Considerations when Using Neck Circumference as a Screening Tool

Al‐Mendalawi, Mahmood Dhahir

doi:10.5001/omj.2016.80

Cited by 2 publications

(4 citation statements)

References 6 publications

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“…NC is an inexpensive and non-invasive anthropometric indicator, as it is the case with BMI or WC. Once standard procedures to measure NC and standard thresholds to define high NC are defined, NC could be implemented in large national surveys (e.g., DHS or WHO STEPS) to expand the arsenal of anthropometric indicators strongly associated with morbidity and mortality of cardio-metabolic diseases 7 – 10 .…”

Section: Discussionmentioning

confidence: 99%

“…With evidence that NC appears to be a risk factor for many diseases (e.g. cardio-metabolic diseases and obstructive sleep apnea), in a similar magnitude as other anthropometric indicators 7 – 10 , it becomes relevant to understand the current status of NC so that it could be incorporated in population-based surveys or epidemiological studies.…”

Section: Introductionmentioning

confidence: 99%

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Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

López¹,

Landeo²,

Mercado³

et al. 2021

Wellcome Open Res

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Background: High neck circumference (NC) is associated with high burden diseases in Latin American and the Caribbean (LAC). NC complements established anthropometric measurements for early identification of cardio-metabolic and other illnesses. However, evidence about NC has not been systematically studied in LAC. We aimed to estimate the mean NC and the prevalence of high NC in LAC. Methods: We conducted a systematic review in MEDLINE, Embase, Global Health and LILACS. Search results were screened and studied by two reviewers independently. To assess risk of bias of individual studies, we used the Hoy et al. scale and the Newcastle-Ottawa scale. We conducted a random-effects meta-analysis. Results: In total, 182 abstracts were screened, 96 manuscripts were reviewed and 85 studies (n= 51,978) were summarized. From all the summarized studies, 14 were conducted in a sample of the general population, 23 were conducted with captive populations and 49 studies were conducted with patients. The pooled mean NC in the general population was 35.69 cm (95% IC: 34.85cm-36.53cm; I²: 99.6%). In our patient populations, the pooled mean NC in the obesity group was 42.56cm (95% CI 41.70cm-43.42cm; I²: 92.40%). Across all studied populations, there were several definitions of high NC; thus, prevalence estimates were not comparable. The prevalence of high NC ranged between 37.00% and 57.69% in the general population. The methodology to measure NC was not consistently reported. Conclusions: Mean NC in LAC appears to be in the range of estimates from other world regions. Inconsistent methods and definitions hamper cross-country comparisons and time trend analyses. There is a need for consistent and comparable definitions of NC so that it can be incorporated as a standard anthropometric indicator in surveys and epidemiological studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

López¹,

Landeo²,

Mercado³

et al. 2021

Wellcome Open Res

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“…In comparison to body mass index, NC could better distinguish between central and peripheral obesity; and in comparison to waist circumference, which is a good indicator for central obesity, NC will not change during the day, will not be biased by breathing or by postprandial distention. [6,7] NC raises as a novel anthropometric indicator strongly associated with several diseases. As it is the case with other anthropometric indicators, NC is also inexpensive and probably not troublesome to incorporate in epidemiological studies and population-based surveys; nevertheless, WC may have additional strengths over other anthropometric indicators regularly collected (e.g., body mass index).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“Average of neck circumference in Latin American adults: protocol for a systematic review and meta-analysis”

Espinoza

Landeo²,

Mercado

et al. 2020

Preprint

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Background Because these are inexpensive and (fairly) easy to conduct, anthropometric measurements have been widely used as risk factors for many diseases (e.g., cardiovascular or cancer). Recently, there have been several reports pinpointing the association between neck circumference and obstructive sleep apnea, cardiovascular and metabolic diseases. These conditions are highly prevalent Latin American and the Caribbean (LAC), where they carry a large disease and disability burden. Neck circumference arises as a potential complement of established anthropometric measurements, namely weight, height and waist/hip circumference. However, unlike these well-known measurements, evidence about neck circumference is scarce and has not been systematically collected in LAC. Objective To summarize the average neck circumference in LAC adults; and, exploratorily, to summarize the prevalence of large neck circumference (i.e., neck/cervical obesity). Methods Systematic review and meta-analysis. We will conduct a search in OVID (MEDLINE, Embase, Global Health) and LILACS. Search terms include those related to neck circumference, along with countries in LAC. We seek observational studies with a random sample of the general population, closed populations (e.g., workers), and patients; results will be presented for each of these groups. We will screen titles and abstracts; we will study in detail the selected papers. Both phases will be conducted by two reviewers independently. We will develop an extraction form to collate: country/year of data collection, methods of data collection, average neck circumference and, if available, prevalence of large neck circumference. Data extraction will be conducted by two reviewers independently. We will use the tool proposed by Hoy et al. and the Newcastle-Ottawa scale to assess the risk of bias. Conclusions This systematic review and meta-analysis will provide the average neck circumference in LAC adults. Currently, evidence about neck circumference in LAC has not been systematically studied, appraised or summarized. This work will provide information about this novel anthropometric measurement, and spark attention about its role as a potential anthropometric indicator and health risk factor.

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Considerations when Using Neck Circumference as a Screening Tool

Cited by 2 publications

References 6 publications

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

Neck circumference in Latin America and the Caribbean: A systematic review and meta-analysis

“Average of neck circumference in Latin American adults: protocol for a systematic review and meta-analysis”

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