Relationship between Neck Circumference and Non-Alcoholic Fatty Liver Disease in Childhood Obesity

Hatipoğlu, Nihal; Doğan, Serap; Mazıcıoğlu, M. Mümtaz; Kurtoğlu, Selim

doi:10.4274/jcrpe.2313

Cited by 14 publications

(20 citation statements)

References 51 publications

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“…In anthropometric terms, all participants were above the cut-off point for waist circumference, with 20% being overweight and the other obese, with BMI mean values significantly higher for those of G1-NAFLD. In this study, there was a significant difference between the groups for neck circumference, and in BMI and waist circumference for G1-NAFLD, and our data are consistent with the study of Hatipoglu et al 9 .…”

Section: Discussionsupporting

confidence: 93%

“…The anthropometric variables most associated with NAFLD were higher body mass index (BMI) and waist circumference above the reference standard which is an indicative of visceral adiposity 9 . Dietary indicators highlight excessive calorie intake and a high proportion of carbohydrates about total caloric intake 4 .…”

Section: Introductionmentioning

confidence: 99%

“…16 ; and the NAFLD ultrasound report, provided by the hospital, by Hepatorenal Index ("light", "moderate" and "severe" degrees). The criteria to NAFLD was the difference of the echogenicity between the liver and the renal cortex, this procedure is kwon as hepatorenal index 15. (iii) anthropometric evaluation -weight, height, waist and neck circumference 9 , BMI (weight/squared height) compared to WHO criteria 14 for the range of five to 19 years;…”

Section: Introductionmentioning

confidence: 99%

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Overweight in Children and Adolescents: Clinical Variables, Motivational and Family Psychosocial Risk

et al. 2019

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This study evaluated the relationships between anthropometric, dietary, motivational, and psychosocial variables among children and adolescents with overweight and non-alcoholic fatty liver disease (NAFLD). We evaluated 45 participants (6-17 years) in anthropometric terms, nutritional consumption, motivation for treatment, and family psychosocial risk by using statistical analyses (Student’s t-Test or Chi-Square). It was detected that 37.8% of the families had a high psychosocial risk, 82.2% were obese, 33.3% with NAFLD, high motivation (93.3%), but low adherence to treatment (2.4%). Participants with NAFLD presented higher psychosocial risk, significantly greater obesity severity, waist and neck circumference, and Body Mass Index. They reported lower adherence to treatment, high carbohydrate consumption, ultra-processed products, high energy density, and low fiber, with poor nutritional quality. Interventions should consider the motivation for treatment and psychosocial risks, especially in cases with NAFLD.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Overweight in Children and Adolescents: Clinical Variables, Motivational and Family Psychosocial Risk

et al. 2019

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“…Each participant was required to fill up a questionnaire providing detailed demographic characteristics, lifestyle risk factors and other information, while anthropometric data was measured by trained staff according to the unified standards [ 19 , 20 ]. Height and weight were measured with light clothing and without shoes, after emptying of bladder.…”

Section: Methodsmentioning

confidence: 99%

Neck circumference may be a valuable tool for screening individuals with obesity: findings from a young Chinese population and a meta-analysis

et al. 2018

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BackgroundCentral obesity and overweight/obesity can result in various chronic non-communicable diseases, such as cardiovascular disease, metabolic syndrome, and diabetes mellitus. Waist circumference (WC) and body mass index (BMI) are widely used to measure obesity despite their limitations. For example, WC and BMI cannot be measured in pregnant women and subjects with abdominal ascites or masses. Therefore, this study aims to determine the efficacy of neck circumference (NC) as a tool for screening central obesity and overweight/obesity.MethodsA total of 1169 undergraduates aged 18–25 years were studied by a cross-sectional survey in China, 2016. Questionnaires and physical examinations were used to collect data. Receiver operator characteristic (ROC) curve was performed to determine the best threshold of NC for screening central obesity and overweight/obesity. Meanwhile, a meta-analysis was conducted to estimate the efficacy of NC for screening central obesity and overweight/obesity synthetically.ResultsNC was moderately correlated with WC and BMI. The ROC analysis showed that 37.1 cm for male and 32.6 cm for female were the best thresholds for central obesity, and 37.4 cm and 32.2 cm for overweight/obesity, respectively. The sensitivity, specificity, area under receiver operating curve (AUC) of central obesity and overweight/obesity were higher. In the meta-analysis, the pooled sensitivity, specificity, AUC and their 95%CI of NC for screening central obesity were 0.72 (0.68~ 0.75), 0.87 (0.74~ 0.94), 0.77 (0.73~ 0.80) for male and 0.73 (0.65~ 0.80), 0.80 (0.71~ 0.86), 0.82 (0.79~ 0.86) for female. For overweight/obesity, the pooled sensitivity, specificity, AUC and corresponding 95%CI were 0.83 (0.70~ 0.91), 0.77 (0.66~ 0.85), 0.86 (0.83~ 0.89) for male and 0.82 (0.71~ 0.90), 0.84 (0.61~ 0.95), 0.89 (0.86~ 0.92) for female.ConclusionNC may not be a good tool for screening individuals with central obesity. But it may be a simple and valuable tool for screening individuals with overweight/obesity, especially in females.

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“…There are limited studies regarding the association between NC and NAFLD, and most of them deal only with adult populations. However, the few studies performed in child population with obesity have shown positive correlations, with differences between male and female genders [17][18][19].…”

Section: Introductionmentioning

confidence: 98%

Association between neck circumference and non-alcoholic fatty liver disease in Mexican children and adolescents with obesity

Peña-Vélez

Garibay-Nieto

Cal-y-Mayor-Villalobos

et al. 2019

Journal of Pediatric Endocrinology and Metabolism

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BackgroundNon-alcoholic fatty liver disease (NAFLD) is the most prevalent chronic hepatic disorder in the pediatric population and has grown along with the obesity pandemic in which we live today. Adipose tissue storage in the upper body segment has been positively correlated with visceral adiposity and metabolic disease, which suggests that neck circumference could represent an easily accessible and replicable anthropometric measurement to identify patients with a higher risk of developing NAFLD. The main purpose of this study is to determine if there is an association between neck circumference and NAFLD. The secondary objectives are to establish cutoff values based on gender and puberty staging.MethodsWe included a sample pediatric population of 112 patients diagnosed with obesity aged between 6 and 18 years. We performed anthropometric and metabolic measurements on every patient, and NAFLD diagnosis was determined with hepatic ultrasound.ResultsThe neck circumference was larger in NAFLD pediatric patients compared to those without NAFLD (p = 0.001). In a multivariate analysis, the neck circumference was associated with NAFLD as an independent risk factor (odds ratio [OR] = 1.172; 95% CI = 1.008–1.362; p = 0.038). Tanner 2–3 = 35 cm and Tanner 4–5 = 38 cm were established as risk cutoff values to develop NAFLD in the male adolescent population.ConclusionsThere is an association between the neck circumference and NAFLD in pediatric patients with obesity, particularly in the male population.

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Relationship between Neck Circumference and Non-Alcoholic Fatty Liver Disease in Childhood Obesity

Cited by 14 publications

References 51 publications

Overweight in Children and Adolescents: Clinical Variables, Motivational and Family Psychosocial Risk

Overweight in Children and Adolescents: Clinical Variables, Motivational and Family Psychosocial Risk

Neck circumference may be a valuable tool for screening individuals with obesity: findings from a young Chinese population and a meta-analysis

Association between neck circumference and non-alcoholic fatty liver disease in Mexican children and adolescents with obesity

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