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Indian Journal of Nutrition

Research Article

Neck Circumference and Waist: Height Ratio: Potential Screening Tools for Metabolic Syndrome

Bhavisha Sancheti* and Geeta Ibrahim

Department of Foods, Nutrition and Dietetics, College of Home Science Nirmala Niketan, Mumbai, India
Corresponding author:Dr. Bhavisha Sancheti, Department of Foods, Nutrition and Dietetics, College of Home Science Nirmala Niketan, Mumbai, India. E-mail Id: bhavishaphd@gmail.com
Article Information:Submission: 20/01/2026; Accepted: 14/02/2026; Published: 17/02/2026
Copyright: © 2026 Sancheti B, et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An increased prevalence of metabolic syndrome (MS) and limitations of current predictors emerges the need for new diagnostic tools. The current study, hence, aims at identifying neck circumference [NC] and Waist: Height ratio [WHtR] as user-friendly, economical and accurate screening tool for MS. Total 101 [51 males & 50 females] participants visiting Shilpa Medical and Research Centre, Mumbai, were screened for MS by using International Diabetes Federation [IDF-2005] criteria. They were subjected to various anthropometrical measures like Waist Circumference(WC), Body Mass Index (BMI), Neck Circumference (NC), Waist: Hip Ratio (WHR), Waist: Height Ratio (WHtR) and access to their blood reports was gained with participants and doctor’s consent. Pearson’s Correlation-coefficient was used was used to define the correlations between test variables and reference variables. A significant [p<.001 for all] correlation of NC was observed with all MS criteria [WC, Fasting Blood Sugar [FBS], Blood Pressure [BP], Total Triglyceride [TG] and High Density Lipoprotein [HDL] levels]. A significant correlation was found for NC followed by WC, WHtR and lastly BMI with MS markers [p=<0.001-0.5]. Present study suggests multi-dimensional use of anthropometric variables comprising NC and WHtR along with BMI and WC as an easy, economical and effective screening tool for MS. NC>38cms and >34cms for males and females respectively and universal cut-off point of >0.5 for WHtR was applicable for the given population.
Keywords:Metabolic Syndrome; Neck Circumference; Waist: Height Ratio; International Diabetes Federation Criteria 2005