Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)

Yang, Gangyi; Yuan, Man; Wu, Gang; Zhang, Xuelian; Fu, Hao; Yuan, Shen-Yuan; Zhu, Lan; Xie, Ri-hua; Zhang, Jiandong; Li, Yuling; Sun, Yihong; Dai, Qin-Fang; Gao, Daming; Cui, Xue-Li; Gao, Jian-Qin; Wang, Ziming; Chen, Yingjun; Li, Yongjin; Hu, Dong-ming; Gao, Jizong; Gao, Ying; Miao, Jie; Chen, Yujie; Holman, Rury R.

doi:10.1038/s41598-021-88927-9

Cited by 9 publications

(8 citation statements)

References 36 publications

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“…In 2021, a prospective multi-center study determined the association between neck circumference and the incidence of cardiovascular events in T2DM patients and were followed up for a 10-year period in Beijing communities. A higher neck circumference was associated with a higher risk of cardiovascular events by 40% in T2DM patients [ 54 ]. In 2019, meta-analysis of a cross-sectional design reported that neck circumference was positive correlated with glycemic indicators including fasting plasma glucose, serum fasting insulin level, and A1C [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Puangpet¹,

Pongkunakorn

Chulkarat³

et al. 2022

BMC Prim. Care

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Background Primary health care system plays a central role in caring for persons with diabetes. Thai National Health Examination Survey (NHES) reports that only 40% of patients with type 2 diabetes mellitus (T2DM) achieve optimal glycemic control. We sought to evaluate the quality of diabetic care (QOC), prevalence of microvascular complications, and associated risk factors among T2DM patients treated at primary care units in urban areas in Thailand. Methods A population-based, cross-sectional study of 488 T2DM patients aged over 35 years from 25 primary care units in Samutsakhon, Thailand was conducted during February 2018 to March 2019. Clinical targets of care (TOC) and processes of care (POC) were measured to evaluate QOC. Multivariate logistic regression models were applied to explore the association between risk factors and glycemic control. Results 41.2% of women and 44.4% of men achieved hemoglobin A1C (A1C) < 53 mmol/mol, while 31.3% of women and 29.7% of men had poor glycemic control (A1C > 63 mmol/mol). 39 participants (8%) achieved all TOC and 318 participants (65.2%) achieved all POC. Significant risk factors for poor glycemic control included diabetes duration > 6 years (AOR = 1.83, 95% CI = 1.20–2.79), being overweight (AOR = 2.54, 95% CI = 1.58–4.08), obesity (AOR = 1.71, 95% CI = 1.05–2.89), triglycerides > 1.7 mmol/l (AOR = 1.81, 95% CI = 1.25–2.78), low density lipoprotein-cholesterol (LDL-C) ≥ 2.6 mmol/l (AOR = 1.55, 95% CI = 1.04–2.28). On the other hand, participants aged > 65 years (AOR = 0.25, 95% CI = 0.14–0.55) or achieved TOC indicators (AOR = 0.69, 95% CI = 0.43–0.89) were significantly associated with glycemic control. Diabetic retinopathy was significantly related to obesity (AOR = 2.21, 95% CI = 1.00–4.86), over waist circumference (AOR = 2.23, 95% CI = 0.77–2.31), and diastolic blood pressure > 90 mmHg (AOR = 1.81, 95% CI = 1.48–1.96). Conclusion Access to essential diabetic screening in primary care units is crucial to determine status of disease control and guide disease management. Duration of T2DM, high body mass index, triglyceride and LDL-C were independently associated with poor glycemic control. Obesity was highly associated with diabetes retinopathy. Effort should be taken seriously toward monitoring these factors and providing effective care.

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Section: Discussionmentioning

confidence: 99%

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Puangpet¹,

Pongkunakorn

Chulkarat³

et al. 2022

BMC Prim. Care

View full text Add to dashboard Cite

show abstract

“…In 2021, a prospective multi-center study determined the association between neck circumference and the incidence of cardiovascular events in T2DM patients and were followed up for a 10-year period in Beijing communities. A higher neck circumference was associated with a higher risk of cardiovascular events by 40% in T2DM patients (47). In 2019, meta-analysis of a cross-sectional design reported that neck circumference was positive correlated with glycemic indicators including fasting plasma glucose, serum fasting insulin level, and A1C (48).…”

Section: Discussionmentioning

confidence: 99%

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Puangpet¹,

Pongkunakorn

Chulkarat³

et al. 2022

Preprint

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Background: Primary health care system plays a central role in caring for persons with diabetes. Thai National Health Examination Survey (NHES) reports that only 40% of patients with type 2 diabetes mellitus (T2DM) achieve optimal glycemic control. We sought to evaluate the quality of diabetic care (QOC), prevalence of microvascular complications, and associated risk factors among T2DM patients treated at primary care units in urban areas in Thailand.Methods: A population-based, cross-sectional study of 488 T2DM patients aged over 35 years from 25 primary care units in Samutsakhon, Thailand was conducted during February 2018 to March 2019. Clinical targets of care (TOC) and processes of care (POC) were measured to evaluate QOC. Logistic regression models were applied to explore the association between risk factors and glycemic control.Results: 41.2% of women and 44.4% of men achieved hemoglobin A1C (A1C) < 53 mmol/mol, while 31.3% of women and 29.7% of men had poor glycemic control (A1C > 63 mmol/mol). 39 participants (8%) achieved all TOC and 318 participants (65.2%) achieved all POC. Significant risk factors for poor glycemic control included diabetes duration > 6 years (AOR = 1.83, 95% CI = 1.20-2.79), being overweight (AOR = 2.54, 95% CI = 1.58-4.08), obesity (AOR = 1.69, 95% CI = 1.00-2.86), triglycerides > 1.7 mmol/l (AOR= 1.68, 95% CI = 1.08-2.62), and low density lipoprotein-cholesterol (LDL-C) ≥ 2.6 mmol/l (AOR = 1.53, 95% CI = 1.00-2.35). Diabetic retinopathy was significantly related to obesity (AOR = 2.21, 95% CI = 1.00-4.86), over waist circumference (AOR = 2.23, 95% CI = 0.77-2.31), and diastolic blood pressure > 90 mmHg (AOR = 1.81, 95% CI = 1.48-1.96).Conclusion: Access to essential diabetic screening in primary care units is crucial to determine status of disease control and guide disease management. Duration of T2DM, high body mass index, triglyceride and LDL-C were independently associated with poor glycemic control. Obesity was highly associated with diabetes retinopathy. Effort should be taken seriously toward monitoring these factors and providing effective care.

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“… 22 Compared with BMI and WC, NC alone can improve the prediction of cardiovascular disease risk factors. 23 , 24 Research suggests that in males and females, an NC of 37 and 34 cm, respectively, is equivalent to a BMI of 25.0 kg/m 2 , and an NC of 39.5 and 36.5 cm, respectively, is equivalent to a BMI of 30.0 kg/m 2 . 5 NC can be used as a new anthropometric index to help judge MetS and metabolic indexes.…”

Section: Discussionmentioning

confidence: 99%

Neck Circumference is Associated with Metabolic Syndrome Components in Chinese Subjects with Type 2 Diabetes

He¹,

Chen²,

Cao³

et al. 2022

DMSO

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Introduction We aimed to investigate the correlation between neck circumference (NC) and metabolic syndrome (MetS) components in type 2 diabetes (T2DM) patients. Methods This cross-section study included 610 patients with T2DM, including 312 males and 298 females. Height, weight, body mass index (BMI), NC, waist circumference (WC), hip circumference, and blood pressure were measured. Serum glucose, lipid, and uric acid levels were examined. The correlation between NC and anthropometric parameters and metabolic disorders was analyzed. Receiver operating characteristic curve analysis was performed to determine the best NC cutoff value for predicting MetS. Results Either in male or female subjects, NC was positively correlated with BMI, WC, waist-to-hip ratio, systolic blood pressure, diastolic blood pressure, and serum triglyceride and uric acid levels and negatively correlated with serum HDL-C levels. NC is an independent influencing factor of female serum uric acid levels (standardized coefficient β = 0.141, t = 2.088, P = 0.038). NC of the MetS group was significantly larger than that of the non-MetS group (male 38.42±3.05 cm vs 36.20±2.90 cm, female 36.14±2.75 cm vs 34.01±2.94 cm, P < 0.001). The NC cutoff value for predicting MetS is 37.3 cm for males and 35.8cm for females. There was no difference between using cutoff points of NC and WC to recognize all MetS components in males and hyperuricemia in females (P>0.05). Conclusion NC is closely related to BMI, WC, and MetS components in T2DM. The cutoff points of NC can identify all MetS components in males and hyperuricemia in females with the same efficiency as WC.

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Neck circumference and waist circumference associated with cardiovascular events in type 2 diabetes (Beijing Community Diabetes Study 23)

Cited by 9 publications

References 36 publications

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Control and complications of diabetes in urban primary care units in Thailand: a cross-sectional study

Neck Circumference is Associated with Metabolic Syndrome Components in Chinese Subjects with Type 2 Diabetes

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