the yoga group participants. In the frequency domain, high frequency (HF n.u) exhibited a significant (P < 0.05) increase, whereas low frequency (LF n.u) and LF/HF ratio displayed a significant decrease after yoga practice. This study suggests that yoga practice positively influences heart rate variability in young female adults with ID, potentially enhancing autonomic nervous system function and overall well-being. Implementing yoga programs tailored to the specific needs of individuals with ID may represent a valuable strategy for improving their physical and mental health. Further research is essential to validate these findings and explore the broader implications of integrating yoga into the care and support of individuals with ID.
Keywords
yoga, autonomic function, cardiovascular health, intellectual disabilities, autonomic nervous system
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