Neck circumference, a bedside clinical feature related to mortality of acute ischemic stroke

Medeiros, Caroline Addison Carvalho Xavier de; Bruin, Veralice Meireles Sales de; Castro-Silva, Claudia de; Araújo, Sônia Maria Holanda Almeida; Chaves, Cauby Maia; Bruin, Pedro Felipe Carvalhedo de

doi:10.1590/s0104-42302011000500015

Cited by 27 publications

(8 citation statements)

References 30 publications

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“…When we defined obesity as BMI above 25, obese patients had much higher value of NC, suggesting the relation of obesity with neck circumference (data not shown). NC, one clinical characteristics related to higher mortality of acute ischemic stroke, has been shown to be an independent predictor of coronary artery disease 29,30. NC was identified in our study as a significant clinical characteristic by multivariate regression analysis and was associated with the presence of hypertension in moderate to severe OSA patients.…”

Section: Discussionsupporting

confidence: 53%

“…NC was identified in our study as a significant clinical characteristic by multivariate regression analysis and was associated with the presence of hypertension in moderate to severe OSA patients. In recent studies, rostral fluid displacement in hypertensive patients has been linked to OSA by contributing to the narrowing of the upper airway,31,32 and NC could be increased by this fluid shift from the lower body 22,29,30,33,34. This result suggests that NC should not be overlooked in evaluating OSA patients.…”

Section: Discussionmentioning

confidence: 95%

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Neck Circumference and Lowest Oxygen Saturation Are Independently Associated with High Coexistence of Hypertension in Obstructive Sleep Apnea

et al. 2014

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PurposeObstructive sleep apnea (OSA) is considered an independent risk factor for hypertension. However, it is still not clear which clinical factors are related with the presence of hypertension in OSA patients. We aimed to find different physical features and compare the sleep study results which are associated with the occurrence of hypertension in OSA patients.Materials and MethodsMedical records were retrospectively reviewed for patients diagnosed with OSA at Severance Cardiovascular Hospital between 2010 and 2013. Males with moderate to severe OSA patients were enrolled in this study. Clinical and polysomnographic features were evaluated to assess clinical variables that are significantly associated with hypertension by statistical analysis.ResultsAmong men with moderate to severe OSA, age was negatively correlated with hypertension (odds ratio=0.956), while neck circumference was positively correlated with the presence of hypertension (odds ratio=1.363). Among the polysomnographic results, the lowest O2 saturation during sleep was significantly associated with the presence of hypertension (odds ratio=0.900).ConclusionAge and neck circumference should be considered as clinically significant features, and the lowest blood O2 saturation during sleep should be emphasized in predicting the coexistence or development of hypertension in OSA patients.

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Section: Discussionsupporting

confidence: 53%

Section: Discussionmentioning

confidence: 95%

Neck Circumference and Lowest Oxygen Saturation Are Independently Associated with High Coexistence of Hypertension in Obstructive Sleep Apnea

et al. 2014

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“…[ 10 , 14 , 26 – 30 ] Several recent studies demonstrated that NC was a significant risk factor for type 2 diabetes, cardiovascular diseases, and ischemic stroke. [ 31 ] In addition, a cross-sectional association between NC and eGFR was found in a group of patients with or without CKD, suggesting a possible pathogenic role of upper-body subcutaneous fat in the development of renal dysfunction. [ 29 ] In the present study, we showed that NC was a significant predictor of incident CKD in a longitudinal analysis of subjects who did not have CKD at baseline, which was consistent with the results of a previous study.…”

Section: Discussionmentioning

confidence: 99%

Neck circumference predicts renal function decline in overweight women

et al. 2016

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“…In a follow-up study involving acute ischemic stroke patients who have a 1-year total mortality of 8.9%, the author discovered that aging and larger neck circumference were more frequent findings among the dead, but not obesity. Therefore, NC is a critical clinical warning factor for fatal outcomes in acute ischemic stroke [ 25 ]. Insulin resistance, related with NC, causes arterial stiffness, which in turn has an impact on CKD and even nondiabetic CKD.…”

Section: Discussionmentioning

confidence: 99%

Neck Circumference as a Predictive Indicator of CKD for High Cardiovascular Risk Patients

Liu

Chang

Lin

et al. 2015

BioMed Research International

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Background. Neck circumference (NC) is an anthropometric measure of obesity for upper subcutaneous adipose tissue distribution which is associated with cardiometabolic risk. This study investigated whether NC is associated with indicators of chronic kidney disease (CKD) for high cardiometabolic risk patients. Methods. A total of 177 consecutive patients who underwent the outpatient departments of cardiology were prospectively enrolled in the study. The patients were aged >20 years with normal renal function or with stages 1–4 CKD. A linear regression was performed using the Enter method to present an unadjusted R 2, standardized coefficients, and standard error, and the Durbin-Watson test was used to assess residual independence. Results. Most anthropometric measurements from patients aged ≧65 were lower than those from patients aged <65, except for women's waist circumference (WC) and waist hip ratio. Female NC obtained the highest R 2 values for 24 hr CCR, uric acid, microalbuminuria, hsCRP, triglycerides, and HDL compared to BMI, WC, and hip circumference. The significances of female NC with 24 hr CCR and uric acid were improved after adjusted age and serum creatinine. Conclusions. NC is associated with indicators of CKD for high cardiometabolic risk patients and can be routinely measured as easy as WC in the future.

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Neck circumference, a bedside clinical feature related to mortality of acute ischemic stroke

Cited by 27 publications

References 30 publications

Neck Circumference and Lowest Oxygen Saturation Are Independently Associated with High Coexistence of Hypertension in Obstructive Sleep Apnea

Neck Circumference and Lowest Oxygen Saturation Are Independently Associated with High Coexistence of Hypertension in Obstructive Sleep Apnea

Neck circumference predicts renal function decline in overweight women

Neck Circumference as a Predictive Indicator of CKD for High Cardiovascular Risk Patients

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