摘要：Background: Metabolic syndrome (MetS) is complicated condition especially in pediatrics. For better MetS definition, marker discovery are interested. More accurate simple indices may be of value, such as neck circumference (NC). We investigated accuracy of NC for the diagnosis of MetS in adolescent girls. Materials and Methods: This cross-sectional study was conducted on schoolgirl who live in Mashhad and Sabzevar cities, Razavi Khorasan, Iran at 2018. The study sample comprised 988 girls with mean age 14.56 ±1.53 years old. The NC measured in site between mid-cervical spine and mid-anterior neck and enzymatic commercial kits measured biochemical analysis. The definitions of MetS included: IDF, NCEP-ATP III, and two modified NCEPs. Results: Often subjects are non-smoker, menstruated, and reside in Mashhad. The age, living location, and dwelling type showed the very weak association with NC. NC was significantly associated with WC and elevated TG. The highest (r= 0.275 (P= 0.0001), and lowest (r= 0.155 (p 31 cm estimated as cutoff for all studied definitions except Cook's definition. Conclusion: Besed on the results, NC should be considered as marker for central obesity and fat distribution in the diagnosis of MetS.
关键词：Children ; Anthropometric index ; Metabolic Syndrome ; Obesity
