Neck circumference in adolescents and cardiometabolic risk: A sistematic review

Morais, Aisha Aguiar; Morais, Urjel Aguiar Bouissou; Soares, Maria Marta Sarquis; Romano, Márcia Christina Caetano; Lamounier, Joel Alves

doi:10.1590/1806-9282.64.01.54

Cited by 14 publications

(15 citation statements)

References 42 publications

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“…In obese Mexican adolescents, the waist-to-hip ratio was superior in identifying cardio-metabolic risk factors [35] but in larger samples, BMI and WC performed better [27,36]. Recently, neck and wrist circumferences have emerged as useful measures in demonstrating the central distribution of fat; however, they could only serve as an alternative, as the predictive potential is still undetermined [37,38]. There is a criticism regarding WC in that it does not allow the quantification of adipose tissues, nor does it distinguish visceral fat from subcutaneous fat.…”

Section: Discussionmentioning

confidence: 99%

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Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

et al. 2020

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Obesity is the most common chronic disease in adolescents. In adults, waist circumference (WC) is associated with the presence of cardiovascular risk factors and is also a better predictor of cardiovascular (CV) risk than body mass index (BMI). The association between WC and CV risk factors in adolescents has been poorly explored so far, mainly in those within the normal BMI range. Objective: To evaluate the association between WC and elevated blood pressure (BP) in adolescents with a normal BMI. Methods: Cross-sectional analysis of 73,399 scholars between 12 and 17 years old from the ERICA study, a school-based, national representative study with Brazilian adolescents. Only those within the normal range of BMI were included. The WC was categorized into quartiles for sex and age (Q1 to Q4). For the analysis, BP values ≥ 90th percentile were considered to indicate elevated BP, what includes hypertension and pre-hypertension. The Poisson Regression model was used and the prevalence ratio was estimated. Results: A total of 53,308 adolescents with normal BMI were included. Prevalence of elevated BP in the overall group was 18.0%. In female adolescents with WC in the lowest quartile for their age, the prevalence of elevated BP was 7.3% (12-14 years) and 6.9% (15-17 years), increasing in the upper quartile to 15.2% and 19.5% respectively, with a prevalence ratio (PR) indicating chance at least two times higher for elevated BP in Q4 (p < 0.001). Similarly, this was observed in boys, with a prevalence of elevated BP of 10.0% and 18.9% in Q1, increasing to 21.4% and 49.6% in Q4 (p < 0.001). Conclusion: In adolescents, there is a strong association of increased WC with BP elevation, even when the BMI is adequate.

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Section: Discussionmentioning

confidence: 99%

“…There is a criticism regarding WC in that it does not allow the quantification of adipose tissues, nor does it distinguish visceral fat from subcutaneous fat. Also, there is no standardized method for measuring WC or defined reference values for children and adolescents [37,39].…”

Section: Discussionmentioning

confidence: 99%

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

et al. 2020

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“…Previous studies have reported that NC has moderate accuracy for identifying overweight and obesity in children and adolescents. [ 20 , 21 ] However, some studies have questioned the validity of NC for determining obesity and central obesity in children. [ 26 , 27 ] Several expected findings give confidence to our data:…”

Section: Discussionmentioning

confidence: 99%

“…[ 18 , 19 ] However, 2 recent meta-analyses/systematic reviews have reported that NC has moderate accuracy for identifying overweight and obesity in children and adolescents, although the issues of standardization of measurements and cut-off values by age and gender remain. [ 20 , 21 ]…”

Section: Introductionmentioning

confidence: 99%

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

et al. 2020

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Return the portable scales to the cabinet drawers. 2.5.4 Sitting Box  Remove the bungee cord from around the sitting box and store the strap in the anthropometry storage container.  Leave the sitting box against the corner wall where the mirrors are located.  Raise the seat located beside the sitting box. 2.5.5 Stadiometer  Replace the 9-volt battery in the digital measurement device for the stadiometer. NOTE: The facility and equipment specialist is expected to do this.  Calibrate the stadiometer using the calibration rod (see Chapter 5, Quality Control, Section 5.2, Equipment Calibrations). When not in use, the rod should be kept in the holding grips on the side of the stadiometer.  Slide the head piece of the stadiometer to the top of the measurement column.

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“…Upper-body subcutaneous fat estimated by neck circumference (NC) may be linked to a higher metabolic risk than abdominal visceral fat. NC is a simple, convenient but less used anthropometric measure correlated with waist circumference (WC) and body mass index (BMI) and has been associated with components of metabolic syndrome in cross-sectional [8][9][10] and cohort studies [11][12]. NC may likely be a very convenient and valid alternative measure of obesity and may even be a better marker of metabolic risk than standard measures such as BMI and WC [9].…”

Section: Introductionmentioning

confidence: 99%

Association of Moderate-To-Vigorous Physical Activity with Neck Circumference in Eight Latin American Countries

Ferrari¹,

Kovalskys²,

Fisberg³

et al. 2018

Preprint

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The present study investigated the association of accelerometer-determined moderate-to-vigorous physical activity (MVPA) with neck circumference (NC) in adolescents and adults from eight Latin American countries. The sample consisted of 2370 participants from the Latin American Study of Nutrition and Health, a multicenter cross-sectional nutrition and health surveillance study of a nationally representative sample from eight Latin American countries. An Actigraph GT3X+ accelerometer was used to monitor MVPA. Adolescents were categorized as NC > 34.25 cm in boys and NC > 31.25 cm in girls, and adults were categorized as NC > 39 cm in men and NC > 35 cm in women. The average time of MVPA was 34.88 min/day, ranging from 31.16 in Venezuela to 40.27 in Chile. Concerning NC, 37.0% of the sample was classified as having elevated NC. Chile was the country with the highest percentage of people with elevated NC (56.9%), and Colombia had the lowest percentage (24.8%). Overall, the MVPA (min/day) was associated with elevated NC (OR = 0.994, CI95% = 0.990–0.998). In Costa Rica and Peru, there were significant associations between MVPA and NC when analyzed by country. Further research is required to understand the differences between countries in the observed associations.

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Neck circumference in adolescents and cardiometabolic risk: A sistematic review

Abstract: There is a shortage of studies with representative samples, variety at the NC measurement sites, and the age of the participants, which makes it difficult to establish definitive landmarks.

Cited by 14 publications

References 42 publications

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

Association Between Abdominal Waist Circumference and Blood Pressure In Brazilian Adolescents With Normal Body Mass Index

Correlation between body mass index, neck circumference, and waist-hip ratio as indicators of obesity among a cohort of adolescent in Bahrain

Association of Moderate-To-Vigorous Physical Activity with Neck Circumference in Eight Latin American Countries

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