Efficacy of neck circumference to identify metabolic syndrome in 3–10 year-old European children: Results from IDEFICS study

Formisano, Annarita; Bammann, Karin; Fraterman, Arno; Hadjigeorgiou, C; Herrmann, Diana; Iacoviello, Licia; Mårild, Staffan; Moreno, LA; Nagy, P.; Bussche, Karen Van den; Veidebaum, Toomas; Lauria, Fabio; Siani, Alfonso

doi:10.1016/j.numecd.2016.02.012

Cited by 16 publications

(24 citation statements)

References 52 publications

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“…WC is the most frequently used measure, which may have some measuring limitations such as its relationship with mid expiratory movement and consumption of excess food (9,15,27,28,29). Recently, NC has been shown as a reliable and easy alternative tool to WC for determining upper body fat accumulation and distribution (11,12,13,17,18,19). The advantages of measuring NC compared with WC are better inter- and intra-observer reliability, relative stability which is less affected by respiration and clothing (11,30).…”

Section: Discussionmentioning

confidence: 99%

“…Formisano et al (18) later worked on these data and showed that cardiometabolic risk was associated with increased NC. We believe that this current study will be contributory to the importance of the role of NC measurements in young children by providing local reference data as well as by comparing these references with the most recent and reliable studies in Europe.…”

Section: Discussionmentioning

confidence: 99%

“…Since upper body adiposity is considered to be a significant determinant of cardiometabolic risk factors, it should be monitored rather than assessing total body fat content. Recent studies have shown that neck circumference (NC) is one of the reliable and practical anthropometric measurements to assess upper body adiposity and consequently to assess cardiometabolic risk as a result of irregular fat distribution (9,10,11,12,13,14,15,16,17,18,19). …”

Section: Introductionmentioning

confidence: 99%

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Neck Circumference to Assess Obesity in Preschool Children

Kondolot¹,

Horoz²,

Poyrazoğlu³

et al. 2017

Jcrpe

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Objective:Limited information is available about the use of neck circumference (NC) to assess obesity in preschool children. This study aims to provide NC percentiles and determine the cut-off levels of NC as a measure to assess obesity in preschool children.Methods:The data were obtained from the Anthropometry of Turkish Children aged 0-6 years (ATCA-06) study database. A total of 21 family health centers were chosen and children aged 2-6 years old from all socioeconomic levels were randomly selected from the lists of district midwives; 1766 children (874 male and 892 female; 88.3% of sample size) were included in the study. The smoothed centile curves of NC were constructed by the LMS method. Receiver operating characteristic (ROC) analysis was performed to calculate cut-off points for NC using body mass index ≥95th percentile.Results:Mean NC was greater in males than females. Cut-off values for obesity were found to be statistically significant in both genders other than 3 years old boys. The NC percentiles of Turkish preschool children were slightly greater than those of other European preschool children in both genders. This difference disappeared around the adiposity rebound period. The 97th percentile values for Turkish preschool children continue to be greater in both genders.Conclusion:NC may be useful to define obesity in preschool children. Since ethnic and various other factors may have a role in incidence of obesity, local reference data are important in assessment of obesity.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Neck Circumference to Assess Obesity in Preschool Children

Kondolot¹,

Horoz²,

Poyrazoğlu³

et al. 2017

Jcrpe

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“…Across these studies, NC correlated with other anthropometric parameters (e.g. WC and BMI), as well as single and clustered cardiometabolic risk factors, and performed well as a tool to identify those with, or at risk of, metabolic syndrome (Stabe et al 2013;Formisano et al 2016;Mastroeni et al 2019;Alzeidan et al 2019;Gomez-Arbelaez et al 2016).…”

Section: Introductionmentioning

confidence: 94%

“…There is good evidence that measures including waist circumference (WC), waist-tohip ratio (WHR), and waist-to-height ratio (WHtR) fulfill these criteria in both adults (Yusuf et al 2005) and children (Savva et al 2000), although see Sardinha et al (2016) and Li et al (2020). Neck circumference (NC) has also received wide interest as a proxy for upper body FM depots, with studies conducted in children, adolescents, and adults in a range of populations (Nafiu et al 2010;Stabe et al 2013;Katz et al 2014;Formisano et al 2016;Castro-Piñero et al 2017;Alzeidan et al 2019;Mastroeni et al 2019). Across these studies, NC correlated with other anthropometric parameters (e.g.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of neck circumference as a predictor of elevated cardiometabolic risk outcomes in 5–8-year-old Brazilian children

Shirley

Pereira-Freire

Frota

et al. 2020

Child and Adolescent Obesity

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Background: Childhood overweight and obesity is a global health problem that continues to worsen in many low-and middle-income countries. Low-cost measurements for monitoring overweight and relative metabolic risk, such as neck circumference (NC), should be evaluated in different populations and age groups. Aim: To test associations of NC and BMI with cardiometabolic parameters in 5-8-year-old Brazilian children. Methods: This cross-sectional study carried out from 2004-2006 measured height, weight and NC by anthropometry, and estimated fat and fat-free mass by bioelectrical impedance. Cardiometabolic risk factors assessed were systolic and diastolic blood pressure, high-and low-density lipoprotein cholesterol, triglycerides, and homeostatic model assessment of insulin resistance (HOMA). Associations of NC and BMI with cardiometabolic risk factors were tested using multiple regression and precision-recall plot analysis. Results: Analyses included 371 children (52% female). NC associated positively with BMI, fat mass, and fat-free mass, and with systolic blood pressure and HOMA following adjustment for age in sex-stratified multiple regression models. However, the latter relationships largely disappeared following adjustment for BMI. Area under the curve for NC or BMI in association with systolic blood pressure or HOMA >90 th percentile was low in the pooled sample, indicating poor classifier performance.

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