Percentiles and mean values for neck circumference in Turkish children aged 6–18 years


Mumtaz M Mazicioglu, M.D., Department of Family Medicine, School of Medicine, Erciyes University, 38039 Kayseri, Turkey.
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Aim:  To provide neck circumference (NC) percentiles and mean values for Turkish children and to investigate their significance in clinical and epidemiological use.

Methods:  Data were obtained from a cross-sectional screening study; DAMTCA II (Determination of Anthropometric Measurements in Turkish Children and Adolescents) in which 5481 subjects from 17 primary, secondary and high schools were included. NC percentiles were produced using the LMS method, and NC was compared with other parameters which define body fat distribution.

Results:  The smoothed NC curves of 3rd, 5th, 15th, 25th, 50th, 75th, 85th, 90th, 95th and 97th percentiles were constructed by age and gender. The descriptive characteristics of collected data were presented as mean (SD: standard deviation) and median (Min–Max: minimum–maximum) to provide detailed information other than smoothed values. The most prominent finding of this study was that the NC of boys was greater, but not significantly higher, than that of girls until the age of 12 but later a prominent increase in the NC of boys is observed compared with girls. We compared obese and non-obese children in the 6–10, 11–13, 14–18 age groups, NC was found to be an important parameter to define obesity.

Conclusions:  This study provides NC percentiles, means and medians values and analyses their significance in obesity evaluation in clinical practice.