Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

Joshipura, Kaumudi; Muñoz‐Torres, Francisco J.; Vergara, José L.; Palacios, Cristina; Pérez, Cynthia M.

doi:10.1155/2016/6058916

Cited by 126 publications

(144 citation statements)

References 40 publications

(42 reference statements)

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“…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 . Fat % has not been evaluated in previous studies and we found a significant association with continuous IAS, a significant trend for IAD, but no significant associations were seen between extreme quartiles of fat % and high IABPD.…”

Section: Discussionsupporting

confidence: 92%

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: Discussionsupporting

confidence: 92%

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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“…Although these studies carried in different populations (including young adults, elderly people, and population of overweight or obesity), the results were coincident. Our findings were in agreement with these studies (Joshipura et al., ; Li et al., ; Yan et al., ), in which showed NC was associated with overweight or obesity. It was conferred that NC might be a useful tool for identifying Mets and obesity.…”

Section: Discussionsupporting

confidence: 94%

“…Another cross‐sectional survey of population‐based data among 2,092 cases of elderly Chinese (Yan et al., ) showed that NC was strongly associated with BMI and WC, and NC was significantly independent indicators for obesity. Joshipura, Munoz‐Torres, Vergara, Palacios, & Perez () investigated 1,206 participants of overweight or obesity aged from 40 to 65 years and found the highest (compared to the lowest) tertile had a higher association with Mets. Although these studies carried in different populations (including young adults, elderly people, and population of overweight or obesity), the results were coincident.…”

Section: Discussionmentioning

confidence: 99%

Association of neck circumference and cognitive impairment among Chinese elderly

Chen

Jiang

et al. 2018

Brain and Behavior

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ObjectivesTo investigate the association between neck circumference (NC) and cognitive impairment and interactions between relevant variables to the risk of cognitive impairment.MethodsA population‐based survey was conducted among elderly inhabitants aged 60 years and over from a community in Shanghai suburb. Multivariate logistic regression analyses were performed to evaluate associations and log likelihood ratio tests to examine interactions.ResultsCognitive impairment was identified in 269 (10.8%) subjects from 2,500 participants. Higher BMI (OR = 1.55; 95% CI = 1.11–2.16), higher WHR (OR = 1.44; 95% CI = 1.07–1.95), and higher total cholesterol (TC) (OR = 1.52; 95% CI = 1.09–2.13) were significantly associated with the increased risk of cognitive impairment. Significant interactions were observed between TC and a few other relevant variables, respectively.Conclusions NC was associated with the high risk of cognitive impairment. Additive effects of NC with TC on cognitive impairment were observed.

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“…Due to cultural factors, the measurement of hip or WC may be difficult in certain situations [26]. Measurement of NC may be more useful in morbidly obese people, bedridden patients, and pregnant women [27].…”

Section: Discussionmentioning

confidence: 99%

Neck Circumference as an Indicator of Obesity in Young Adults

Vinodhini

Ganesan

2018

Asian J Pharm Clin Res

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Objective: Neck circumference (NC) is considered to be an indicator of upper-body subcutaneous adipose tissue distribution. An upper body distribution of fat, especially with increased visceral adipose tissue, is considered to be predictive of cardiometabolic outcomes. Therefore, in this study, we have studied the relationship between NC and the conventional marker of obesity, namely, body mass index (BMI) and also the triglyceride levels in a group of young adults.Methods: There were 60 participants in this study in the age group of 18-42 years of both genders with no known major medical conditions (viz., diabetes, coronary artery disease, hypertension, thyroid diseases, or malignancy) NC was measured at mid-neck height. The analysis of serum triglycerides was carried out after an overnight fast using Beckman Coulter autoanalyzer.Results: A significantly positive correlation was found between NC and BMI (r=0.8154, p<0.0001). A positive correlation was found between NC and triglyceride levels (r=0.0316, p=0.9934).Measurement of NC may be more useful in morbidly obese people, bedridden patients, and pregnant women. NC is found to have a positive correlation with insulin resistance and various components of the metabolic syndrome.Conclusion: NC can be considered as a simple, useful, and reliable tool to identify overweight and obesity. This can be used as an alternative method to assess the fat distribution in health-care centers and also in population studies.

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Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures

Cited by 126 publications

References 40 publications

Longitudinal association between adiposity and inter‐arm blood pressure difference

Longitudinal association between adiposity and inter‐arm blood pressure difference

Association of neck circumference and cognitive impairment among Chinese elderly

Neck Circumference as an Indicator of Obesity in Young Adults

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