Neck circumference as a risk factor of screen-detected diabetes mellitus: community-based study

Khalangot, Mykola; Гуріанов, В. Г.; Okhrimenko, Nadia; Luzanchuk, I.A.; Kravchenko, Victor

doi:10.1186/s13098-016-0129-5

Cited by 24 publications

(20 citation statements)

References 23 publications

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“…Among 4 studies which assessed SE and SP of NC for prediction of type 2 diabetes [ 11 – 14 ], the maximum values of SE and SP was 80 and 67 in children [ 12 ], and 100 and 72 in adults. In studies which assessed insulin resistance [ 12 , 15 , 16 ], two studies reported a SE of 100 in boys, and 50 to 95 in girls.…”

Section: Resultsmentioning

confidence: 99%

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Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

Ataie‐Jafari

Namazi

Djalalinia

et al. 2018

Diabetol Metab Syndr

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BackgroundRecently, neck circumference (NC) has been used to predict the risk of cardiometabolic factors. This study aimed to perform a systematic review and meta-analysis to examine: (i) the sensitivity (SE) and specificity (SP) of NC to predict cardiometabolic risk factors and (ii) the association between NC and the risk of cardiometabolic parameters.MethodsA systematic search was conducted through PubMed/Medline, Institute of Scientific Information, and Scopus, until 2017 based on the search terms of metabolic syndrome (MetS) and cardio metabolic risk factors. Random-effect model was used to perform a meta-analysis and estimate the pooled SE, SP and correlation coefficient (CC).ResultsA total of 41 full texts were selected for systematic review. The pooled SE of greater NC to predict MetS was 65% (95% CI 58, 72) and 77% (95% CI 55, 99) in adult and children, respectively. Additionally, the pooled SP was 66% (95% CI 60, 72) and 66% (95% CI 48, 84) in adult and children, respectively. According to the results of meta-analysis in adults, NC had a positive and significant correlation with fasting blood sugar (FBS) (CC: 0.16, 95% CI 0.13, 0.20), HOMA-IR (0.38, 95% CI 0.25, 0.50), total cholesterol (TC) (0.07 95% CI 0.02, 0.12), triglyceride (TG) concentrations (0.23, 95% CI 0.19, 0.28) and low density lipoprotein cholesterol (LDL-C) (0.14, 95% CI 0.07, 0.22). Among children, NC was positively associated with FBS (CC: 0.12, 95% CI 0.07, 0.16), TG (CC: 0.21, 95% CI 0.17, 0.25), and TC concentrations (CC: 0.07, 95% CI 0.02, 0.12). However, it was not significant for LDL-C.ConclusionNC has a good predictive value to identify some cardiometabolic risk factors. There was a positive association between high NC and most cardiometabolic risk factors. However due to high heterogeneity, findings should be declared with caution.Electronic supplementary materialThe online version of this article (10.1186/s13098-018-0373-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

“…Among them, Yan et al found the strongest association between high NC and MetS in both elderly men and women, with ORs of 11.53 and 7.69, respectively [ 9 ]. The association between high NC and DM was reported in few studies [ 9 , 14 , 18 , 19 ] where in ORs or RRs varied between 1.26 (1.06–1.50) and 2.07 (1.06–4.03).…”

Section: Resultsmentioning

confidence: 99%

Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

Ataie‐Jafari

Namazi

Djalalinia

et al. 2018

Diabetol Metab Syndr

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“…A larger NC has also been associated with a higher WC and values and levels of metabolic syndrome components, including SBP, DBP, dyslipidemia, and hyperglycemia [ 14 – 16 ]. Studies have demonstrated that NC is positively associated with the incidence of T2DM [ 24 , 25 ] and that a larger NC has been associated with increased insulin resistance and various cardiometabolic risk factors, such as decreasing HDL levels and increasing plasma triglyceride levels among healthy Chinese adults [ 26 ]. Notably, insulin resistance is the core etiology of metabolic syndromes and is one of the principal pathogeneses of T2DM.…”

Section: Discussionmentioning

confidence: 99%

Predicting Type 2 Diabetes Mellitus Occurrence Using Three-Dimensional Anthropometric Body Surface Scanning Measurements: A Prospective Cohort Study

Ting

Liao

et al. 2018

Journal of Diabetes Research

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Background An accurate and comprehensive anthropometric measure for predicting type 2 diabetes mellitus (T2DM) has not yet been depicted. Methods A total of 8450 nondiabetic participants were recruited during 2000–2010 in Taiwan. The cohort was followed up to the end of 2013, over an average of 8.87 years. At recruitment, participants completed a questionnaire related to basic demographics, lifestyle variables, personal disease history, and family disease history. 3D body surface scanning was used to obtain 35 anatomical measurements. A Cox proportional hazard model was used to conduct multivariable analyses. Results A total of 2068 T2DM cases at an incidence rate of 27.59 × 10−3 (year−1) were identified during the follow-up period. Multivariable-adjusted hazard ratios (HRs) demonstrated that neck circumference (NC) (HR = 1.048; 95% CI = 1.033–1.064), waist width (WW) (HR = 1.061; 95% CI = 1.040–1.081), and left thigh circumference (TC) (HR = 0.984; 95% CI = 0.972–0.995) were significant predictors of the occurrence of T2DM. While dividing body measurement into median high/low groups, an increased risk of T2DM was observed among participants with a larger NC and smaller TC (HR = 1.375; 95% CI = 1.180–1.601) and a larger WW and smaller TC (HR = 1.278; 95% CI = 1.085–1.505) relative to other participants. Conclusions This study suggests that as well as using traditional waist and TC measurements, NC can be used as an indicator to provide an early prediction of developing T2DM, while providing clues for future mechanistic investigations of T2DM.

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“…NC correlates with the cross‐sectional area of the neck muscles in MRI, and its measurement has been proven to have high intra‐and interrater reliability . In previous studies, the association of NC with obesity, sleep apnea syndrome, diabetes, cognitive impairment and heart disease risk has been reported . Only one previous report has focused on the association of NC with swallowing function; the report indicated that the NC of older individuals who require long‐term care was associated with undernutrition …”

Section: Introductionmentioning

confidence: 99%

Relationship between jaw‐opening force and neck circumference in healthy older individuals

Yoshida

Tohara

Nakagawa

et al. 2019

Geriatrics Gerontology Int

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Aim In recent years, the relationships of arm circumference and calf circumference with swallowing function have been reported. However, the efficacy of using the neck circumference, which is closer to the swallowing‐related muscles, has never been verified. Jaw‐opening force, an indicator of suprahyoid muscle strength, is known to be useful for screening for dysphagia. The aim of the present study was to identify the relationships between neck circumference and swallowing‐related muscle strength, and to clarify the association between these variables in older individuals. Methods A total of 104 healthy, independent older individuals, aged ≥65 years (36 men, 68 women, mean age 71.5 ± 4.5 years, range 65–83 years), participated in the study. Neck circumference, arm circumference, calf circumference, jaw‐opening force and repetitive saliva swallowing test scores were measured. Multiple regression analysis was carried out to determine the relationship between neck circumference and jaw‐opening force, between neck circumference and repetitive saliva swallowing test score, and to identify variables affecting jaw‐opening force and neck circumference. Results The participants’ mean body mass index was 22.8 ± 2.9 (range 15.8–32.4). Sex and neck circumference, but not arm or calf circumference, were significant independent factors related to jaw‐opening force. Independent factors affecting neck circumference were sex, body mass index, jaw‐opening force and arm circumference, but not repetitive saliva swallowing test score. Conclusions In healthy older individuals, neck circumference was more strongly related to jaw‐opening force than were arm or calf circumference. This suggested that neck circumference could be useful for evaluating swallowing‐related muscle strength non‐invasively and easily. Geriatr Gerontol Int 2019; 19: 330–334.

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Neck circumference as a risk factor of screen-detected diabetes mellitus: community-based study

Cited by 24 publications

References 23 publications

Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

Neck circumference and its association with cardiometabolic risk factors: a systematic review and meta-analysis

Predicting Type 2 Diabetes Mellitus Occurrence Using Three-Dimensional Anthropometric Body Surface Scanning Measurements: A Prospective Cohort Study

Relationship between jaw‐opening force and neck circumference in healthy older individuals

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