A medida da circunferência do pescoço pode ser usada como indicador de adiposidade corporal? Revisão sistemática

• Published in: Revista brasileira de obesidade, nutrição e emagrecimento Vol. 13; no. 77; pp. 157 - 165
• Main Authors: Sernizon Guimarães, Nathalia, Oliveira, Natália Alves de, De Figueiredo, Sônia Maria
• Format: Journal Article
• Language: Portuguese
• Published: 2019
• Subjects: Adultos; Antropometria; Circunferência do pescoço; Distribuição de Gordura Corporal
• ISSN: 1981-9919; 1981-9919

Objective: Analyze the association of neck circumference (NC) as a marker of body adiposity in adults and the elderly. Method: A systematic review was conducted in the Nature Publishing Group (CrossRef), ScienceDirect Journals (Elsevier), Science Citation Index Expanded (MEDLINE / PubMed (NLM) and Scopus (Elsevier)) between 2010 and 2018; with the descriptors: "neck circumference" AND "anthropometry" AND "obesity". Eligibility criteria were articles about the association between NC and body adiposity, including transverse studies, cohort and case-control. Results: A total of 16 studies were included, fourteen of which were cross-sectional and only two cohort studies. The neck circumference was associated with anthropometric markers of adiposity in young, adult and elderly subjects. Significant positive associations were observed between NC and (a) BMI; (b) HC; (c) WC and (d) WHtR; in at least one of the sexes investigated. In four studies, the WHR was the index that presented the lowest agreement with the NC, and in two studies the NC was superior to the WC. Conclusion: Among the studies analyzed, NC was associated with anthropometric indicators already used in the assessment of body adiposity. Future studies should be developed to determine and validate neck circumferential cut-off points in representative samples as groups of people living with HIV. Objetivo: analisar a associação da circunferência do pescoço (CP) como marcador de adiposidade corporal em adultos e idosos. Método: Artigo de revisão sistemática utilizando as bases de dados Nature Publishing Group (CrossRef), ScienceDirect Journals (Elsevier), Science Citation Index Expanded (Web of Science), MEDLINE/PubMed (NLM) e Scopus (Elsevier), entre 2010 e 2018; com os seguintes descritores: "neck circumference" AND "anthropometry" AND "obesity". Os critérios de elegibilidade foram artigos sobre a associação entre a CP e adiposidade corporal do tipo observacional (transversais, coortes e casos-controles). Resultados: Foram incluídos 16 estudos, sendo quatorze do tipo transversal e apenas dois estudos de coorte. A circunferência do pescoço se associou aos marcadores antropométricos de adiposidade em jovens, adultos e idosos. Foram observadas associações positivas significativas entre a CP e (a) IMC; (b) CC; (c) CQ e (d) RCE; para, pelo menos, um dos sexos investigados. Em quatro estudos a RCQ foi o índice que apresentou menor concordância com a CP, e em dois estudos a CP se mostrou superior à CC. Conclusão: Dentre os estudos analisados, a CP apresentou associação com indicadores antropométricos já empregados na avaliação da adiposidade corporal. Futuros estudos devem ser desenvolvidos para determinar e validar os pontos de corte da circunferência do pescoço em amostras representativas como grupos de pessoas vivendo com HIV. ABSTRACTCan the neck circumference be used as an indicator of body adiposity? Systematic reviewObjective: Analyze the association of neck circumference (NC) as a marker of body adiposity in adults and the elderly. Method: A systematic review was conducted in the Nature Publishing Group (CrossRef), ScienceDirect Journals (Elsevier), Science Citation Index Expanded (MEDLINE / PubMed (NLM) and Scopus (Elsevier)) between 2010 and 2018; with the descriptors: "neck circumference" AND "anthropometry" AND "obesity". Eligibility criteria were articles about the association between NC and body adiposity, including transverse studies, cohort and case-control. Results: A total of 16 studies were included, fourteen of which were cross-sectional and only two cohort studies. The neck circumference was associated with anthropometric markers of adiposity in young, adult and elderly subjects. Significant positive associations were observed between NC and (a) BMI; (b) HC; (c) WC and (d) WHtR; in at least one of the sexes investigated. In four studies, the WHR was the index that presented the lowest agreement with the NC, and in two studies the NC was superior to the WC. Conclusion: Among the studies analyzed, NC was associated with anthropometric indicators already used in the assessment of body adiposity. Future studies should be developed to determine and validate neck circumferential cut-off points in representative samples as groups of people living with HIV.