Neck circumference as an indicator of elevated blood pressure independent from body composition: implications from the China nation health survey (CNHS)

He, Huijing; Pan, Li; Liu, Feng; Ma, Jingang; Wang, Li; Hu, Zhiping; Li, Yajun; Shan, Guangliang

doi:10.1186/s12872-019-1227-8

Cited by 6 publications

(7 citation statements)

References 21 publications

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“…Our results agree with previous studies that reported a positive association between the NC and BP in children and adults from developing countries [ 7 , 15 , 18 , 24 , 25 , 26 ]. In a systematic review and meta-analysis, the NC was strongly associated with the BP in children [ 15 ].…”

Section: Discussionsupporting

confidence: 93%

Neck Circumference and Blood Pressure Measurements among Walter Sisulu University Students

Ramoshaba

Fihla

Mthethwa

et al. 2022

IJERPH

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Hypertension is a public health problem in South Africa. Increases in subcutaneous fat, presented by the neck circumference (NC) value, contribute to and predict the development of hypertension. However, to date, there has been no study done to investigate the relationship between the NC and blood pressure (BP) among historically disadvantaged university students. Therefore, the aim of the study was to investigate the relationship between the NC and BP among Walter Sisulu University students. This cross-sectional study was conducted in Walter Sisulu University. All 127 students were aged 18 years and above and underwent NC and clinical BP measurements using standard procedures. In a Pearson’s correlation analysis, the NC positively correlated with both the systolic blood pressure (SBP) (r = 0.5; p < 0.001) and diastolic blood pressure (DBP) (r = 0.3; p < 0.001). Furthermore, in the multivariable-adjusted regression analysis, the NC was positively associated with both the SBP (adjusted R2 = 0.3, β = 2.0 (95% CI = 1.1; 2.9), p < 0.001) and DBP (adjusted R2 = 0.1 β = 0.950 (95% CI = 0.3; 1.6), p = 0.008) adjusted for age, gender, body mass index, waist-to-height ratio, alcohol, and smoking. The NC is related to BP among historically disadvantaged university students.

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Section: Discussionsupporting

confidence: 93%

Neck Circumference and Blood Pressure Measurements among Walter Sisulu University Students

Ramoshaba

Fihla

Mthethwa

et al. 2022

IJERPH

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“…Vallianou et al found that NC was positively associated with triglycerides (TGs) but negatively associated with high-density lipoprotein cholesterol (HDL) [ 8 ]. A variety of studies have also demonstrated that NC is independently associated with hypertension [ 12 , 13 ] and hyperuricemia [ 9 ] in individuals with diverse ethnic backgrounds. Interestingly, some studies have demonstrated that compared with traditional anthropometric indexes such as body mass index (BMI) and waist circumference (WC), NC was a better indicator of postprandial hyperglycemia, prediabetes, and hyperlipidemia [ 14 , 15 ], implying the extensive application of NC in obesity-related diseases.…”

Section: Introductionmentioning

confidence: 99%

Association between Neck Circumference and the Risk of Decreased Estimated Glomerular Filtration Rate in the General Population of China: A Cross-Sectional Study

Xue

Wang

et al. 2020

BioMed Research International

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Background. The burden of chronic kidney disease is increasing substantially worldwide. Neck circumference (NC), an anthropometric index for upper-body adiposity, has been recognized as an indicator of cardiometabolic diseases. However, the association between NC and renal dysfunction has not been fully disclosed. Objectives. The aim of this study was to investigate the association between NC and estimated glomerular filtration rate (eGFR) in the general population in China. Methods. A total of 8805 participants (3322 men and 5483 women) were enrolled in this study. Logistic regression analysis was conducted to examine the association between NC and eGFR. The male and female subjects were divided into four groups according to the NC quartiles. The primary outcome was defined as an eGFR ≤ 90 mL / min / 1.73 m 2 . Results. Logistic regression analysis revealed that in both sexes, higher NC was significantly associated with a higher risk of decreased eGFR even after fully adjusting for age, other anthropometric indexes, traditional risk factors for chronic kidney diseases, and sociologic risk factors (quartile 1 as a reference; the odds ratios [95% confidence intervals] were as follows: quartile 2, 1.26 [0.99-1.59]; quartile 3, 1.40 [1.07-1.83]; and quartile 4, 1.71 [1.22-2.38], in men; quartile 2, 1.14 [0.95-1.37]; quartile 3, 1.31 [1.03-1.66]; and quartile 4, 1.32 [1.04-1.68], in women). Stratified analyses suggested that the association was significant among subjects with prediabetes or normal serum uric acid levels and those without cardiovascular diseases (CVD). Among subjects with CVD, the association persisted only in males. When the subjects were stratified according to blood pressure or BMI, the association persisted among male subjects with abnormal blood pressure and was strengthened among male subjects who were overweight/obese, while the association disappeared among female subjects. Conclusions. NC is independently associated with the risk of decreased eGFR in the general population in China, indicating that NC could contribute to renal dysfunction risk assessment.

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“…In this study, the waist and neck circumferences in the hypertensive group were significantly higher than those in other patients, and the BMI was also slightly higher than that in other groups. Increases in waist circumference, neck circumference, and BMI were independent risk factors for OSA, and the severity of OSA was also closely related to obesity 22–24 . Additionally, patients with hypertensive HF generally had preserved ejection fraction, 25 which manifests as diastolic dysfunction 23 .…”

Section: Discussionmentioning

confidence: 99%

“…Increases in waist circumference, neck circumference, and BMI were independent risk factors for OSA, and the severity of OSA was also closely related to obesity. [22][23][24] Additionally, patients with hypertensive HF generally had preserved ejection fraction, 25 which manifests as diastolic dysfunction. 23 The degree of HF was relatively low.…”

Section: Discussionmentioning

confidence: 99%

Sleep‐disordered breathing in heart failure patients with different etiologies

Wang

Qin

et al. 2022

Clinical Cardiology

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Background The prevalence of sleep‐disordered breathing (SDB) is closely related to the severity of heart failure (HF), and the severity of HF is different in patients with HF of different etiologies. Hypothesis : This study aimed to explore the prevalence of SDB in patients with HFof different etiologies. Methods Hospitalized HF patients were consecutively enrolled. All patients underwent portable overnight cardiorespiratory polygraphy. Patients were divided into five groups according to the etiology of HF: ischemic, hypertensive, myocardial, valvular, and arrhythmic. The prevalence of SDB and clinical data was compared among the five groups. Results In total, 248 patients were enrolled in this study. The prevalence of SDB in HF was 70.6%, with the prevalence of obstructive sleep apnea (OSA) at 47.6% and central sleep apnea (CSA) at 23.0%. Patients were divided into five groups: ischemic, hypertensive, myocardial, valvular, and arrhythmic. The prevalence of SDB among the five groups was 75.3%, 81.4%, 77.8%, 51.9%, and 58.5% ( p = .014), respectively. The prevalence of OSA among the five groups was 42.7%, 72.1%, 36.1%, 37.0%, and 49.1% ( p = .009), whereas the CSA was 32.6%, 9.3%, 41.7%, 14.8%, and 9.4% ( p < .001), respectively. Conclusions SDB is common in HF patients. The prevalence and types of SDB varied in HF with different etiologies, which may be related to the different severities of HF. SDB was highly prevalent in patients with ischemic, hypertensive, and myocardial HF. Hypertensive HF patients were mainly complicated with OSA, while myocardial HF patients were mainly complicated with CSA. Both conditions were highly prevalent in ischemic HF patients. The prevalence of SDB was relatively low in valvular and arrhythmic HF patients, and OSA was the main type.

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Neck circumference as an indicator of elevated blood pressure independent from body composition: implications from the China nation health survey (CNHS)

Cited by 6 publications

References 21 publications

Neck Circumference and Blood Pressure Measurements among Walter Sisulu University Students

Neck Circumference and Blood Pressure Measurements among Walter Sisulu University Students

Association between Neck Circumference and the Risk of Decreased Estimated Glomerular Filtration Rate in the General Population of China: A Cross-Sectional Study

Sleep‐disordered breathing in heart failure patients with different etiologies

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