Neck circumference: a simple screening parameter for cardiovascular risk in diabetics

2019 ◽  
Vol 5 (2) ◽  
pp. 25
Author(s):  
Ahmed Albehairy ◽  
Rania Bahriz ◽  
Mostafa Mansour
Keyword(s):  
Cardiovascular Risk ◽  
Neck Circumference ◽  
Screening Parameter ◽  
Simple Screening

scholarly journals Is Neck Circumference a Marker for Cardiovascular Risk in Obese Adolescents?

2016 ◽  
Vol 5 (2) ◽  
pp. 79-85
Author(s):  
Bruno Faria ◽  
◽  
Maria Escrivão ◽  
Paulo Nogueira
Keyword(s):  
Cardiovascular Risk ◽  
Neck Circumference ◽  
Obese Adolescents

scholarly journals Simple Screening Test for Sarcopenia is a Useful Tool to Predict Future Adverse Events in Male Patients with Cardiovascular Risk

2015 ◽  
Vol 21 (10) ◽  
pp. S185
Author(s):  
Yoshiro Onoue ◽  
Yasuhiro Izumiya ◽  
Shinsuke Hanatani ◽  
Tomoko Tanaka ◽  
Satoru Yamamura ◽  
...  
Keyword(s):  
Cardiovascular Risk ◽  
Adverse Events ◽  
Screening Test ◽  
Male Patients ◽  
Simple Screening

scholarly journals Rethinking neck circumference in STOP-BANG for Asian OSA

2018 ◽  
Vol 28 (2) ◽  
pp. 105-109 ◽  
Author(s):  
John Ming-Ren Loh ◽  
Song-Tar Toh
Keyword(s):  
Retrospective Analysis ◽  
Screening Tool ◽  
Sleep Apnoea ◽  
Neck Circumference ◽  
Receiver Operating Curve ◽  
Asian Populations ◽  
Asian Patients ◽  
Obstructive Sleep ◽  
Males And Females ◽  
Simple Screening

Introduction: The STOP-BANG questionnaire is a simple screening tool for obstructive sleep apnoea (OSA) which has been validated for use in Asian populations. The original cut-off values for neck circumference were defined based on Caucasian populations. This study aims to validate the neck circumference component of the STOP-BANG score in Asians. Methods: A retrospective analysis of all patients suspected of having OSA who underwent a diagnostic polysomnography at a tertiary sleep centre in Singapore over the course of 1 year was conducted. Neck circumference was measured and correlated to the presence of OSA. A receiver operating curve was performed to obtain the optimal cut-off value for screening OSA in Asian patients. Results: 591 Asian subjects with OSA were analysed. The optimal neck circumference predictive for OSA was found to be 39 cm in males and 35 cm in females, with a sensitivity of 83.4% and 84.6% respectively. The existing STOP-BANG cut-off of 40 cm had 71% and 32% sensitivity in Asian males and females, respectively. Conclusion: The STOP-BANG cut-off value for neck circumference for screening for sleep apnoea in Asian males can be maintained at 40 cm, but the neck circumference value used for screening Asian females should be lowered to 35 cm.

scholarly journals Can neck circumference predict insulin resistance in older people? A cross-sectional study at primary care in Brazil

2017 ◽  
Vol 33 (8) ◽  
Author(s):  
Maria Auxiliadora Nogueira Saad ◽  
Maria Luiza Garcia Rosa ◽  
Giovanna Balarini Lima ◽  
Rubens Antunes da Cruz Filho
Keyword(s):  
Insulin Resistance ◽  
Primary Care ◽  
Cardiovascular Risk ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Neck Circumference ◽  
Anthropometric Measurements ◽  
Model Assessment ◽  
Sectional Study ◽  
Cross Sectional

Abstract: This study focused on the correlation between neck circumference and other anthropometric measurements and cardiovascular risk factors and insulin resistance in the elderly in Niterói, Rio de Janeiro State, Brazil. This was a cross-sectional study in 411 patients seen in primary care. Anthropometric measurements including neck circumference, body mass index (BMI), waist circumference (WC), and waist-hip ratio (WHR) were recorded. Bioelectrical impedance analysis (BIA) estimated the percentage of total body fat (%TBF). Insulin resistance was estimated by HOMA-IR (homeostasis model assessment IR index). The data were analyzed by the Mann-Whitney test and the correlation between numerical variables by Spearman’s test. Receiver operating characteristic (ROC) was used to assess the anthropometric measurements’ predictive capacity to diagnosis insulin resistance. Neck circumference was positively correlated with WC, BMI, WHR, %TBF, and HOMA-IR in both sexes. In women, neck circumference showed higher AUC (area under the curve) for insulin resistance. In men, WC showed higher AUC, followed by BMI and neck circumference. The current study in Southeast Brazil suggests that neck circumference can predict insulin resistance, an important marker of cardiovascular risk in the elderly population treated in primary care.

scholarly journals Neck circumference as predictor of excess body fat and cardiovascular risk factors in adolescents

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
Keyword(s):  
Risk Factors ◽  
Blood Pressure ◽  
Cardiovascular Risk ◽  
High Density Lipoprotein ◽  
Cardiovascular Risk Factors ◽  
Body Fat ◽  
Density Lipoprotein ◽  
Neck Circumference ◽  
High Density ◽  
Fasting Insulin

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.

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