{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T02:12:49Z","timestamp":1782180769541,"version":"3.54.5"},"reference-count":17,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T00:00:00Z","timestamp":1708041600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Obesity"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Neck circumference is an attractive method for determining metabolic profiles and has many advantages over waist circumference. However, the correlation between neck circumference and hepatic fibrosis has not been evaluated. The aim of this study was to evaluate the correlation between neck circumference and hepatic fibrosis and define the optimal cut\u2010off point for neck circumference to determine hepatic fibrosis. A cross\u2010sectional study (<jats:italic>n<\/jats:italic>\u2009=\u2009333) was conducted among Thai healthcare workers at Phramongkutklao Hospital who received an annual health maintenance program. Neck circumference was measured at the lower margin of the laryngeal prominence. Fibroscan\u00ae with a controlled attenuation parameter was used to measure the degree of hepatic fibrosis and steatosis by an experienced, well\u2010trained operator. In the cross\u2010sectional analysis, it was found that the large circumference of the neck was associated with hepatic fibrosis (<jats:italic>r<\/jats:italic>\u2009=\u20090.19, <jats:italic>p<\/jats:italic>\u2009=\u2009.001) and hepatic steatosis (<jats:italic>r<\/jats:italic>\u2009=\u20090.58, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001). Hepatic fibrosis (<jats:italic>r<\/jats:italic>\u2009=\u20090.15, <jats:italic>p<\/jats:italic>\u2009=\u2009.004) and steatosis (<jats:italic>r<\/jats:italic>\u2009=\u20090.53, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.001) were also associated with waist circumference. The neck circumferences of 40 and 34\u2009cm were the best cut\u2010offs for male and female participants, respectively.Neck circumference is closely related to hepatic fibrosis and steatosis, which should be promoted and has a better advantage than waist circumference in the screening of hepatic steatosis.<\/jats:p>","DOI":"10.1111\/cob.12647","type":"journal-article","created":{"date-parts":[[2024,2,16]],"date-time":"2024-02-16T09:30:54Z","timestamp":1708075854000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Correlation between neck circumference and hepatic steatosis determined by controlled attenuation parameter"],"prefix":"10.1111","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6924-8504","authenticated-orcid":false,"given":"Sakkarin","family":"Chirapongsathorn","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Phramongkutklao Hospital and College of Medicine  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pakapop","family":"Jinatongthai","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology, Department of Medicine Phramongkutklao Hospital and College of Medicine  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudatip","family":"Sirichana","sequence":"additional","affiliation":[{"name":"Department of Family Medicine Phramongkutklao Hospital and College of Medicine  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apussanee","family":"Boonyavarakul","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Medicine Phramongkutklao Hospital and College of Medicine  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sombat","family":"Treeprasertsuk","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology, Department of Medicine Chulalongkorn University  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nakarin","family":"Sansanayudh","sequence":"additional","affiliation":[{"name":"Divison of Cardiology, Department of Medicine Phramongkutklao Hospital and College of Medicine  Bangkok Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,16]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200411000-00002"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2011.04724.x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.12417.1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.29.02.06.dc05-1636"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rpped.2015.05.007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8223(95)00014-3"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2010.33"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/oby.2003.35"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep18565"},{"key":"e_1_2_11_11_1","first-page":"19107","article-title":"Evaluation of neck circumference as a predictor of central obesity and insulin resistance in Chinese adults","volume":"8","author":"Wang X","year":"2015","journal-title":"Int J Clin Exp Med"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/4808541"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP15902.OR"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.2005.069153"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjhf\/hfs044"},{"key":"e_1_2_11_16_1","volume-title":"The Asia\u2010Pacific Perspective: Redefining Obesity and its Treatment","author":"Inoue S","year":"2000"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhep.2016.12.022"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/dmrr.2464"}],"container-title":["Clinical Obesity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cob.12647","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:41:56Z","timestamp":1715582516000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cob.12647"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,16]]},"references-count":17,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.1111\/cob.12647"],"URL":"https:\/\/doi.org\/10.1111\/cob.12647","archive":["Portico"],"relation":{},"ISSN":["1758-8103","1758-8111"],"issn-type":[{"value":"1758-8103","type":"print"},{"value":"1758-8111","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,16]]},"assertion":[{"value":"2023-05-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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