The relationship between neck circumference and gestational diabetes mellitus in Iranian women

Abstract

Background The aim of the present study was to assess the relationship between neck circumference and gestational diabetes. Methods This prospective study was conducted on 372 Iranian pregnant women. The criteria set by the American Diabetes Association through 2 h was used to classify subjects with regard to their gestational diabetes. At the 14–16th weeks of pregnancy, the neck circumference was measured. The maternal and fetal outcomes were measured as well. Results The adjusted logistic regression revealed that neck circumference was a predictor for gestational diabetes mellitus (OR = 1.20; 95% CI = 1.06, 1.34; P = 0.002). The ROC analysis depicted that the cut-off for neck circumference in indicating gestational diabetes was 34.3 cm, with the sensitivity of 53% and the specificity of 66%. Conclusion The findings of the present study revealed that the neck circumference of ≥34.3 cm can be deemed as a predictor of gestational diabetes in the case of Iranian pregnant women.

Rethinking gestational diabetes: hyperglycemia or a cluster of cardiometabolic abnormalities manifested during pregnancy?

“…Women above this cut-off vs. the remaining ones also had higher frequencies of hypertension. Similar results were seen in a systematic review of various studies (6), and reported in additional ones (8)(9)(10)(11), with optimal cut-offs ranging from 34 to 38 cm, and areas under the curve from 0.58 to 0.67.…”

Correlation Between Neck Circumference and Gestational Diabetes

“…A neck circumference ≥33.8 cm emerges as the optimal threshold for identifying GDM, with a sensitivity of 68.04% and specificity of 59.12%. In a foreign context, 18 neck circumference ≥34.3 cm forecasts GDM in Iranian pregnant women, with a sensitivity of 53% and specificity of 66%. Our findings, establishing a predictive threshold of 32.6 cm for neck circumference in early pregnancy, mirror a sensitivity of 52% and specificity of 75%.…”

Association between Neck Circumference and Chronic Kidney Disease in Korean Adults in the 2019–2021 Korea National Health and Nutrition Examination Survey

“…The clinical application of NC has expanded in recent years to include the prediction of insulin resistance in postmenopausal women with polycystic ovarian syndrome, liver disease, and thyroid disease [77,78]. However, further research is needed to refine the application of NC and validate its underlying mechanism.…”