Only for you today! Discover your favourite current occupational and environmental medicine book right here by downloading and getting the soft file of the book. This is not your time to traditionally go to the book stores to buy a book. Here, varieties of book collections are available to download. One of them is this current occupational and environmental medicine as your preferred book. Getting this book b on-line in this site can be realized now by visiting the link page to download. It will be easy. Why should be here?

/pdf/current-occupational-and-environmental-medicine-4bgkifbqbv.pdf

Current Occupational and Environmental Medicine

Background: Obesity is as result of minor energy imbalance leading to gradual and persistent weight gain for a considerable period. To evaluate obesity in adults, Body mass index and waist circumference are recommended but, have some disadvantages. Neck circumference devoid of these disadvantages and has good correlation with body mass index and waist circumference in different studies, has to been included in the study for evaluation of obesity.
Objectives: This study was conducted to study the correlation of neck circumference with body mass index and waist circumference and to find critical cut off points for neck circumference for adults of central India.
Methodology: A community based cross sectional study was conducted in 479 adults in urban field practice area of a tertiary care hospital in central India. The people having established thyroid disease or enlargement, neck abnormalities, pregnant women and critically ill subjects were excluded. Socio demographic profile and anthropometric measurements were documented.
Results: Our study infers that there is a weak to moderate correlation between neck circumference and body mass index. Further, also that there is moderate correlation between neck circumference and waist circumference. On the basis of ROC analysis, we conclude that neck circumference is a fair test to evaluate obesity in adults. The cut off of 36.50cm in males and 32.50cm in females will help to screen the population of Asian Indian origin. The sensitivity of this screening test for this cut off was 84.85% and 73.68% in males and females respectively.
Discussion and conclusion: For a developing country like India which is facing a double burden of nutrition transition, neck circumference will be a feasible method to screen obesity in adults. It is cheap, socially acceptable, time saving and less cumbersome method to screen obesity.

/pdf/neck-circumference-a-novel-anthropometric-tool-forscreening-54kj75ip52.pdf

Neck circumference: A novel anthropometric tool forscreening obesity in adults

Introduction and Aim: Prehypertension and obesity are the important cardio metabolic risk factors for developing metabolic syndrome Neck circumference (NC) is an effective marker and screening tool for obesity It gives a quick assessment of the upper body fat distribution Early detection of obesity and prehypertension can increase the longevity of the individual Hence, we aimed at evaluating the association of NC with prehypertension and obesity in young adults
 
Materials and Methods: A cross sectional study where 150 Paramedical students were screened for prehypertension and fifty students were identified as pre-hypertensives (n=50) Routine anthropometric measurements were taken NC was measured The correlation of NC with body mass index (BMI), systolic blood pressure (SBP) and diastolic blood pressure (DBP) was calculated The prevalence and percentage distribution of obesity using NC in prehypertensive was calculated The association of NC with obesity and prehypertension was demonstrated
 
Results: The prevalence of obesity in prehypertensive students was 58% The distribution of obesity using NC was 61% in males and 55% in females Further, the association of NC with BMI (r=053,p=<00001), SBP(r=052,p=<00001) and DBP (r=044, p=<00001) was calculated using Pearson’s correlation and was statistically significant
 
Conclusion: There was an increased prevalence of obesity among pre-hypertensives with a male predisposition The study also establishes a statistically significant and strong correlation of NC with BMI, SBP and DBP NC can be used as an effective screening tool to assess obesity and prehypertension

https://biomedicineonline.org/index.php/home/article/download/542/212

Shanmugarajah Mangani Mangalavalli

Papers

Association of neck circumference with prehypertension and obesity in young paramedical students