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Neck circumference: a useful screening tool of cardiovascular risk in children.
Pediatr Obes. 2012 Jun; 7(3):187-95.PO

Abstract

OBJECTIVE

Early identification of cardiovascular risk factors consists an essential target for public health. The current study aims to examine the association between neck circumference and several cardiovascular risk factors and to compare it with well-established anthropometric indices.

METHODS

Demographic, anthropometric (body weight and height, waist, hip and neck circumference [WC, HC and NC, respectively]), biochemical (total cholesterol, high-density lipoprotein [HDL] cholesterol, low-density lipoprotein [LDL] cholesterol, triglycerides [TG], fasting plasma glucose and serum insulin), clinical (pubertal stage, systolic and diastolic blood pressure [SBP and DBP, respectively]) and lifestyle (dietary intake, physical activity level) data were collected from 324 children (51.5% boys; 48.5% girls) aged 9-13 in Greece. Body mass index z-score (BMI z-score), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), homeostasis model assessment (HOMA-IR), quantitative insulin sensitivity check index (QUICKI) and fasting glucose to insulin ratio (FGIR) were calculated.

RESULTS

All indices (BMI z-score, NC, WC, HC, WHR and WHtR) were correlated with SBP, HDL and insulin-related indices (insulin, HOMA-IR, QUICKI and FGIR) and all indices except WHR with TG. LDL was correlated with BMI z-score, WC, WHR and WHtR, whereas DBP was correlated with BMI z-score, WC, HC and WHtR. In multivariate analysis, HDL, TG, SBP, insulin, HOMA-IR, QUICKI and FGIR were associated with all anthropometric indices; DBP with WC, HC, NC and WHtR; LDL with BMI z-score, WC, HC and WHtR.

CONCLUSIONS

NC is associated with most cardiovascular disease risk factors. These associations are comparable with those observed for BMI z-score, WC, HC, WHR and WHtR. NC could be a simple, alternative screening tool of cardiovascular risk in children.

Authors+Show Affiliations

First Department of Paediatrics, University of Athens, Aghia Sophia Children's Hospital, Athens, Greece. oandrouts@med.uoa.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22505226

Citation

Androutsos, O, et al. "Neck Circumference: a Useful Screening Tool of Cardiovascular Risk in Children." Pediatric Obesity, vol. 7, no. 3, 2012, pp. 187-95.
Androutsos O, Grammatikaki E, Moschonis G, et al. Neck circumference: a useful screening tool of cardiovascular risk in children. Pediatr Obes. 2012;7(3):187-95.
Androutsos, O., Grammatikaki, E., Moschonis, G., Roma-Giannikou, E., Chrousos, G. P., Manios, Y., & Kanaka-Gantenbein, C. (2012). Neck circumference: a useful screening tool of cardiovascular risk in children. Pediatric Obesity, 7(3), 187-95. https://doi.org/10.1111/j.2047-6310.2012.00052.x
Androutsos O, et al. Neck Circumference: a Useful Screening Tool of Cardiovascular Risk in Children. Pediatr Obes. 2012;7(3):187-95. PubMed PMID: 22505226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Neck circumference: a useful screening tool of cardiovascular risk in children. AU - Androutsos,O, AU - Grammatikaki,E, AU - Moschonis,G, AU - Roma-Giannikou,E, AU - Chrousos,G P, AU - Manios,Y, AU - Kanaka-Gantenbein,C, Y1 - 2012/04/13/ PY - 2011/10/18/received PY - 2011/12/13/revised PY - 2012/01/26/accepted PY - 2012/4/17/entrez PY - 2012/4/17/pubmed PY - 2012/9/5/medline SP - 187 EP - 95 JF - Pediatric obesity JO - Pediatr Obes VL - 7 IS - 3 N2 - OBJECTIVE: Early identification of cardiovascular risk factors consists an essential target for public health. The current study aims to examine the association between neck circumference and several cardiovascular risk factors and to compare it with well-established anthropometric indices. METHODS: Demographic, anthropometric (body weight and height, waist, hip and neck circumference [WC, HC and NC, respectively]), biochemical (total cholesterol, high-density lipoprotein [HDL] cholesterol, low-density lipoprotein [LDL] cholesterol, triglycerides [TG], fasting plasma glucose and serum insulin), clinical (pubertal stage, systolic and diastolic blood pressure [SBP and DBP, respectively]) and lifestyle (dietary intake, physical activity level) data were collected from 324 children (51.5% boys; 48.5% girls) aged 9-13 in Greece. Body mass index z-score (BMI z-score), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), homeostasis model assessment (HOMA-IR), quantitative insulin sensitivity check index (QUICKI) and fasting glucose to insulin ratio (FGIR) were calculated. RESULTS: All indices (BMI z-score, NC, WC, HC, WHR and WHtR) were correlated with SBP, HDL and insulin-related indices (insulin, HOMA-IR, QUICKI and FGIR) and all indices except WHR with TG. LDL was correlated with BMI z-score, WC, WHR and WHtR, whereas DBP was correlated with BMI z-score, WC, HC and WHtR. In multivariate analysis, HDL, TG, SBP, insulin, HOMA-IR, QUICKI and FGIR were associated with all anthropometric indices; DBP with WC, HC, NC and WHtR; LDL with BMI z-score, WC, HC and WHtR. CONCLUSIONS: NC is associated with most cardiovascular disease risk factors. These associations are comparable with those observed for BMI z-score, WC, HC, WHR and WHtR. NC could be a simple, alternative screening tool of cardiovascular risk in children. SN - 2047-6310 UR - https://www.unboundmedicine.com/medline/citation/22505226/Neck_circumference:_a_useful_screening_tool_of_cardiovascular_risk_in_children_ L2 - https://doi.org/10.1111/j.2047-6310.2012.00052.x DB - PRIME DP - Unbound Medicine ER -