Evidence map›Paper›PMID 26981543›Full record

ArticleJournal of diabetes research2016

Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures.

Kaumudi Joshipura, Francisco Muñoz-Torres, José Vergara, Cristina Palacios, Cynthia M Pérez

Open access · goldAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of diabetes research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
13.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 2 syntheses or guidelines pooled it, 155 citations in OpenAlex.

  1. Validity of non-traditional measures of obesity compared to total body fat across the life course: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  13. A Low-Profile High-Density Electromyography Neckband for Recording Neck Muscle Activity.Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual International Conference · 2025
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Kaumudi JoshipuraCenter for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Francisco Muñoz-TorresCenter for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA.
José VergaraCenter for Clinical Research and Health Promotion, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA; Graduate School of Public Health, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA.
Cristina PalaciosGraduate School of Public Health, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA.
Cynthia M PérezGraduate School of Public Health, University of Puerto Rico, Medical Sciences Campus, San Juan, PR 00936-5067, USA.
University of Puerto Rico, Medical Sciences Campus · PRHarvard University · US

Funding

TECHNOLOGIES AND RESOURCES FOR CORE LABORATORIESU54MD007587 · NIMHD · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI BENABE, JULIO E, LUCIANO, CARLOS A. · 2012 to 2018
$23.2M
Periodontitis and pre-clinical diabetesR01DE020111 · NIDCR · UNIVERSITY OF PUERTO RICO MED SCIENCES · PI JOSHIPURA, KAUMUDI J, PEREZ, CYNTHIA MADELINE · 2010 to 2015
$3.1M
NIDCR NIH HHS R01 DE020111NIDCR NIH HHS R01DE020111NIMHD NIH HHS U54 MD007587NIMHD NIH HHS U54MD007587
6 · The paper itself

Abstract

This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40-65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r = 0.64), BMI (r = 0.66), and body fat % (r = 0.45). Neck circumference, highest (compared to lowest) tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71-3.06) compared to waist circumference OR = 1.97 (95% CI: 1.48-2.66) and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43-13.06), 2.41 (95% CI: 1.80-3.21), and 1.52 (95% CI: 1.14-2.03), but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66-4.90) and OR = 2.58 (95% CI: 1.90-3.49), compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.

Indexed as

AdiposityAdultAgedAnthropometryBody Mass IndexCardiovascular DiseasesCross-Sectional StudiesFemaleHispanic or LatinoHumansLogistic ModelsMaleMetabolic SyndromeMiddle AgedMultivariate AnalysisNeck

Identifiers

PMID26981543
PMCPMC4766356
OpenAlexW2257125753

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.