Neck circumference associated with arterial blood pressures and hypertension: A cross-sectional community-based study in northern Han Chinese

Fan, Shujun; Yang, Bo‐Yi; Zhi, Xueyuan; He, Jing; Ma, Ping; Yu, Luyang; Zheng, Qi; Sun, Guifan

doi:10.1038/s41598-017-02879-7

Cited by 22 publications

(30 citation statements)

References 37 publications

(36 reference statements)

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“…On the contrary, some studies suggest that overall adiposity may be more important than central adiposity for blood pressure; suggesting that the predictors for blood pressure may be somewhat different from those for IABPD. Also, NC is highly correlated with obstructive sleep apnea syndrome, a well‐known cardiovascular risk factor . NC showed the strongest association with IAS and IAD.…”

Section: Discussionmentioning

confidence: 96%

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Longitudinal association between adiposity and inter‐arm blood pressure difference

Muñoz‐Torres

Andriankaja

Ruíz

et al. 2019

J of Clinical Hypertension

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This is the first longitudinal study evaluating whether adiposity is associated with inter‐arm blood pressure difference. We evaluated 714 overweight/obese individuals aged 40‐65 years over a 3‐year follow‐up. Systolic and diastolic blood pressures were measured in both arms simultaneously using an automated machine. Linear regression assessed the associations of body mass index, fat %, waist, neck, thigh, and arm circumferences (cm), with absolute inter‐arm differences in systolic (IAS) and diastolic (IAD) blood pressure (mm Hg). Poisson regression was used for binary outcomes (IAS and IAD ≥ 10 mm Hg). All models were adjusted for age, gender, smoking, physical activity, and HOMA‐IR. Adiposity measures were associated with increased IAS and IAD (β range: 0.09‐0.20 and 0.09‐0.30). Neck circumference showed the strongest association with IAS (β = 0.20, 95% CI: 0.03, 0.37) and IAD (β = 0.30, 95% CI: 0.12, 0.47); arm circumference showed a similar association with IAS, but lower with IAD. Highest quartiles of BMI, thigh, and arm showed significant associations with IAS (IRR: 2.21, 2.46 and 2.70). Highest quartiles of BMI, waist, neck, and arm circumferences were significantly associated with IAD (IRR: 2.38, 2.68, 4.50 and 2.24). If the associations are corroborated in other populations, adiposity may be an important modifiable risk factor for inter‐arm blood pressure difference with a large potential public health impact.

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Section: Discussionmentioning

confidence: 96%

“…Also, NC is highly correlated with obstructive sleep apnea syndrome, a well-known cardiovascular risk factor. 37 NC showed the strongest association with IAS and IAD. This is in concordance with our previous study reporting that NC might be a better predictor of cardio-metabolic risk.…”

Section: Explanation and Comparison With Other Studiesmentioning

confidence: 89%

Longitudinal association between adiposity and inter‐arm blood pressure difference

Muñoz‐Torres

Andriankaja

Ruíz

et al. 2019

J of Clinical Hypertension

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“…Beside anthropometric indices, other factors may influence the NC values such as blood parameters of the children. For example, high blood pressure was reported to be associated with high NC but not with BMI, WC and WHR (Fan et al, 2017) Therefore, it is recommended that NC can be used as a tool to assess the risk of hypertension among children which, however, did not determine in the current study.…”

Section: Ijphcsmentioning

confidence: 62%

Assessment of Neck Circumference in a Sample of Primary School Children

Nurul-Ain¹,

Syafinaz²,

Hakimah³

et al. 2018

IJPHCS

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Background: Neck circumference (NC) is one of the proposed assessments for child obesity, but limited information is available for Malaysian children. This study assessed NC and its relationship with anthropometric indices in a sample of primary school children. Materials and Methods: This cross-sectional study recruited 758 children aged 7-10 years old from a selected primary school in Serdang, Selangor. Anthropometric indices included assessments of height, weight, waist circumference (WC) and NC. Body mass index (BMI) was calculated which was then used to determine BMI-forage Z-score based on the WHO Child Growth Standard. Results: Their mean age of the children were 8.2±1.1 years old, mainly boys (54.6%) and Malays/Bumiputera (91.0%). The prevalence of overweight and obesity were 8.3% and 3.8% respectively, lower than the thinness (16.6%). The mean NC was 27.8±2.5cm with no differences between boys and girls. There was a significant difference between BMI and NC in which thinness (25.7±1.3cm) and normal weight (27.6±1.9cm) children had significantly lower NC as compared to overweight (31.6±1.8cm) and obese (32.5±2.5cm) children (p< 0. 001). However, no different in NC between overweight and obese children. NC was also significantly higher in children with WC of more than 90 th percentiles as compared to those less (31.5±2.2 vs 27.2±1.8 cm) (p< 0. 001). NC was positively correlated with BMI-forage (r = 0.781), BMI-forage Z-score (r= 0.762), WC (r= 0.755), body weight (r= 0.752), height (r= 0.430) and age (r= 0.117) (p< 0. 001). There were a significant relationship of BMI and WC with NC (Adjusted R2 = 0.625, F (2, 753) = 630.9 p < 0.000). Conclusion: NC was significantly related to excess weight and adiposity. The results suggest that NC assessments can potentially be used to assess child obesity.

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“…Furthermore, despite the fact of the study population been composed predominantly of women (n = 88), both women and man presented similar proportions of the number of individuals with association of PWV with some anthropometric or body composition measurements, such as body mass index (BMI), waist circumference (WC), waist-hip ratio, among others [25][26][27][28][29], as well as with cardiovascular risk factors in different populations [28][29][30][31][32][33]. However, the associations of PWV status with NC measurements has not been systematically explored, despite the fact that they are both tools which help to identify the chances of cardiovascular events and potentially predict worst outcomes [17,31,32,34]. Moreover, NC and PWV measurements have other important features in common, such as good reproducibility and accuracy, especially when compared to other methods [6,8,13,14,28].…”

Section: Resultsmentioning

confidence: 99%

Correlation between Neck Circumference and Pulse Wave Velocity: A Population-based Study

Bessa¹,

Cruz²,

Lima³

et al. 2020

Artery Res

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Background Cardiovascular diseases are the main cause of death worldwide. In this setting, Neck Circumference (NC) and Pulse Wave Velocity (PWV) are simple and valuable tools for an early evaluation of cardiovascular risk through the assessment of upper body obesity and arterial stiffness. However, the associations between both measurements have not been systematically explored. Methods A population-based cross-sectional study representative of a neighborhood of Salvador-BA, Brazil. Data were collected between December 2016 and May 2019, and comprise 130 individuals for the present study. Variables such as age, sex, education levels and NC were analyzed to verify their associations with PWV status. Correlations between PWV and NC were performed to further depict their association. Results There was a predominance of patients with elevated PWV. The subgroup of patients aged 60 years or older presented the largest proportion of PWV alterations over normal results. There was a majority of women in the study population and sex could not determine PWV status. There was a predominance of concomitant elevation of NC and PWV in the studied population. NC measurements could distinguish PWV status from women and the study population. NC and PWV had a positive and statistically significant correlation for women and for the general population. Conclusion These findings suggest a possible association between upper body obesity and vascular homeostasis impairment. Therefore, screening patients with both measurements could prove relevant to better identify subclinical vascular perturbations and further delimitate prognosis related to cardiovascular events potentially associated with them.

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Neck circumference associated with arterial blood pressures and hypertension: A cross-sectional community-based study in northern Han Chinese

Cited by 22 publications

References 37 publications

Longitudinal association between adiposity and inter‐arm blood pressure difference

Longitudinal association between adiposity and inter‐arm blood pressure difference

Assessment of Neck Circumference in a Sample of Primary School Children

Correlation between Neck Circumference and Pulse Wave Velocity: A Population-based Study

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