scholarly journals Relationships between neck circumference and cardiovascular risk factors in hyperglycemia

Author(s):  
Yingshu Liu
2014 ◽  
Vol 27 (2) ◽  
pp. 161-171 ◽  
Author(s):  
Vivian Siqueira Santos Gonçalves ◽  
Eliane Rodrigues De Faria ◽  
Sylvia Do Carmo Castro Franceschini ◽  
Silvia Eloiza Priore

OBJECTIVE: To verify whether neck circumference can predict cardiovascular risk factors and excess body fat in adolescents. METHODS: This cross-sectional study included male and female adolescents aged 10 to 14 years from Viçosa, Minas Gerais. The following data were collected: anthropometric measurements, blood pressure, percentage of body fat according to dual energy X-ray absorptiometry, and levels of fasting glucose, fasting insulin, triglycerides, total cholesterol, high-density lipoprotein, and low-density lipoprotein. The anthropometric measurements were used for calculating indices and assessing nutritional status. The receiver operating characteristic curve tested whether neck circumference could predict cardiovascular risk. We also investigated how neck circumference related to the study parameters. The significance level was set at 5% (p<0.05). RESULTS: A total of 260 adolescents were assessed of which 50.4% (n=131) were females, 20.4% (n=53) had excess body weight according to the body mass index-for-age index, and 42.7% (n=111) had excess body fat. Blood pressure (3.9%, n=10) and all biochemical parameters were affected, varying from 1.9% (n=5) for glucose to 65% (n=169) for total cholesterol. Neck circumference correlated with body fat, waist circumference, hip circumference, weight, height, body mass index, waist-to-height ratio, homeostasis model of assessment - insulin resistance, fasting insulin, blood pressure, and high-density lipoprotein (<0.05). It predicted excess body fat and changes in fasting insulin and blood pressure in both sexes, blood glucose and high-density lipoprotein in females, and triglycerides in males (area under the curve >0.5; p<0.05, varying from 0.610 for high-density lipoprotein to 0.817 for blood pressure). CONCLUSION: Neck circumference was capable of predicting excess fat and cardiovascular risk factors in adolescents.


2003 ◽  
Vol 11 (2) ◽  
pp. 226-231 ◽  
Author(s):  
Liubov Louba Ben-Noun ◽  
Arie Laor

Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Cristina P Baena ◽  
Paulo Lotufo ◽  
Itamar Santos ◽  
Alessandra Goulart ◽  
Marcio S Bittencourt ◽  
...  

Introduction: Neck circumference has been independently associated with cardiovascular risk factors in various populations. Whether neck circumference can be a risk indicator for subclinical atherosclerosis remains uncertain. Hypothesis: Neck circumference can be a marker of local subclinical atherosclerosis in The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Methods: In cross-sectional and sex-specific analyses of 2,266 women (50.6 ±8.4 yrs) and 1,886 men (50.7 ±9.0 yrs) with both cc-IMT and CAC, free from previous coronary heart disease at baseline, we built logistic models using diverse cut-off points for CAC score (0vs>0, <100 vs ≥100, <400 vs ≥400 Agatston units) and cc-IMT ( < 75th percentile vs ≥75 th ; < 90th percentile vs ≥90 th ) as dependent variables, after which adjustments for age and traditional cardiovascular risk factors were made. Results: Mean (standard deviation) neck circumference was 33.6 (±2.4 cm) for women and 38.8 (±2.6 cm) for men. In fully adjusted models including sociodemographic, cardiovascular risk factors and body-mass index (BMI) and waist circumference, for each 1 standard deviation increase in neck circumference we found an odds ratio (OR, 95% CI) for having IMT above the 75th percentile of [1.52, 1.16; 1.99)]for women and [1.66, 1.28; 2.14)] for men, and above the 90th cc-IMT percentile [1.66 (1.19; 2.32)]for men but not for women [1.21 (0.80; 1.82)]. We found no association between neck circumference and CAC using several different cut-off points (p>0.05 for all). Conclusion: Neck circumference was significantly and independently associated with cc-IMT but not with CAC in women and men, indicating a possible effect of perivascular fat tissue on atherosclerosis.


2016 ◽  
Vol 134 (6) ◽  
pp. 519-527 ◽  
Author(s):  
Hélio José Coelho Júnior ◽  
◽  
Ricardo Aurélio Carvalho Sampaio ◽  
Ivan de Oliveira Gonçalvez ◽  
Samuel da Silva Aguiar ◽  
...  

ABSTRACT CONTEXT AND OBJECTIVE: In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people. DESIGN AND SETTING: Cross-sectional study conducted in two community centers for elderly people. METHODS: 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying overweight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference. RESULTS: Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women. CONCLUSION: The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.


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