Neck circumference and excess weight: proposal of cutoff points for Brazilian adolescents

Folmann, Augusto Gerhart; Wolf, Vaneza Lira Waldow; Roman, Everton Paulo; Guerra‐Júnior, Gil

doi:10.1016/j.jped.2020.02.005

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…Moreover, NC demonstrates a similar relationship that other adiposity measures with cardiometabolic diseases in childhood [ 22 ]. A recent study developed with Brazilian adolescents showed that NC presented good sensitivity and specificity to identify excess weight [ 23 ]. Thus, NC can be used to identify cardiometabolic diseases in the pediatric population [ 3 , 24 – 26 ].…”

Section: Introductionmentioning

confidence: 99%

Neck circumference and cardiometabolic risk in children and adolescents: the moderator role of cardiorespiratory fitness

et al. 2021

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Background The increased incidence of cardiometabolic risk factors has become a public health issue, especially in childhood and adolescence. Thus, early identification is essential to avoid or reduce future complications in adulthood. In this sense, the present study aimed to verify the influence of cardiorespiratory fitness (CRF) as a moderator in the association between neck circumference (NC) and cardiometabolic risk in children and adolescents. Methods Cross-sectional study that included 2418 randomly selected children and adolescents (52.5% girls), aged 6 to 17 years old. Anthropometric measurements, such as NC and body mass index (BMI), and CRF was measured by the six-minute running/walking test, as well as cardiometabolic risk (systolic blood pressure, glucose, HDL-C, and triglycerides), were assessed. Results For all age groups, NC showed a negative relationship with CRF. A significant interaction term was found for CRF x NC with cardiometabolic risk for children (6 to 9 years old), early adolescents (10 to 12 years old), and middle adolescents (13 to 17 years old). It was found that children who accomplished more than 1092.49 m in CRF test were protected against cardiometabolic risk when considering NC. In adolescents, protection against cardiometabolic risk was found when the CRF test was completed above 1424.14 m and 1471.87 m (early and middle stage, respectively). Conclusions CRF is inversely associated with NC and acts as a moderator in the relationship between NC and cardiometabolic risk in children and adolescents. Therefore, this detrimental health impact linked to fatness might be attenuated by improving CRF levels.

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Section: Introductionmentioning

confidence: 99%

Neck circumference and cardiometabolic risk in children and adolescents: the moderator role of cardiorespiratory fitness

et al. 2021

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“…Among these, body mass index (BMI) is the most commonly used anthropometric index [2]. Several others such as waist circumference (WC), waist hip ratio (WHR), neck circumference (NC) and waist height ratio (WHtR) have also been proposed [3][4][5]. Neck circumference, has of recent attracted attention in health research and clinical settings.…”

Section: Introductionmentioning

confidence: 99%

Neck circumference as marker of overweight and obesity among secondary adolescents aged 12-19 years in southwestern Uganda: a cross-sectional survey

Katamba

Agaba

Muzaale

et al. 2021

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Background Overweight and obesity have become more common among adolescents. Various indicators have been used to assess this burden across populations. Recent findings elsewhere have found neck circumference to be useful in defining overweight and obesity. However, the use of neck circumference as marker of overweight and obesity needs to be further explored among adolescents in Uganda. Objective To assess the usefulness of neck circumference as a marker of overweight and obesity. Methods A cross sectional study was conducted among secondary adolescents aged 12–19 years from May to August in 2018, Height was measured using a wall mount height board and weight using a standard weighing scale. Neck circumference was measured using an inelastic measuring tape. We defined overweight as BMI = 25.0-29.9kg/m2 while obesity as BMI ≥ 30.0kg/m2 among the study participants. Pearson correlation coefficient was used to determine the correlation between neck circumference, height, weight and body mass index. Receiver operating characteristic (ROC) curve analysis was used to determine the suitable cutoff of neck circumference for overweight and obesity. Results We enrolled 616 adolescents aged 12–19 years, with mean age of 15.6 ± 2.0 years. Most (65.6%) were female. The overall prevalence of overweight was 30.5% while that of obesity was 3.4%. Neck circumference was significantly correlated with height (r = 0.561, P < 0.001), weight (r = 0.547, P < 0.001) and body mass index (r = 0.193, P < 0.001). The best cutoff of neck circumference to identify participants with obesity were ≥ 31.0 cm with AUC of 0.83[0.73–0.94] and ≥ 32.0cm with an AUC of 0.59[0.11-1.00] among the females and males respectively. Conclusion Neck circumference was useful in defining and hence classifying for overweight or obesity among the female adolescents in our study population. It could useful for screening for overweight and obesity among the female adolescents.

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An investigation of anthropometric measurements of early adolescents and determination of BMI-for-age-based neck circumference and BMI-for-age-based mid-upper-arm circumference cut-off points

Mercan

Kafadar

Arikan

et al. 2022

Clinical Nutrition ESPEN

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Neck circumference and excess weight: proposal of cutoff points for Brazilian adolescents

Cited by 5 publications

References 16 publications

Neck circumference and cardiometabolic risk in children and adolescents: the moderator role of cardiorespiratory fitness

Neck circumference and cardiometabolic risk in children and adolescents: the moderator role of cardiorespiratory fitness

Neck circumference as marker of overweight and obesity among secondary adolescents aged 12-19 years in southwestern Uganda: a cross-sectional survey

An investigation of anthropometric measurements of early adolescents and determination of BMI-for-age-based neck circumference and BMI-for-age-based mid-upper-arm circumference cut-off points

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