Neck circumference and prehypertension

Abstract

Background We have previously found that neck circumference was related to insulin resistance, a risk factor for hypertension in Chinese. Little is known about whether high neck circumference is associated with elevated blood pressure. Method The study samples were from a community-based health examination survey in central China. In total, 1709 men and women with neck circumference measurement were included. We analysed the associations between neck circumference and the risk of prehypertension. Results Although neck circumference was strongly associated with SBP/DBP in a univariate analysis, it was no longer associated with SBP and the association was much weaker with DBP when the association was adjusted for BMI or waist circumference. Similarly, high neck circumference was significantly related to an increased risk of prehypertension [odds ratio 1.254; 95% confidence interval (95% CI) 1.171–1.343] in a univariate analysis, and the association became marginal in models further adjusting for BMI or waist. Conclusion Our data suggest that neck circumference as predictor for prehypertension is not obvious given the moderate improvement of disease prediction.

Neck circumference is independently associated with relative systemic hypertension in young adults with sickle cell anaemia

“…Our finding in this study is in line with evidence from other recent studies that found that measurement of NC might be helpful in early detection of prehypertension in non-obese young adult and obese children [ 29 , 37 , 38 ]. However, our finding was not in accordance with the observation from a recent study in Chinese adults [ 39 ]. The finding that TyG-BMI was associated with rHTN in SCA patients further corroborate the importance upper-body fat indicated by NC in this study.…”

Neck circumference as an independent indicator to non-alcoholic fatty liver disease in non-obese men

“…Waist circumference (WC) was measured on the midaxillary line between the lower border of the rib cage and the upper margin of the iliac crest. NC was measured with head erect and eyes facing forward, horizontally at the upper margin of the laryngeal prominence with a flexible tape [ 2 ]. Insulin resistance was estimated by the homeostatic model assessment (HOMA-IR) index: [fasting insulin (mIU/L)] *[FPG (mmol/L)]/22.5.…”

“…The distribution of body fat is an important factor that determines metabolic health [ 1 ]. Many researchers have shown that upper-body subcutaneous adipose tissue may confer additional risk for metabolic disorders beyond overall and central adiposity [ 2 , 3 ]. The neck circumference (NC) measurement is a surrogate marker of determining upper-body subcutaneous distribution and the close correlations between NC and various metabolic risk factors have been widely explored [ 3 – 5 ].…”

Assessment of overweight and obesity in Iranian adolescents: optimal cut-off values of anthropometric indices

“…The increasing trend of overweight and obesity is a critical public health problem worldwide (1). Obesity in children and adolescents increases the risk of metabolic syndrome conditions.…”