Accuracy of neck circumference for diagnosing overweight in six- and seven-year-old children

Mucelin, Eduarda; Traebert, Jefferson; Zaidan, Milcia Almeida; Piovezan, Anna Paula; Nunes, Rodrigo Dias; Traebert, Eliane

doi:10.1016/j.jped.2020.11.005

Cited by 10 publications

(9 citation statements)

References 16 publications

(26 reference statements)

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“…Only greater WNR was signi cantly associated with increased risk of total colorectal cancer. Neck circumference is an indicator that was previously ignored, which has been considered to be important in assessing the risk of metabolic diseases and so on [51][52][53], then we should also pay attention to its role in tumor risk assessment. For male, WNR and WHtR were positively associated with CRC risk, but for female, only WHR caused an increasing risk for CRC.…”

Section: Discussionmentioning

confidence: 99%

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

Cheng

Han

Wan

et al. 2023

Preprint

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Objective To investigate the relationship between metabolic disorders and the morbidity of colorectal cancer (CRC) compared with colorectal adenoma (CRA) and non-neoplastic inpatients, especially to investigate which anthropometric measures were better predictors of CRC. Methods 80 patients with CRC, 80 patients with CRA and 80 non-neoplastic patients were selected from April 2017 to April 2019. The data of routine laboratory tests and anthropometric measurements about metabolism were analyzed retrospectively. Multinomial Logistic regression analysis was used to estimated odds ratio (OR) and 95% confidence interval (CI) for the risk of morbidity of CRC associated with potential risk factors. Results Compared with CRA, OR of CRC was enhanced by weight loss self-reported, lower-hemoglobin and hypoproteinemia. Compared with non-neoplastic controls, diabetes, higher waist-neck ratio (WNR) and The Metabolic syndrome (MetS) identifified by the Chinese Diabetes Society was associated with signifificant increasing risk of all CRC patients. while in male subgroup, OR of CRC was enhanced by diabetes, higher hip circumference, waist-neck ratio (WNR)>2.42 (OR = 2.795, 95%CI: 1.169-6.680), waist-height ratio (WHtR)>0.550 (OR = 3.009, 95%CI: 1.260-7.185) and MetS. In female subgroup, only waist-hip ratio (WHR)>0.890 (multivariable-adjusted OR = 3.354, 95%CI: 1.011-11.129) was significantly associated with increased risk of CRC compared with colorectal adenoma and non-neoplastic controls. The risk factors for CRA were similar to CRC compared with non-neoplastic controls. Conclusion Abdominal fat patients have a high incidence of CRC and CRA. For male, MetS, high level WNR and WHtR caused an increasing risk for CRC. For female, Only WHR is a high-risk factor. The patients with these high risk factors need to strengthen colorectal cancer screening, which is of great significance for the prevention and early detection of colorectal cancer.

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Section: Discussionmentioning

confidence: 99%

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

Cheng

Han

Wan

et al. 2023

Preprint

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“…Only greater WNR was signi cantly associated with increased risk of total colorectal cancer. Neck circumference is an indicator that was previously ignored, which has been considered to be important in assessing the risk of metabolic diseases and so on [54][55][56], then we should also pay attention to its role in tumor risk assessment. For male, WNR and WHtR were positively associated with CRC risk, but for female, only WHR caused an increasing risk for CRC.…”

Section: Discussionmentioning

confidence: 99%

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

Cheng¹,

Han²,

Wan³

et al. 2022

Preprint

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Objective To investigate the relationship between metabolic disorders and the morbidity of colorectal cancer (CRC) compared with colorectal adenoma (CRA) and non-neoplastic inpatients, especially to investigate which anthropometric measures were better predictors of CRC. Methods 80 patients with CRC, 80 patients with CRA and 80 non-neoplastic patients were selected from April 2017 to April 2019. The data of routine laboratory tests and anthropometric measurements about metabolism were analyzed retrospectively. Multinomial Logistic regression analysis was used to estimated odds ratio (OR) and 95% confidence interval (CI) for the risk of morbidity of CRC associated with potential risk factors. Results Compared with CRA, OR of CRC was enhanced by weight loss self-reported, anemia and hypoproteinemia. Compared with non-neoplastic controls, diabetes, higher waist-neck ratio (WNR) and The Metabolic syndrome (MetS) identifified by the Chinese Diabetes Society was associated with signifificant increasing risk of all CRC patients. while in male subgroup, OR of CRC was enhanced by diabetes, higher hip circumference, waist-neck ratio (WNR)>2.42 (OR = 2.795, 95%CI: 1.169-6.680), waist-height ratio (WHtR)>0.550 (OR = 3.009, 95%CI: 1.260-7.185) and MetS. In female subgroup, only waist-hip ratio (WHR)>0.890 (multivariable-adjusted OR = 3.354, 95%CI: 1.011-11.129) was significantly associated with increased risk of CRC compared with colorectal adenoma and non-neoplastic controls. The risk factors for CRA were similar to CRC compared with non-neoplastic controls. Conclusion Visceral adipose patients have a high incidence of CRC and CRA. For male, MetS, high level WNR and WHtR caused an increasing risk for CRC. For female, Only WHR is a high-risk factor. The patients with these high risk factors need to strengthen colorectal cancer screening, which is of great significance for the prevention and early detection of colorectal cancer.

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“…Neck circumference (cm) was measured with the subject standing in the most prominent portion of the stipulated zone with an inextensible tape measure (Lufkin, Apex, NC, USA) with the head placed in the Frankfort plane. Neck circumference has been associated with several fatness indicators and diagnosis of obesity, and in turn, with cardiometabolic risk in children and adolescents ( 32 , 33 ). In a sample of Brazilian adolescents, neck circumference was around 32.6 ± 2.8 cm ( 33 ).…”

Section: Methodsmentioning

confidence: 99%

The inverse relationship between fatness and bone mineral content is mediated by the adolescent appendicular skeletal muscle mass index: The Cogni-Action Project

et al. 2022

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BackgroundExcess adipose tissue negatively influences bone health during childhood, affecting future bone fragility diseases such as osteoporosis. However, little is known about how adolescent appendicular skeletal muscle mass index (ASMI) may mediate the relation between fatness and bone mineral content (BMC).MethodsThe sample comprised 1,296 adolescents (50% girls) aged 10–14. A principal component analysis was performed to obtain a factor made up of four fatness indicators (a) neck circumference, (b) kilograms of fat, (c) visceral fat area, and (d) waist-to-height ratio. BMC, kilograms of fat, visceral fat area, and appendicular skeletal muscle mass were obtained by a multi-frequency bioelectrical impedance analyzer. ASMI was calculated as the appendicular skeletal muscle mass divided by height squared (kg/m2). A mediation analysis was performed adjusting by age, sex, maturation, socioeconomic status, physical activity, and adolescents' body weight. We also explore differences by sex and nutritional status.ResultsThe fatness factor explained 71.5% of the proportion variance. Fatness was inversely associated with the ASMI and BMC, while the ASMI was positively related to BMC. Overall, the inverse relationship between fatness and BMC was partially mediated by the adolescents' ASMI (29.7%, indirect effect: B= −0.048, 95%CI −0.077 to −0.022), being higher in girls than in boys (32.9 vs. 29.2%). Besides, the mediation effect was higher in adolescents with normal body weight than with overweight-obese (37.6 vs 23.9%, respectively).ConclusionsThis finding highlighted the relevance of promoting healthy habits to reduce fatness and improve muscle mass in adolescents. Moreover, this highlights the central role of ASMI mediating the inverse association between fatness and BMC in female and male adolescents. Public health strategies should promote bone health in childhood, reducing the incidence of early osteopenia and osteoporosis.

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Accuracy of neck circumference for diagnosing overweight in six- and seven-year-old children

Cited by 10 publications

References 16 publications

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

Prediction of the incidence of colorectal cancer by routine laboratory tests and anthropometric measurements about metabolism

The inverse relationship between fatness and bone mineral content is mediated by the adolescent appendicular skeletal muscle mass index: The Cogni-Action Project

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