SECTION – B

DETAILS OF THE PROPOSAL

Title of Research Proposal ‘‘A study to assess the obesity among adults with Neck circumference as a
novel anthropometric tool in Rural areas of Bagalkot.
Type of study Quantitative Research Design ,Cross sectional study

Subject and Area Research

Rural area

Name of the department COMMUNITY HEATH NURSING

Introduction 1.INTRODUCTIONAND NEED FOR STUDY

And need for study Obesity is as result of minor energy imbalance leading to gradual and
persistent weight gain for a considerable period. This ‘New World Syndrome’
is an adverse outcome of modernization or acculturation process, to the extent
that, it is a major public health concern.1 Obesity is a major modifiable risk
factor which if not reversed will sequel to long term metabolic disturbances.
Further, obesity increases risk of hypertension and other cardiovascular
diseases, respiratory problems and psychological disturbances. The prevalence
of obesity had doubled since 1980 attributing to about 3.4 million deaths in
2
adults. The Global health repository data reports that the age standardized
prevalence of obesity and overweight are 39% and 13% in adults who are 18
years and older around the world. According to the reports of World Health
Organisation, the prevalence of overweight/ obesity in adults of India was
3
23.7% in the year 2010, which rose to 26.9% in the year 2014.
Neck Circumference (NC) emerges as a novel, simple, and discrete upper body
measurements which differentiates between obese and non-obese. Moreover,
several studies demonstrated the validity of NC as a measure of metabolic
syndrome (MetS), as it correlates positively with the classical anthropometric
indices such as BMI, WC, and WHtR . NC cutoff values varies according to
 age, gender and ethnic group.4
Despite the advantages of NC as a simple, cheap, stable throughout the day,
more feasible in cold weathers, and more acceptable in conservative
communities -Middle East, Gulf countries-, also, it is more appropriate in
morbidly obese, where the abdominal belly hinders accurate measurements of
waist and hip circumferences, nevertheless, few studies have investigated its
performance in Saudis5. In addition, one of the shortcomings of a recent study
is that the authors relied on reported risk factors to evaluate the performance of
NC to predict cardiometabolic risks 6.
Many studies have postulated good correlation of neck circumference with
age, weight, waist circumference, hip circumference and body mass index.7-8
Thus, 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.

Objectives 2.OBJECTIVES
1. To assess the neck circumference among adults .
2. To assess the body mass index and waist circumference among adults .
3. To find out the correlation of neck circumference with body mass index
and waist circumference.
4. To find the association between neck circumference with body mass.
5. index and waist circumference with their selected demographic
variables.
Methodology 3. MATERIALS AND METHODS
Hypothesis :
Will be tested at 0.05 level of significance
H1: There is a significant correlation of neck circumference with body mass
index and waist circumference.
H2: There is significant association between neck circumference with body
mass index and waist circumference with their selected demographic variables
 VARIABLES OF STUDY:

 Dependent Variable: Screening of obesity

 Independent Variable: Obesity

RESEARCH APPROACH AND RESEARCH DESIGN:

Research Approach: Quantitative approach

Research Design: Non- Experimental, Cross sectional study

 SETTING OF STUDY:
Selected Rural areas of Bagalkot.

 SOURCE OF DATA COLLECTION:

Source Of Data Collection: Data will be collected by using a social

demographic tool Weight machine and Inch tape

 SAMPLE AND SAMPLING TECHINQUE

Sampling Technique: Purposive sampling technique

Sample size: 550 adults

Study Population: Above 20 years and below 60 years of age

The final sample size will be decided by power analysis based on the result of
pilot study.

 CRITERIA FOR SAMPLING SELECTION:

Inclusion Criteria:
The includes the adult at rural area of Bagalkot
1. who are willing to participate in the study
2. who can understand the Kannada and ENGLISH
Exclusion criteria:
The selected excludes adult selected area of Bagalkot
1 .who are not willing rural to participate
2. who are suffering with chronic disease

 PROCEDURE FOR DATA COLLECTION

In the present study the data will be collected by researcher herself after
obtaining formal permission from the principal ,MRN Institute of Nursing
Bagalkot.
.The aim of the study will be explained to adult of selected rural area,
Bagalkot
. Consent will be taken form the participant of the study
Data will be collected by using structured instrument form both the case and
controls
 DATA COLLECTION METHOD:
The data will be collected by adult in selected rural area of Bagalkot.

 TOOLS AND TECHNIQUES:

Data will be divided into 2 sections.

Section 1:
Information on demographic characteristics of adult.
Section 2:
Measurement height weight neck circumference.

 PLAN FOR DATA ANALYSIS:

 DESCRIPTIVE STATISTIC:
Numerical data obtained form the sample will be organized, summarized
and presented with the help of descriptive statistics like frequency, percentage
distribution.
 INFERENTIAL STATISTICS:
The significance was calculated by using mean, median standard
was used to find the correlation with every item and findings were
documented in tables, graphs, and diagrams.

 Duration of the study:

The duration of the present study is 3 months

Implications  Measuring neck circumference is socially acceptable, easy to measure,
less time consuming and involves less cumbersome procedures when
compared to measurement of waist circumference.
 On financial point of view, it is very cost effective method. Thus, this
method can be used to screen individuals for obesity in peripheral
areas, where the facility of measuring the weight is not available.
 Training for peripheral workers is easy, because it is a simple to teach
them.
References 1. World Health Organization. Obesity: Preventing and Managing the
Epidemic.
http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/.
Published 2004.
2. Obesity and overweight, Factsheet No. 311. World Health Organization
website.
http://www.who.int/mediacentre/factsheets/fs311/en/\nhttp://who.int/mediacen
tre/factsheets/fs31 1/en/. Accessed on September 23, 2016
3. Global Health Observatory. World Health Organization website.
http://www.who.int/gho/ncd/risk_factors/overweight_text/en/. Accessed
October 9, 2016
4. Ferretti Rde L, Cintra Ide P, Passos MA, de Moraes Ferrari GL, Fisberg M.
Elevated neck circumference and associated factors in adolescents. BMC
Public Health. 2015;15:208.
5. Yang GR, Yuan SY, Fu HJ, Wan G, Zhu LX, Bu XL, Zhang JD, Du XP, Li
YL, Ji Y, 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.
6. Fantin F, Comellato G, Rossi AP, Grison E, Zoico E, Mazzali G, Zamboni
M. Relationship between neck circumference, insulin resistance and arterial
stiffness.
7.Horska K, Kucerova J, Suchy P, Kotolova H. Metabolic syndrome -
dysregulation of adipose tissue endocrine function. Ceska Slov Farm. 2014;
63(4):152–9.
8. Alfadhli EM, Sandokji AA, Zahid BN, Makkawi MA, Alshenaifi RF, Thani

Proposed Budget estimates
for research activities with
justification (The amount
shall not exceed Rs.15,000/-
(Rupees Fifteen Thousand
only) per project.
TS, Habeeb HA. Neck circumference as a marker of obesity and a predictor of
cardiometabolic risk among Saudi subjects. Saudi medical journal. 2017;
38(12):1219–23.
9. Alzeidan R, Rabiee F, Mandil A, Hersi A, Fayed A. Non-communicable
disease risk factors among employees and their families of a Saudi University:
an epidemiological Study. PLoS One. 2016;11(11):e0165036.
Printing :5000/-
Weighing machine : 1000/-
Transportation: 4000/-
Publication : 4000/-
Misallaneous : 1000/-
Grand Total : 15000/-