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Efficacy of neck circumference to identify metabolic syndrome in 3–10 year-old European children: Results from IDEFICS study

Published on Jun 1, 2016in Nutrition Metabolism and Cardiovascular Diseases3.34
· DOI :10.1016/j.numecd.2016.02.012
Annarita Formisano7
Estimated H-index: 7
,
Karin Bammann29
Estimated H-index: 29
(University of Bremen)
+ 10 AuthorsAlfonso Siani19
Estimated H-index: 19
Abstract
Abstract Background and aims Several studies demonstrated that larger neck circumference (NC) in children and adolescents may help to identify obesity and cardio-metabolic abnormalities. We aimed to evaluate the correlation between NC and metabolic syndrome (MetS) risk factors and to determine the utility of this anthropometric index to identify MetS in European children. Methods and results The present cross-sectional analysis includes 15,673 children (3–10 years) participating in the IDEFICS study. A continuous MetS (cMetS) score was calculated summing age and sex standardized z -scores of specific MetS risk factors. Receiver Operating Characteristic analysis, stratified by one-year age groups, was used to determine the ability of NC to identify children with unfavorable metabolic profile, corresponding to cMetS score ≥ 90th percentile. The areas under the curve values for NC associated with cMetS score values ≥ 90th percentile were significantly greater in girls than in boys ( p Conclusion The study demonstrated the efficacy of NC in identifying European children with an unfavorable metabolic profile.
  • References (58)
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SummaryObjective To investigate the relationship of the neck circumference (NC) with the metabolic syndrome (MetS) and insulin resistance (IR) in a large Brazilian population-based sample, within a wide range of adiposity and glucose tolerance, and to establish cut-off values of the NC for MetS and IR. Context The NC correlates with cardiovascular risk factors, IR and components of MetS. Upper-body subcutaneous (sc) fat, as estimated by the NC, is associated with cardiovascular risk factors as m...
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Eur J Clin Invest 2012; 42 (6): 623–630 Abstract Background To establish the association between neck circumference and cardiometabolic risk factors and to determine the utility of the neck circumference as a parameter in predicting children at cardiometabolic risk. Materials and methods Five - hundred and eighty-one children (461: overweight/obese, 120: normal body mass index) aged between 5 and 18 years were enrolled. Neck circumference, waist circumference, blood pressure and fasting plasma g...
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Summary 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] cholester...
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Background and objectives: To identify the relationship between neck circumference (NC) and cardiometabolic risk factors in children. Materials and Methods: Children and adolescents 6–18 years old (n = 548) from five counties of San Luis Potosi, Mexico were included. Data was collected for biological markers (glucose and lipid profile) and anthropometric and clinical measurements—weight, height, NC, waist circumference (WC), and blood pressure (BP). Body mass index (BMI) was calculated using Que...
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Abstract Emerging evidence suggested that large neck circumference (NC) in children and adolescents may be an indicator of increased blood pressure. We sought to conduct a systematic review and meta-analysis regarding the association between NC and blood pressure in children. Pertinent studies were identified by searching PubMed and Scopus databases, up to January 2018. Studies which reported the correlation coefficient between NC, systolic blood pressure and diastolic blood pressure in children...
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Recently, neck circumference (NC) has been used to predict the risk of cardiometabolic factors. This study aimed to perform a systematic review and meta-analysis to examine: (i) the sensitivity (SE) and specificity (SP) of NC to predict cardiometabolic risk factors and (ii) the association between NC and the risk of cardiometabolic parameters. A systematic search was conducted through PubMed/Medline, Institute of Scientific Information, and Scopus, until 2017 based on the search terms of metabol...
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