Cutoffs and Cardiovascular Risk Factors Associated with Neck Circumference Among Community-dwelling Elderly Adults: a Cross-sectional Study

Overview

Journal Sao Paulo Med J

Specialty General Medicine

Date 2017 Jan 12

PMID 28076630

Citations 11

Authors

Helio Jose Coelho Junior

Ricardo Aurelio Carvalho Sampaio

Ivan de Oliveira Goncalvez

Samuel da Silva Aguiar

Rafael Palmeira

Jose Fernando de Oliveira

Ricardo Yukio Asano

Priscila Yukari Sewo Sampaio

Marco Carlos Uchida

Affiliations

Soon will be listed here.

Abstract

Context And Objective:: In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people.

Design And Setting:: Cross-sectional study conducted in two community centers for elderly people.

Methods:: 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying overweight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference.

Results:: Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women.

Conclusion:: The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.

Citing Articles

Neck Circumference Cut-Off Points for Identifying Adiposity: Association with Chronic Metabolic Diseases in Older People.

Diaz D, Lera L, Marquez C, Valenzuela A, Saguez R, Weisstaub G J Pers Med. 2024; 14(7).

PMID: 39063965 PMC: 11278275. DOI: 10.3390/jpm14070710.

Anthropometry and blood biomarkers of diabetes and their possible association with obesity and metabolic syndrome.

Verma S, Tiwari R, Verma N, Singh S, Sharma A J Diabetes Metab Disord. 2024; 23(1):509-517.

PMID: 38932840 PMC: 11196461. DOI: 10.1007/s40200-023-01276-4.

Anthropometric indexes for predicting high blood pressure in Turkish adults.

Aksoy Canyolu B, Sen N, Ozben Sadic B J Family Med Prim Care. 2024; 12(11):2848-2854.

PMID: 38186827 PMC: 10771201. DOI: 10.4103/jfmpc.jfmpc_460_23.

Obstructive sleep apnea and hypertension-mediated organ damage in nonresistant and resistant hypertension.

Cabrini M, Macedo T, Castro E, de Barros S, Azam I, Pio-Abreu A Hypertens Res. 2023; 46(8):2033-2043.

PMID: 37264121 DOI: 10.1038/s41440-023-01320-z.

Neck Circumference Cut-Off for Obesity and Metabolic Syndrome in Nigeria.

Raimi T, Dele-Ojo B, Dada S, Ajayi D Ethn Dis. 2021; 31(4):501-508.

PMID: 34720553 PMC: 8545477. DOI: 10.18865/ed.31.4.501.

References

Junior H, da Silva Aguiar S, de Oliveira Goncalves I, Sampaio R, Uchida M, Moraes M . Sarcopenia Is Associated with High Pulse Pressure in Older Women. J Aging Res. 2015; 2015:109824. PMC: 4541009. DOI: 10.1155/2015/109824. View

Cuckson A, Reinders A, Shabeeh H, Shennan A . Validation of the Microlife BP 3BTO-A oscillometric blood pressure monitoring device according to a modified British Hypertension Society protocol. Blood Press Monit. 2002; 7(6):319-24. DOI: 10.1097/00126097-200212000-00005. View

Hatipoglu N, Mazicioglu M, Kurtoglu S, Kendirci M . Neck circumference: an additional tool of screening overweight and obesity in childhood. Eur J Pediatr. 2009; 169(6):733-9. DOI: 10.1007/s00431-009-1104-z. View

Ben-Noun L, SOHAR E, Laor A . Neck circumference as a simple screening measure for identifying overweight and obese patients. Obes Res. 2001; 9(8):470-7. DOI: 10.1038/oby.2001.61. View

Jamar G, Pisani L, Oyama L, Belote C, Masquio D, Furuya V . Is the neck circumference an emergent predictor for inflammatory status in obese adults?. Int J Clin Pract. 2013; 67(3):217-24. DOI: 10.1111/ijcp.12041. View

Nafiu O, Burke C, Lee J, Voepel-Lewis T, Malviya S, Tremper K . Neck circumference as a screening measure for identifying children with high body mass index. Pediatrics. 2010; 126(2):e306-10. DOI: 10.1542/peds.2010-0242. View

Nafiu O, Burke C, Gupta R, Christensen R, Reynolds P, Malviya S . Association of neck circumference with perioperative adverse respiratory events in children. Pediatrics. 2011; 127(5):e1198-205. DOI: 10.1542/peds.2010-2471. View

Corona L, Brito T, Pires Nunes D, Alexandre T, Santos J, de Oliveira Duarte Y . Nutritional status and risk for disability in instrumental activities of daily living in older Brazilians. Public Health Nutr. 2012; 17(2):390-5. PMC: 10282404. DOI: 10.1017/S1368980012005319. View

Go A, Mozaffarian D, Roger V, Benjamin E, Berry J, Blaha M . Executive summary: heart disease and stroke statistics--2014 update: a report from the American Heart Association. Circulation. 2014; 129(3):399-410. DOI: 10.1161/01.cir.0000442015.53336.12. View

10.

Jensen M . Gender differences in regional fatty acid metabolism before and after meal ingestion. J Clin Invest. 1995; 96(5):2297-303. PMC: 185880. DOI: 10.1172/JCI118285. View

11.

Lou D, Yin F, Wang R, Ma C, Liu X, Lu Q . Neck circumference is an accurate and simple index for evaluating overweight and obesity in Han children. Ann Hum Biol. 2012; 39(2):161-5. DOI: 10.3109/03014460.2012.660990. View

12.

Baena C, Lotufo P, Fonseca M, Santos I, Goulart A, Bensenor I . Neck Circumference Is Independently Associated with Cardiometabolic Risk Factors: Cross-Sectional Analysis from ELSA-Brasil. Metab Syndr Relat Disord. 2016; 14(3):145-53. DOI: 10.1089/met.2015.0083. View

13.

Raitakari O, Juonala M, Viikari J . Obesity in childhood and vascular changes in adulthood: insights into the Cardiovascular Risk in Young Finns Study. Int J Obes (Lond). 2005; 29 Suppl 2:S101-4. DOI: 10.1038/sj.ijo.0803085. View

14.

Dixon J . The effect of obesity on health outcomes. Mol Cell Endocrinol. 2009; 316(2):104-8. DOI: 10.1016/j.mce.2009.07.008. View

15.

Preis S, Massaro J, Hoffmann U, DAgostino Sr R, Levy D, Robins S . Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab. 2010; 95(8):3701-10. PMC: 2913042. DOI: 10.1210/jc.2009-1779. View

16.

Kelly T, Yang W, Chen C, Reynolds K, He J . Global burden of obesity in 2005 and projections to 2030. Int J Obes (Lond). 2008; 32(9):1431-7. DOI: 10.1038/ijo.2008.102. View

17.

Stabe C, Vasques A, Lima M, Tambascia M, Pareja J, Yamanaka A . Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results from the Brazilian Metabolic Syndrome Study. Clin Endocrinol (Oxf). 2012; 78(6):874-81. DOI: 10.1111/j.1365-2265.2012.04487.x. View

18.

Chobanian A, Bakris G, Black H, Cushman W, Green L, Izzo Jr J . The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA. 2003; 289(19):2560-72. DOI: 10.1001/jama.289.19.2560. View

19.

Baena C, Lotufo P, Santos I, Goulart A, Bittencourt M, Duncan B . Neck circumference is associated with carotid intimal-media thickness but not with coronary artery calcium: Results from The ELSA-Brasil. Nutr Metab Cardiovasc Dis. 2016; 26(3):216-22. DOI: 10.1016/j.numecd.2016.01.004. View

20.

Sakuma K, Yamaguchi A . Sarcopenic obesity and endocrinal adaptation with age. Int J Endocrinol. 2013; 2013:204164. PMC: 3639625. DOI: 10.1155/2013/204164. View