Neck circumference is a valuable tool for identifying metabolic syndrome and obesity in Chinese elder subjects: a community-based study
Objective We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut‐off points of the neck circumference for MetS and obesity. Methods Cross‐sectional analysis for a population sample of 2092 individuals aged over 65 year...
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| Published in | Diabetes/metabolism research and reviews Vol. 30; no. 1; pp. 69 - 76 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Blackwell Publishing Ltd
01.01.2014
Wiley Subscription Services, Inc |
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| Abstract | Objective
We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut‐off points of the neck circumference for MetS and obesity.
Methods
Cross‐sectional analysis for a population sample of 2092 individuals aged over 65 years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria.
Results
Neck circumference was correlated with body mass index (r = 0.70, p = 0.000 in men, and r = 0.73, p = 0.000 in women) and waist circumference (waist circumference; r = 0.70, p = 0.000 in men, and r = 0.72, p = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08–1.15; p = 0.044) and 1.17 (1.07–1.28; p = 0.000), respectively, in men and 1.08 (1.05–1.10; p = 0.000) and 1.31 (1.21–1.42; p = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p < 0.01). In the receiver operating characteristic curves, both the optimal cut‐off points of neck circumference for MetS and obesity were 38 cm in men and 35 cm in women.
Conclusions
The neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut‐off points for the prediction of MetS and obesity in Chinese elders. Copyright © 2013 John Wiley & Sons, Ltd. |
|---|---|
| AbstractList | We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points of the neck circumference for MetS and obesity.
Cross-sectional analysis for a population sample of 2092 individuals aged over 65 years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria.
Neck circumference was correlated with body mass index (r = 0.70, p = 0.000 in men, and r = 0.73, p = 0.000 in women) and waist circumference (waist circumference; r = 0.70, p = 0.000 in men, and r = 0.72, p = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08-1.15; p = 0.044) and 1.17 (1.07-1.28; p = 0.000), respectively, in men and 1.08 (1.05-1.10; p = 0.000) and 1.31 (1.21-1.42; p = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p < 0.01). In the receiver operating characteristic curves, both the optimal cut-off points of neck circumference for MetS and obesity were 38 cm in men and 35 cm in women.
The neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut-off points for the prediction of MetS and obesity in Chinese elders. Objective We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut‐off points of the neck circumference for MetS and obesity. Methods Cross‐sectional analysis for a population sample of 2092 individuals aged over 65 years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria. Results Neck circumference was correlated with body mass index (r = 0.70, p = 0.000 in men, and r = 0.73, p = 0.000 in women) and waist circumference (waist circumference; r = 0.70, p = 0.000 in men, and r = 0.72, p = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08–1.15; p = 0.044) and 1.17 (1.07–1.28; p = 0.000), respectively, in men and 1.08 (1.05–1.10; p = 0.000) and 1.31 (1.21–1.42; p = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p < 0.01). In the receiver operating characteristic curves, both the optimal cut‐off points of neck circumference for MetS and obesity were 38 cm in men and 35 cm in women. Conclusions The neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut‐off points for the prediction of MetS and obesity in Chinese elders. Copyright © 2013 John Wiley & Sons, Ltd. We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points of the neck circumference for MetS and obesity.OBJECTIVEWe aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points of the neck circumference for MetS and obesity.Cross-sectional analysis for a population sample of 2092 individuals aged over 65 years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria.METHODSCross-sectional analysis for a population sample of 2092 individuals aged over 65 years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria.Neck circumference was correlated with body mass index (r = 0.70, p = 0.000 in men, and r = 0.73, p = 0.000 in women) and waist circumference (waist circumference; r = 0.70, p = 0.000 in men, and r = 0.72, p = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08-1.15; p = 0.044) and 1.17 (1.07-1.28; p = 0.000), respectively, in men and 1.08 (1.05-1.10; p = 0.000) and 1.31 (1.21-1.42; p = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p < 0.01). In the receiver operating characteristic curves, both the optimal cut-off points of neck circumference for MetS and obesity were 38 cm in men and 35 cm in women.RESULTSNeck circumference was correlated with body mass index (r = 0.70, p = 0.000 in men, and r = 0.73, p = 0.000 in women) and waist circumference (waist circumference; r = 0.70, p = 0.000 in men, and r = 0.72, p = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08-1.15; p = 0.044) and 1.17 (1.07-1.28; p = 0.000), respectively, in men and 1.08 (1.05-1.10; p = 0.000) and 1.31 (1.21-1.42; p = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p < 0.01). In the receiver operating characteristic curves, both the optimal cut-off points of neck circumference for MetS and obesity were 38 cm in men and 35 cm in women.The neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut-off points for the prediction of MetS and obesity in Chinese elders.CONCLUSIONSThe neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut-off points for the prediction of MetS and obesity in Chinese elders. Objective We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points of the neck circumference for MetS and obesity. Methods Cross-sectional analysis for a population sample of 2092 individuals aged over 65years, representative of East China elders. MetS was identified according to the 2004 Chinese Diabetes Society criteria. Results Neck circumference was correlated with body mass index (r=0.70, p=0.000 in men, and r=0.73, p=0.000 in women) and waist circumference (waist circumference; r=0.70, p=0.000 in men, and r=0.72, p=0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (p for trend <0.001) in both genders. Binary logistic regression analysis revealed that both waist circumference and neck circumference were independent predictors of Mets, with odds ratios (95% confidence interval) 1.11 (1.08-1.15; p=0.044) and 1.17 (1.07-1.28; p=0.000), respectively, in men and 1.08 (1.05-1.10; p=0.000) and 1.31 (1.21-1.42; p=0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all p<0.01). In the receiver operating characteristic curves, both the optimal cut-off points of neck circumference for MetS and obesity were 38cm in men and 35cm in women. Conclusions The neck circumference, as waist circumference, is also a valuable tool for identifying MetS and obesity, with established cut-off points for the prediction of MetS and obesity in Chinese elders. Copyright © 2013 John Wiley & Sons, Ltd. [PUBLICATION ABSTRACT] |
| Author | Li, Xu Yan, Qun Feng, Bo Li, Lun Gu, Chenhong Sun, Dongmei Zheng, Qinghu |
| Author_xml | – sequence: 1 givenname: Qun surname: Yan fullname: Yan, Qun organization: Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Jimo Road 150, Shanghai, China – sequence: 2 givenname: Dongmei surname: Sun fullname: Sun, Dongmei organization: Shanghai Puxing Community Health-Care Center, GuiChang Road 250, Shanghai, China – sequence: 3 givenname: Xu surname: Li fullname: Li, Xu organization: Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Jimo Road 150, Shanghai, China – sequence: 4 givenname: Qinghu surname: Zheng fullname: Zheng, Qinghu organization: Shanghai Puxing Community Health-Care Center, GuiChang Road 250, Shanghai, China – sequence: 5 givenname: Lun surname: Li fullname: Li, Lun organization: Shanghai Puxing Community Health-Care Center, GuiChang Road 250, Shanghai, China – sequence: 6 givenname: Chenhong surname: Gu fullname: Gu, Chenhong organization: Shanghai Puxing Community Health-Care Center, GuiChang Road 250, Shanghai, China – sequence: 7 givenname: Bo surname: Feng fullname: Feng, Bo email: Correspondence to: Bo Feng, Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Jimo Road 150, Shanghai, China., fengbo@medmail.com.cn organization: Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Jimo Road 150, Shanghai, China |
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publication-title: Diabetes care – volume: 8 start-page: S732 year: 2002 end-page: S737 article-title: Criteria and classification of obesity in Japan and Asia‐Oceania publication-title: Asia Pac J Clin Nutr – volume: 96 start-page: 2297 issue: 5 year: 1995 end-page: 2303 article-title: Gender differences in regional fatty acid metabolism before and after meal ingestion publication-title: J Clin Invest – volume: 33 start-page: 2465 issue: 11 year: 2010 end-page: 2467 article-title: Neck circumference positively related with central obesity, overweight, and metabolic syndrome in Chinese subjects with type 2 diabetes: Beijing community diabetes study 4 publication-title: Diabetes care – volume: 10 start-page: 246 issue: 3 year: 2008 end-page: 250 article-title: The influence of age and body mass index on the metabolic syndrome and its components publication-title: Diabetes Obes Metab – volume: 131 start-page: 1387 issue: 5 year: 2007 end-page: 1392 article-title: Obstructive sleep apnea syndrome is associated with some components of metabolic syndrome publication-title: Chest – volume: 75 start-page: 683 issue: 4 year: 2002 end-page: 688 article-title: Body mass index and waist circumference independently contribute to the prediction of nonabdominal, abdominal subcutaneous, and visceral fat publication-title: Am J Clin Nutr – volume: 92 start-page: 2535 issue: 6 year: 2002 end-page: 2541 article-title: Gender differences in upper airway compliance during NREM sleep: role of neck circumference publication-title: J Appl Physiol – volume: 48 start-page: 1270 issue: 6 year: 1999 end-page: 1274 article-title: Free fatty acid‐induced insulin resistance is associated with activation of protein kinase C theta and alterations in the insulin signaling cascade publication-title: Diabetes – volume: 42 start-page: 335 issue: 2 year: 2012 end-page: 342 article-title: Determining cut‐off values for neck circumference as a measure of the metabolic syndrome amongst a South African cohort: the SABPA study publication-title: Endocrine – volume: 95 start-page: 3701 issue: 8 year: 2010 end-page: 3710 article-title: Neck circumference as a novel measure of cardiometabolic risk: the Framingham heart study publication-title: J Clin Endocrinol Metab – volume: 32 start-page: 14 issue: S3 year: 2002 end-page: 23 article-title: Free fatty acids in obesity and type 2 diabetes: defining their role in the development of insulin resistance and β‐cell dysfunction publication-title: Eur J Clin Invest – volume: 16 start-page: 206 issue: 3 year: 2003 article-title: Prediction of abdominal visceral obesity from body mass index, waist circumference and waist‐hip ratio in Chinese adults: receiver operating characteristic curves analysis publication-title: BES – volume: 23 start-page: 943 issue: 7 year: 2000 article-title: Craniofacial form and obstructive sleep apnea in Polynesian and Caucasian men publication-title: Sleep – volume: 34 start-page: 1026 issue: 4 year: 2011 end-page: 1031 article-title: Relationship between neck circumference and cardiometabolic parameters in HIV‐infected and non–HIV‐infected adults publication-title: Diabetes care – volume: 113 start-page: 1582 issue: 11 year: 2004 end-page: 1588 article-title: Splanchnic lipolysis in human obesity publication-title: J Clin Invest – volume: 23 start-page: 434 issue: 3 year: 2003 end-page: 439 article-title: Obesity and systemic oxidative stress clinical correlates of oxidative stress in the Framingham study publication-title: Arterioscler Thromb Vasc Biol – volume: 48 start-page: 1586 issue: 8 year: 1999 end-page: 1592 article-title: Regional postprandial fatty acid metabolism in different obesity phenotypes publication-title: Diabetes – volume: 29 start-page: 90 issue: 1 year: 2013 end-page: 97 article-title: Neck circumference is correlated with triglycerides and inversely related with HDL cholesterol beyond BMI and waist circumference publication-title: Diabetes Metab Res Rev – volume: 73 start-page: 197 issue: 2 year: 2010 end-page: 200 article-title: Visceral adiposity is closely correlated with neck circumference and represents a significant indicator of insulin resistance in WHO grade III obesity publication-title: Clin Endocrinol (Oxf) – volume: 9 start-page: 381 issue: 7 year: 2001 end-page: 387 article-title: Large amounts of visceral adipose tissue in Asian Americans publication-title: Obes Res – volume: 5 start-page: 28 issue: 1 year: 2013 article-title: Neck circumference as an anthropometric measure of obesity in diabetics publication-title: North Am J Med Sci – volume: 39 start-page: 161 issue: 2 year: 2012 end-page: 165 article-title: Neck circumference is an accurate and simple index for evaluating overweight and obesity in Han children publication-title: Ann Hum Biol – volume: 169 start-page: 733 issue: 6 year: 2010 end-page: 739 article-title: Neck circumference: an additional tool of screening overweight and obesity in childhood publication-title: Eur J Pediatr – volume: 8 start-page: 389 year: 2008 article-title: Risk factors for overweight and obesity, and changes in body mass index of Chinese adults in Shanghai publication-title: BMC Public Health – volume: 3 start-page: 509 issue: 5 year: 1990 end-page: 514 article-title: The relationship between neck circumference, radiographic pharyngeal anatomy, and the obstructive sleep apnoea syndrome publication-title: Eur Respir J – volume: 120 start-page: 1640 issue: 16 year: 2009 end-page: 1645 article-title: Harmonizing the metabolic syndrome publication-title: Circulation – volume: 28 start-page: 46 issue: 1 year: 2009 end-page: 51 article-title: Neck circumference as a measure of central obesity: associations with metabolic syndrome and obstructive sleep apnea syndrome beyond waist circumference publication-title: Clin Nutr – year: 2012 article-title: Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results from the Brazilian metabolic 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We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut‐off points... We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points of the neck... Objective We aim to explore the relationship of neck circumference to metabolic syndrome (MetS) and obesity in Chinese elders and to establish cut-off points... |
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| SubjectTerms | Aged Asian Continental Ancestry Group Body Size - ethnology China - epidemiology Cross-Sectional Studies Female Humans Male metabolic syndrome Metabolic Syndrome - ethnology Metabolic Syndrome - pathology Neck - pathology neck circumference obesity Obesity - ethnology Obesity - pathology Population Surveillance Prevalence ROC Curve waist circumference |
| Title | Neck circumference is a valuable tool for identifying metabolic syndrome and obesity in Chinese elder subjects: a community-based study |
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