Lingkar pinggang dan lingkar leher dengan kadar kolesterol total pada wanita usia subur obesitas

Rifial Ramadhan Manik(1), Nurmasari Widyastuti(2*), Choirun Nissa(3)

(1) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro
(2) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro
(3) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro
(*) Corresponding Author


Waist circumference, and neck circumference correlated to total cholesterol among reproductive-age women with obesity

Background: Dyslipidemia is a metabolic disorder condition that is closely related to cholesterol and obesity. The prevalence of obesity in reproductive-age women (>18 years) in Indonesia increased dramatically. Reproductive age women with obesity are at greater risk of hypercholesterolemia compared with non-obese. Waist circumference (WC), mid-upper arm circumference (MUAC), and neck circumference (NC) can be used as a marker of higher or low cholesterol levels.

Objective: This study aimed to determine the relationship between WC, MUAC, and NC with total cholesterol.

Methods: The study design was cross-sectional with several subjects were 54 women of reproductive-aged 18-29 years. Subject with obese category (BMI ≥25kg/m2) was measured the WC, MUA, and NC as an independent variable and total cholesterol as the dependent variable, and dietary intake (total fat, cholesterol, and saturated fat) as confounding variables. The bivariate analysis used the Pearson correlation test. Multivariate analysis used multivariate linear regression.

Results: Bivariate analysis showed there was a significant relationship between WC and NC to total cholesterol (p=0.006 and p=0.001), but not on MUAC (p=0.063). In multivariate analysis, NC is the most significantly related to total cholesterol (β=0.367; p=0.004; Adjusted R Square 24%) than WC.

Conclusions: There is a significant relationship between WC and NC to the total cholesterol in women of reproductive age obesity. NC more significantly related to total cholesterol.


dietary intake; mid upper arm circumference; neck circumference; obesity; reproductive age women; total cholesterol; waist circumference

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  1. Wilborn C, Beckham J, Campbell B, Harvey T, Galbreath M, Bounty P La, et al. Obesity: prevalence, theories, medical consequences, management, and research directions. J Int Soc Sport Nutr. 2005;2:4-31. doi: 10.1186/1550-2783-2-2-4
  2. Badan Penelitian dan Pengembangan Kesehatan RI. Riset kesehatan dasar (Riskesdas) tahun 2013. Jakarta: Kementerian Kesehatan RI; 2013.
  3. Sniderman AD, Bhopal R, Prabhakaran D, Sarrafzadegan N, Tchernof A. Why might South Asians be so susceptible to central obesity and its atherogenic consequences? The adipose tissue overflow hypothesis. Int J Epidemiol. 2007;36(1):220-5. doi: 10.1093/ije/dyl245
  4. Maitetinen TA.Cholesterol production in obesity. Circulation. 1971;44:842-50. doi: 10.1161/01.CIR.44.5.842
  5. Brown J. Nutrition through life cycle. 4th ed. (William P, editor). Belmont, CA: Wadworth; 2011.
  6. Huang CJ, Hu HT, Fan YC, Liao YM, Tsai PS. Associations of breakfast skipping with obesity and health-related quality of life: evidence from a national survey in Taiwan. Int J Obes. 2010;34:720-5. doi: 10.1038/ijo.2009.285
  7. Ma Y, Bertone ER, Stanek EJ, Reed GW, Hebert JR, Cohen NL, et al. Association between eating patterns and obesity in a free-living US adult population. Am J Epidemiol. 2003;158(1):85-92. 10.1093/aje/kwg117
  8. Despres J, Lemieux S, Lamarche B, Prud’homme S, Moorjani S, Brun L, et al. The insulin resistance-dyslipidemic syndrome: contribution of visceral obesity and therapeutic implications. Int J Obes Relat Metab Disord. 1995;19(Sup 1):S76-86.
  9. Tang AM, Dong K, Deitchler M, Chung M, Maalouf-Manasseh Z, Tumilowicz A, et al. Use of cut offs for mid-upper arm circumference ( MUAC ) as an indicator or predictor of nutritional and health-related outcomes in adolescents and adults: a systematic review. Food Nutr Tech Assictance. 2013;1-37.
  10. Pio-Magalhães JA, Cornélio M, Leme, Jr. Ca, Matos-Souza JR, Garlipp CR, Gallani MCJ, et al. Upper arm circumference is an independent predictor of left ventricular concentric hypertrophy in hypertensive women. Hypertens Res. 2008;31(6):1177-83. doi: 10.1291/hypres.31.1177
  11. Sarry El Din A, Hassan N, El-Masry S, Al-Tohamy M. Neck circumference as a simple screening measure for identifying Egyptian overweight and obese adults. Maced J Med Sci. 2013;6(3):232-7. doi: 10.3889/mjms.1857-5773.2013.0309
  12. Saka M, Türker P, Ercan A, Kiziltan G, Bas M. Is neck circumference measurement an indicator for abdominal obesity? a pilot study on Turkish adults. Afr Health Sci. 2014;14(3):570-5. doi: 10.4314/ahs.v14i3.11
  13. Dwi RDH. Hubungan antara indeks massa tubuh (IMT) dan lingkar lengan atas (LILA) dengan kadar gula darah dan kolesterol pada wanita usia subur (WUS) di Kecamatan Cangkringan Kabupaten Sleman [Skripsi]. Surakarta: Universitas Muhammadiyah Surakarta; 2013.
  14. Sunarti, Maryani E. Rasio lingkar pinggang dan pinggul dengan penyakit jantung koroner di RSUD Kabupaten Sukoharjo. Buletin Penelitian Sistem Kesehatan. 2013;16(1):73-82.
  15. Amelinda RT, Wirawanni Y. Hubungan lingkar leher dan lingkar pinggang dengan kadar trigliserida orang dewasa. Journal of Nutrition College. 2014;3(4):647-54.
  16. Gibson RS. Principles of nutritional assessment. second ed. New York: Oxford University Press; 2005.
  17. Mayasari S, Sulchan M. Densitas energi makanan dan lingkar pinggang sebagai faktor risiko peningkatan kadar c-reactive protein (CRP) pada remaja obesitas dengan sindroma metabolik. Journal of Nutrition College. 2014;3(3):370-7.
  18. Jaiswal M, Bansal R, Agarwal A. Role of mid-upper arm circumference for determining overweight and obesity in children and adolescents. J Clin Diagn Res. 2017;11(8):SC05-8. doi: 10.7860/JCDR/2017/27442.10422
  19. Hingorjo MR, Qureshi MA, Mehdi A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist circumference. J Pak Med Assoc. 2012;62(1):36-40.
  20. Du SM, Ma GS, Li YP, Fang HY, Hu XQ, Yang XG, Hu YH. Relationship of body mass index , waist circumference and cardiovascular risk factors in Chinese adult 1. Biomed Environ Sci. 2010;23(2):92-101. doi: 10.1016/S0895-3988(10)60037-2
  21. Sowers M, Sigler C. Complex relation between increasing fat mass and decreasing high density lipoprotein cholesterol levels: evidence from a population-based study of premenopausal women. Am Epidemiol. 1999;149(1):47-54. doi: 10.1093/oxfordjournals.aje.a009726
  22. Castro Piñero J, Delgado Alfonso A, Gracia Marco L, Gómez Martínez S, Esteban Cornejo I, Veiga OL, et al. Neck circumference and clustered cardiovascular risk factors in children and adolescents: Cross-sectional study. BMJ Open. 2017;7(9):e016048. doi: 10.1136/bmjopen-2017-016048
  23. Yang GR, Yuan SY, Fu HJ, Wan G, Zhu LX, Bu XL, et al. Neck circumference positively related with central obesity, overweight, and metabolic syndrome in Chinese subjects with type 2 diabetes: Beijing Community Diabetes Study 4. Diabetes Care. 2010;33(11):2465-7. doi: 10.2337/dc10-0798
  24. Küçük U, Küçük HO, Cüce F, Balta S. Relationship between neck circumference and epicardial fat thickness in a healthy male population. Arq Bras Cardiol. 2016;107(3):266-70. doi: 10.5935/abc.20160112
  25. Deschênes D, Couture P, Dupont P, Tchernof A. Subdivision of the subcutaneous adipose tissue compartment and lipid-lipoprotein levels in women. Obes Res. 2003;11(3):469-76. doi: 10.1038/oby.2003.64
  26. Al-Safi ZA, Polotsky AJ. Obesity and menopause. Best Pract Res Clin Obstet Gynaecol. 2015;29(4):548-53. doi: 10.1016/j.bpobgyn.2014.12.002
  27. Wiardani NK, Sugiani PPS, Gumala NMY. Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar. Jurnal Gizi Klinik Indonesia. 2011;7(3):107-14. doi: 10.22146/ijcn.17751
  28. Zhong P, Sun DM, Wu DH, Li TM, Wu Y, Xu LY. Neck circumference can be used as a valuable tool to screen the cardiovascular risk factors in Chinese elderly: a community based study. Int J Clin Exp Med. 2017;10(2):3685-91.
  29. Sunarti, Maryani E. Rasio lingkar pinggang dan pinggul dengan penyakit jantung koroner di RSUD Kabupaten Sukoharjo. Buletin Penelitian Sistem Kesehatan. 2013;16(1):73-82.


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