ArticleBMJ open2017
Neck circumference and clustered cardiovascular risk factors in children and adolescents: cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Criterion-Related Validity of Field-Based Methods and Equations for Body Composition Estimation in Adults: A Systematic Review.Current obesity reports · 2022Pooled it
- Article
- The correlation between neck circumference and atherogenic index of plasma with coronary heart disease.Frontiers in endocrinology · 2025Observational
- Comparison of obesity indicators for predicting cardiovascular risk factors and multimorbidity among the Chinese population based on ROC analysis.Scientific reports · 2024Article
- Neck Circumference as a Valuable Tool to Identify the Risk of Metabolic Syndrome in Mexican Children.Children (Basel, Switzerland) · 2024Article
- Article
- Clinical Diagnostic Significance of Combined Measurement of Lipoprotein(a) and Neck Circumference in Patients with Coronary Heart Disease.International journal of general medicine · 2024Article
- Increased Neck Circumference and Increased Waist-Hip Ratio: Predictive Factors of Acute Myocardial Infarction.Cureus · 2023Article
- Neck Circumference and Risk of Incident Atrial Fibrillation in the Framingham Heart Study.Journal of the American Heart Association · 2022Article
- Distribution of Cardiometabolic Risk Factors in School-Aged Children with Excess Body Weight in the Al Ain City, United Arab Emirates: A Cross-Sectional Study.Children (Basel, Switzerland) · 2021Article
- Neck circumference and cardiometabolic risk in children and adolescents: the moderator role of cardiorespiratory fitness.BMC pediatrics · 2021Article
- Neck and Wrist Circumferences as Indicators of Metabolic Alterations in the Pediatric Population: A Scoping Review.Children (Basel, Switzerland) · 2021Article
- Neck Circumference and 10-Year Cardiovascular Risk at the Baseline of the ELSA-Brasil Study: Difference by Sex.Arquivos brasileiros de cardiologia · 2020Article
- Association of Neck Circumference with Anthropometric Indicators and Body Composition Measured by DXA in Young Spanish Adults.Nutrients · 2020Article
- Neck circumference as an indicator of elevated central adiposity in children.Public health nutrition · 2019Article
- Anthropometric measurements as a potential non-invasive alternative for the diagnosis of metabolic syndrome in adolescents.Archives of endocrinology and metabolism · 2019Article
- Neck circumference is associated with non-traditional cardiovascular risk factors in individuals at low-to-moderate cardiovascular risk: cross-sectional analysis of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).Diabetology & metabolic syndrome · 2018Article
Corrections and comments
- Erratum issuedCorrection:2018
Authors and funding
9 authors at 5 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveEarly detection of cardiovascular disease (CVD) risk factors, such as obesity, is crucial to prevent adverse long-term effects on individuals' health. Therefore, the aims were: (1) to explore the robustness of neck circumference (NC) as a predictor of CVD and examine its association with numerous anthropometric and body composition indices and (2) to release sex and age-specific NC cut-off values to classify youths as overweight/obese.
designCross-sectional study.
setting23 primary schools and 17 secondary schools from Spain.
participants2198 students (1060 girls), grades 1-4 and 7-10. MEASURES: Pubertal development, anthropometric and body composition indices, systolic and diastolic blood pressure (SBP and DBP, respectively), cardiorespiratory fitness, blood sampling triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), glucose and inflammatory markers. Homoeostasis model assessment (HOMA-IR) and cluster of CVD risk factors were calculated.
resultsNC was negatively associated with maximum oxygen consumption (R2=0.231, P<0.001 for boys; R2=0.018, P<0.001 for girls) and adiponectin (R2=0.049, P<0.001 for boys; R2=0.036, P<0.001 for girls); and positively associated with SBP, DBP, TC/HDL-c, TG, HOMA, complement factors C-3 and C-4, leptin and clustered CVD risk factor in both sexes (R2 from 0.035 to 0.353, P<0.01 for boys; R2 from 0.024 to 0.215, P<0.001 for girls). Moreover, NC was positively associated with serum C reactive protein and LDL-c only in boys (R2 from 0.013 to 0.055, P<0.05).
conclusionNC is a simple, low-cost and practical screening tool of excess of upper body obesity and CVD risk factors in children and adolescents. Paediatricians can easily use it as a screening tool for overweight/obesity in children and adolescents. For this purpose, sex and age-specific thresholds to classify children and adolescents as normal weight or overweight/obese are provided.
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