Correlations of neck circumference with body composition and cardiometabolic risk factors in Arab women

  • Reem S. Albassam
  • Kai Y. Lei
  • Abdullah M. Alnaami
  • Nasser M. Al-DaghriEmail author
Original Article



Neck circumference (NC) is a relatively unused index of upper body adiposity. The present study aims to analyze the associations of NC with anthropometric measures of obesity, as well as cardiovascular and metabolic risks in Arab women.


This cross-sectional study included 623 women (aged 18–70 years) recruited from different primary care centers in Riyadh, Saudi Arabia. NC, waist circumference (WC), body mass index (BMI), blood pressure, and metabolic and serological markers were measured in all participants. Covariance and regression analyses were used to evaluate the associations between NC and cardiometabolic risk factors.


The correlation coefficients of NC and WC with the clinical indices were highly significant (p < 0.01). Overall, the NC was positively correlated with all cardiometabolic markers except total cholesterol and LDLc (p < 0.001). Interestingly, NC was associated with cardiometabolic risk factors independent of other anthropometric indices.


NC is significantly and independently associated with cardiometabolic risk factors in Arab women.

Level of evidence

V, cross-sectional descriptive study.


Neck circumference Adiposity Metabolic risk Saudis 



The authors are grateful to Malak Nawaz Khan Khattak for the statistical analysis.


The study was funded by the Deanship of Scientific Research, Chair for Biomarkers of Chronic Diseases, Biochemistry Department, College of Science, King Saud University, Riyadh, 11421, Saudi Arabia.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The research protocol and the consent documents were approved by the Ethics Committee of KSU, in Riyadh, KSA (No. 429679/67/4) and the University of Maryland College Park Institutional Review Board (IRB) (No. 411873-4).

Informed consent

All subjects gave their informed consent after we provided a full explanation of the study.

Supplementary material

40519_2018_630_MOESM1_ESM.docx (14 kb)
Supplementary material 1 (DOCX 14 KB)


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of Nutrition and Food ScienceUniversity of MarylandCollege ParkUSA
  2. 2.Department of Community Health Sciences, College of Applied Medical SciencesKing Saud UniversityRiyadhSaudi Arabia
  3. 3.Chair for Biomarkers of Chronic Diseases, Biochemistry Department, College of ScienceKing Saud UniversityRiyadhSaudi Arabia

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