Neck circumference is a valuable tool for identifying metabolic syndrome and obesity in Chinese elder subjects: a community‐based study. Issue 1 (January 2014)

• Record Type: Journal Article
• Authors: Yan, Qun; Sun, Dongmei; Li, Xu; Zheng, Qinghu; Li, Lun; Gu, Chenhong; Feng, Bo
• Is Part Of: Diabetes/metabolism research and reviews. Volume 30:Issue 1(2014:Jan.)
• Page Start: 69
• Page End: 76
• Publication Date: 2014-01
• Subjects: Diabetes -- Periodicals; Metabolism -- Periodicals; 616.642
• DOI: 10.1002/dmrr.2464
• Languages: English
• ISSNs: 1520-7552

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="dmrr2464-sec-0001" sec-type="section"> <title>Objective</title> <p>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.</p> </sec> <sec id="dmrr2464-sec-0002" sec-type="section"> <title>Methods</title> <p>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.</p> </sec> <sec id="dmrr2464-sec-0003" sec-type="section"> <title>Results</title> <p>Neck circumference was correlated with body mass index (<italic>r</italic> = 0.70, <italic>p</italic> = 0.000 in men, and <italic>r</italic> = 0.73, <italic>p</italic> = 0.000 in women) and waist circumference (waist circumference; <italic>r</italic> = 0.70, <italic>p</italic> = 0.000 in men, and <italic>r</italic> = 0.72, <italic>p</italic> = 0.000 in women). According to neck circumference quartile, the prevalence of MetS and its components were increased significantly from Q1 to Q4 (<italic>p</italic> 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; <italic>p</italic> = 0.044) and 1.17 (1.07–1.28; <italic>p</italic> = 0.000), respectively, in men and 1.08 (1.05–1.10; <italic>p</italic> = 0.000) and 1.31 (1.21–1.42; <italic>p</italic> = 0.000), respectively, in women. As for obesity, the significant independent indicators in both genders were also waist circumference and neck circumference (all <italic>p</italic> < 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.</p> </sec> <sec id="dmrr2464-sec-0004" sec-type="section"> <title>Conclusions</title> <p>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.</p> </sec> </abstract>