First Trimester Neck Circumference as a Predictor for the Development of Gestational Diabetes Mellitus

Li, Ping; Lin, Shuo; Cui, Jinhui; Li, Ling; Zhou, Shuisheng; Fan, Jianhui

doi:10.1016/j.amjms.2017.09.012

Cited by 19 publications

(30 citation statements)

References 21 publications

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“…In contrast to the results of two previous studies on Chinese women [28,29] and a study on women from Pakistan [30], we found that the calculated cut-point of neck circumference, for predicting of gestational diabetes mellitus, was lower, with varying sensitivity and speci city values. A possible explanation for this discrepancy may be the sample size, the design of the study, and ethnicity.…”

Section: Discussioncontrasting

confidence: 99%

“…They concluded that neck circumference was an independent predictor of gestational diabetes mellitus. The probability of pregnancy risk was also reported at 1.29 using binary logistic regression [28]. In another study, He et al (2017) conducted a nested case-control study on 255 pregnant women (41 diabetic and 214 non-diabetics), aged 18-35, in China.…”

Section: Discussionmentioning

confidence: 99%

“…Gestational diabetes mellitus is presumably an oral glucose intolerance that is rst recognized at [24][25][26][27][28] weeks of gestation and can affect 1-14% of pregnancies in the world [1]. The prevalence of gestational diabetes mellitus among Iranian women was reported differently by different scholars.…”

Section: Introductionmentioning

confidence: 99%

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The Relationship Between Neck Circumference and Gestational Diabetes Mellitus in Iranian Pregnant Women

Barforoush

Ghadimi

Pahlevan

et al. 2020

Preprint

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Background It is widely assumed that gestational diabetes is one of the most important causes of fetal and maternal and complications, and the predictive factors for this observation are not fully understood. Neck circumference could be deemed as a predictive factor for gestational diabetes. Thus, the aim of present study was to assess the relationship between neck circumference and gestational diabetes.Methods The study was conducted on 372 Iranian pregnant women. The criteria set by the American Diabetes Association through a 2-hour was used to classify subjects with regard to gestational diabetes. At 14–16 weeks of pregnancy, neck circumference was measured. The maternal and fetal outcomes were measured, too.Results Gestational diabetes mellitus was developed in 74 women in 24–28 weeks of pregnancy. Neck circumference at 14–16 of pregnancy age was found to be positively correlated with age (r = 0.18, P = ≤ 0.0001), pre-pregnancy weight (r = 0.45, P = ≤ 0.0001), body mass index (r = 0.46, P = ≤ 0.0001), and weight gain during pregnancy (r = 0.11, P = 0.031). The adjusted logistic regression revealed that neck circumference was a predictor for gestational diabetes mellitus (OR = 1.20; 95% CI = 1.06, 1.34; P = 0.002). The ROC analysis depicted that cut-off of neck circumference in indicating gestational diabetes was 34.3 cm, with the sensitivity of 53% and the specificity of 66%.Conclusion The finding of the present study indicated that a neck circumference ≥ 34.3 cm in Iranian pregnant women can provide as a predictor of gestational diabetes.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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The Relationship Between Neck Circumference and Gestational Diabetes Mellitus in Iranian Pregnant Women

Barforoush

Ghadimi

Pahlevan

et al. 2020

Preprint

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“…NC was measured with the head erect and eyes facing forward, horizontally at the upper margin of the thyroid cartilage (to the nearest 0.1 cm) by a trained physician as other studies described [ 9 – 11 , 17 ]. Detailed anthropometry (height, weight, and waist circumference) and blood pressure were measured by methods as previously described [ 15 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

Utility of Neck Circumference for Identifying Metabolic Syndrome by Different Definitions in Chinese Subjects over 50 Years Old: A Community-Based Study

Lin

et al. 2018

Journal of Diabetes Research

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Aims Whether neck circumference (NC) could be used as a valuable tool for identifying metabolic syndrome (MS) by different criteria in Chinese is still unclear. Methods We conducted a cross-sectional survey from October 2010 to January 2011 in Shipai community, Guangzhou, Guangdong Province, China. A total of 1473 subjects aged over 50 years were investigated. We measured height, weight, NC, waist circumference, blood pressure, blood glucose, and lipids in all subjects. MS was identified by criteria of the National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III), Chinese Diabetes Society (CDS), and International Diabetes Federation (IDF). Results Mean NC was 38.0 ± 2.7 cm in men and 34.2 ± 2.5 cm in women. By using receiver operating characteristic curves, the area under the curve (AUC) of NC for identifying MS (IDF) was 0.823 in men and 0.777 in women, while for identifying MS (CDS), it was 0.788 in men and 0.762 in women. The AUC of NC for diagnosing MS (ATP III) was 0.776 in men and 0.752 in women. The optimal cut points of NC for MS were 38.5 cm by three definitions in men, while those were 34.2 cm, 33.4 cm, and 34.0 cm in women by IDF, ATP III, and CDS definitions, respectively. No significant difference was observed between the AUC of NC and BMI for diagnosing MS by using different criteria (all p > 0.05). Conclusions NC is associated with MS by different definitions in Chinese subjects over 50 years old. It may be a useful tool to identify MS in a community population.

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“…Various studies have shown a positive correlation between neck circumference and associated gestational diabetes [ 11 - 12 ]. Since the concept is new, it has received scant attention in the recent medical literature from our country.…”

Section: Introductionmentioning

confidence: 99%

Correlation Between Neck Circumference and Gestational Diabetes Mellitus and Associated Risk Factors During Pregnancy

Khushbakht¹,

Mazhar

Bhalli

et al. 2018

Cureus

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IntroductionDue to normal physiological changes in various anthropometric indices during pregnancy, the routine measurements of body weight, height, waist circumference, and waist-to-hip ratio are deemed inappropriate in predicting obesity and risk of gestational diabetes mellitus in pregnancy. Neck circumference is a novel marker to determine the risk of gestational diabetes in pregnancy. We conducted this study to determine the correlation between neck circumference and gestational diabetes mellitus and its associated risk factors.MethodsThis was an observational, cross-sectional study conducted at Jinnah Allama Iqbal Institute of Diabetes and Endocrinology (JAIDE), Allama Iqbal Medical College/ Jinnah Hospital, Lahore from July 2017 to March 2018. Pregnant females at 16 weeks of gestation underwent measurement of weight, height, body mass index, neck, and waist circumference. At the 24th gestational week, an oral glucose test was conducted and fasting lipid profile, serum albumin, and uric acid were measured. Pearson’s correlation was used to see any correlation between neck circumference and gestational diabetes and its associated risk factors.ResultsThere were 90 subjects in the study with a mean age 30.8 ± 3.2 (range: 26 – 34) years. The waist and neck circumference at 16 weeks of gestation measured 104.2 ± 9.0 cm and 36.1 ± 2.8 cm, respectively. Age, weight, waist circumference, and body mass index were positively and significantly correlated with neck circumference (p-value < 0.05). After adjusting for age, the correlation between neck circumference and weight, waist circumference, and body mass index (BMI) was statistically significant with a p-value < 0.05. Analysis of the receiver operating curve revealed that the cut-off value of neck circumference for predicting gestational diabetes was 35.70 cm with a sensitivity of 51.4% and specificity of 81.2%.ConclusionNeck circumference at the 16th gestational week is a reliable and valid tool to predict gestational diabetes mellitus at 24 weeks of gestation.

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First Trimester Neck Circumference as a Predictor for the Development of Gestational Diabetes Mellitus

Cited by 19 publications

References 21 publications

The Relationship Between Neck Circumference and Gestational Diabetes Mellitus in Iranian Pregnant Women

The Relationship Between Neck Circumference and Gestational Diabetes Mellitus in Iranian Pregnant Women

Utility of Neck Circumference for Identifying Metabolic Syndrome by Different Definitions in Chinese Subjects over 50 Years Old: A Community-Based Study

Correlation Between Neck Circumference and Gestational Diabetes Mellitus and Associated Risk Factors During Pregnancy

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