40세 이상의 한국 성인에서 과체중 및 비만환자 선별을 위한 목둘레 기준 = Neck Circumference Criteria for Identifying Overweight and Obesity Patients in Korean Adults Aged 40 or Older

다국어 초록 (Multilingual Abstract)

This study targeted 15,580 Korean adults aged 40 or older from the 2019-2022 KNHA-NES and aimed to confirm neck circumference criteria for identifying overweight and obesity according to BMI standards using the reportROC package. Pearson’s correlation coefficients indicated a strong positive association between neck circumference and BMI in both male (r=0.802, p<0.001) and female (r=0.762, p<0.001). The ROC analysis results to determine the neck circumference cutoff levels for overweight according to BMI (≥23.0 kg/m2) were 37.1 cm (AUC=0.890, accuracy=0.808) for male and 32.5 cm for female (AUC=0.863, accuracy=0.776). Neck circumference 37.8 cm (AUC=0.879, accuracy=0.784) for male and 33.1 cm (AUC=0.873, accuracy=0.786) for female were the best cutoff levels for determining the subjects with obesity by BMI (≥25.0 kg/m ). This study proposed a cutoff levels for neck circumference that can be 2 used in screening tests to determine overweight and obesity, and for clinical use, additional research is needed to exclude factors affecting neck circumference.