Diagnostic performance of neck circumference to identify overweight and obesity as defined by body mass index in children and adolescents: systematic review and meta-analysis

Ma, Chunxiao; Wang, Rui; Liu, Yue; Lu, Qiang; Liu, Xiaoli; Yin, Fei

doi:10.1080/03014460.2016.1224387

Cited by 22 publications

(18 citation statements)

References 31 publications

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“…The performance of a neck circumference to predict moderate/high CVRs could be explained as the neck circumference is a good predictor of obesity, at least in adolescents 37 38. However, our results were controlled by obesity and the association between cardiometabolic risk factors and neck circumference seems to be independent of the association between cardiometabolic risk factors and BMI and visceral fat, but synergistic with the latter 30…”

Section: Discussionmentioning

confidence: 58%

“…For example, to predict metabolic syndrome in the Brazilian population the values used were 39.6 cm for men and 36.1 cm for women39 and for the Chinese population of 65 years old and over were 38 cm for men and 35 cm for women 40. There is evidence about a lack of consistency between neck circumference cut-off points in pooled analyses,38 so it is recommendable to use local values. In this study, the cut-off points were based on the best sensitivity and specificity of neck circumference to predict moderate/high CVR in both genders.…”

Section: Discussionmentioning

confidence: 99%

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Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population

Caro

Guerra²,

Canals

et al. 2019

BMJ Open

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ObjectivesNeck circumference has emerged as a predictor of obesity and metabolic syndrome, but its clinical usefulness for different groups of population is not clearly defined. The aim is to evaluate the predictive capacity of neck circumference in order to detect cardiovascular risks (CVRs) on the Chilean population and to compare it with waist circumference performance.DesignCross-sectional study.SettingGeneral Chilean population.ParticipantsData of 4607 adults aged 18 and over from the Chilean National Health Survey 2009–2010 were analysed.Primary and secondary outcome measuresAnthropometrics measures included neck and waist circumference, height and weight. CVR was identified according to the Framingham tables adapted for the Chilean population. Receiver operating characteristics curves and logistic regression models were made to evaluate the performance of neck circumference to predict a moderate/high CVR, comparing it to waist circumference.ResultsAlmost 10% of the sample had a moderate or high CVR. The probability of having a moderate/high cardiovascular risk increase with cervical obesity (OR 1.95, 95% CI 1.04 to 3.68) and central obesity (OR 4.5, 95% CI 2.47 to 8.22). The area under the curves were high for cervical obesity (AUC 81.4%, 95% CI 78.8% to 84.0%) and central obesity (AUC 82.2%, 95% CI 79.7% to 84.7%) and not statistically different (p=0.152).ConclusionsNeck obesity has a high capacity to predict moderate/high CVR in the Chilean population. Its good performance appears as an opportunity to use it in clinical practice when waist circumference measurement is difficult to measure and eventually replace the waist circumference measurement as the technique is easier.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population

Caro

Guerra²,

Canals

et al. 2019

BMJ Open

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“…Despite tracking a lower percentage of overweight and obesity, NC has a greater capacity to identify risks of diseases resulting from obesity, such as hypertension, 29 dyslipidemia, insulin resistance and other metabolic complications. 30 Its predictive ability is explained by the power to identify the distribution of body fat. In children and adolescents, the distribution of fat is more harmful to health than just excess fat.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of overweight in adolescents from a Southern Brazilian city according to different anthropometric indexes

Folmann

Wolf

Roman

et al. 2021

Rev. paul. pediatr.

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Objective: To identify the prevalence of overweight in adolescents according to different classification criteria for obesity and somatic maturation stages. Methods: Cross-sectional study in 10 schools in a city from Southern Brazil, with 1715 adolescents. Height, weight, waist circumference, and neck circumference (NC) data were collected. Body Mass Index was classified according to World Health Organization (WHO) and Centers for Disease Control and Prevention criteria, and the waist-to-height ratio (WHtR) was classified according to Brazilian and European cut-off points. Somatic maturation was obtained through the Peak Height Velocity. The prevalence data were compared between sex and stages of somatic maturation; the concordance between different criteria was verified. Results: The prevalence of overweight was high in both sexes; WHO criteria showed that 34.5% of boys and 29.3% of girls were overweight. For the WHtR, the prevalence was 28.4% in boys and 23.7% in girls. NC classified 13.8% of boys and 15.8% of girls as being overweight. The prevalence of overweight was higher in adolescents before complete somatic maturation. Conclusions: The prevalence of overweight was high among adolescents. The boys presented higher frequency of overweight, except if NC was used to classify them. Adolescents before somatic maturation had a higher prevalence of overweight. NC showed a lower ability to track obese adolescents.

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“…It has also been shown as a tool associated with central obesity [ 6 ], hypertension and other components of metabolic syndrome (MetS) [ 7 ]. A recent meta-analysis from six studies in children and adolescents showed that NC was moderately associated with BMI [ 8 ]. To our knowledge, there has been no meta-analysis on sensitivity (SE) and specificity (SP) of NC to identify cardiometabolic risk factors, so far.…”

Section: Introductionmentioning

confidence: 99%

Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

Ataie‐Jafari

Namazi

Djalalinia

et al. 2018

Diabetol Metab Syndr

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BackgroundRecently, neck circumference (NC) has been used to predict the risk of cardiometabolic factors. This study aimed to perform a systematic review and meta-analysis to examine: (i) the sensitivity (SE) and specificity (SP) of NC to predict cardiometabolic risk factors and (ii) the association between NC and the risk of cardiometabolic parameters.MethodsA systematic search was conducted through PubMed/Medline, Institute of Scientific Information, and Scopus, until 2017 based on the search terms of metabolic syndrome (MetS) and cardio metabolic risk factors. Random-effect model was used to perform a meta-analysis and estimate the pooled SE, SP and correlation coefficient (CC).ResultsA total of 41 full texts were selected for systematic review. The pooled SE of greater NC to predict MetS was 65% (95% CI 58, 72) and 77% (95% CI 55, 99) in adult and children, respectively. Additionally, the pooled SP was 66% (95% CI 60, 72) and 66% (95% CI 48, 84) in adult and children, respectively. According to the results of meta-analysis in adults, NC had a positive and significant correlation with fasting blood sugar (FBS) (CC: 0.16, 95% CI 0.13, 0.20), HOMA-IR (0.38, 95% CI 0.25, 0.50), total cholesterol (TC) (0.07 95% CI 0.02, 0.12), triglyceride (TG) concentrations (0.23, 95% CI 0.19, 0.28) and low density lipoprotein cholesterol (LDL-C) (0.14, 95% CI 0.07, 0.22). Among children, NC was positively associated with FBS (CC: 0.12, 95% CI 0.07, 0.16), TG (CC: 0.21, 95% CI 0.17, 0.25), and TC concentrations (CC: 0.07, 95% CI 0.02, 0.12). However, it was not significant for LDL-C.ConclusionNC has a good predictive value to identify some cardiometabolic risk factors. There was a positive association between high NC and most cardiometabolic risk factors. However due to high heterogeneity, findings should be declared with caution.Electronic supplementary materialThe online version of this article (10.1186/s13098-018-0373-y) contains supplementary material, which is available to authorized users.

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Diagnostic performance of neck circumference to identify overweight and obesity as defined by body mass index in children and adolescents: systematic review and meta-analysis

Abstract: The NC had moderate diagnostic accuracy for identifying overweight and obesity in children and adolescents.

Cited by 22 publications

References 31 publications

Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population

Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population

Prevalence of overweight in adolescents from a Southern Brazilian city according to different anthropometric indexes

Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

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