Evidence map›Paper›PMID 29678132›Full record

SynthesisBMC public health2018

Neck circumference may be a valuable tool for screening individuals with obesity: findings from a young Chinese population and a meta-analysis.

Xiaoting Pei, Li Liu, Mustapha Umar Imam, Ming Lu, Yanzi Chen, Panpan Sun, Yaxin Guo, Yiping Xu, Zhiguang Ping, Xiaoli Fu

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Neck Circumference and Blood Pressure Measurements among Walter Sisulu University Students.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Article
  10. Article
  11. Neck Circumference is Associated with Incidence of Angina Pectoris in a Large Community-Based Population.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
  12. Bone metabolism markers are associated with neck circumference in adult Arab women.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Observational
  13. Article
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

10 authors at 3 institutions in 2 countries.

Xiaoting PeiCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China.
Li LiuSchool of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, China.
Mustapha Umar ImamDepartment of Medical Biochemistry, Faculty of Basic Medical Sciences, College of Health Sciences, Usmanu Danfodio University, Sokoto, Nigeria.
Ming LuNursing Department of Jiaozuo People's Hospital, Jiaozuo, 454150, China.
Yanzi ChenCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China.
Panpan SunCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China.
Yaxin GuoSchool of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, China.
Yiping XuCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China.
Zhiguang PingCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China. ping_zhg@163.com.ORCID 0000-0001-8924-0761
Xiaoli FuCollege of Public Health, Zhengzhou University, No. 100 of Science Avenue, Zhengzhou, 450001, Henan, China. fuxiaoli@zzu.edu.cn.
Zhengzhou University · CNJiaozuo University · CNUsmanu Danfodiyo University · NG

Funding

Key Research Project for Colleges and Universities in Henan Province 16A330003National Natural Science Foundation of China 81001280National Natural Science Foundation of China 81202277National Natural Science Foundation of China 81373096
6 · The paper itself

Abstract

backgroundCentral obesity and overweight/obesity can result in various chronic non-communicable diseases, such as cardiovascular disease, metabolic syndrome, and diabetes mellitus. Waist circumference (WC) and body mass index (BMI) are widely used to measure obesity despite their limitations. For example, WC and BMI cannot be measured in pregnant women and subjects with abdominal ascites or masses. Therefore, this study aims to determine the efficacy of neck circumference (NC) as a tool for screening central obesity and overweight/obesity.

methodsA total of 1169 undergraduates aged 18-25 years were studied by a cross-sectional survey in China, 2016. Questionnaires and physical examinations were used to collect data. Receiver operator characteristic (ROC) curve was performed to determine the best threshold of NC for screening central obesity and overweight/obesity. Meanwhile, a meta-analysis was conducted to estimate the efficacy of NC for screening central obesity and overweight/obesity synthetically.

resultsNC was moderately correlated with WC and BMI. The ROC analysis showed that 37.1 cm for male and 32.6 cm for female were the best thresholds for central obesity, and 37.4 cm and 32.2 cm for overweight/obesity, respectively. The sensitivity, specificity, area under receiver operating curve (AUC) of central obesity and overweight/obesity were higher. In the meta-analysis, the pooled sensitivity, specificity, AUC and their 95%CI of NC for screening central obesity were 0.72 (0.68~ 0.75), 0.87 (0.74~ 0.94), 0.77 (0.73~ 0.80) for male and 0.73 (0.65~ 0.80), 0.80 (0.71~ 0.86), 0.82 (0.79~ 0.86) for female. For overweight/obesity, the pooled sensitivity, specificity, AUC and corresponding 95%CI were 0.83 (0.70~ 0.91), 0.77 (0.66~ 0.85), 0.86 (0.83~ 0.89) for male and 0.82 (0.71~ 0.90), 0.84 (0.61~ 0.95), 0.89 (0.86~ 0.92) for female.

conclusionNC may not be a good tool for screening individuals with central obesity. But it may be a simple and valuable tool for screening individuals with overweight/obesity, especially in females.

Indexed as

AdolescentAdultChinaCross-Sectional StudiesFemaleHumansMaleMass ScreeningNeckObesitySensitivity and SpecificityYoung AdultCentral obesityNeck circumferenceOverweight/obesityReceiver operator characteristic curve

Identifiers

PMID29678132
PMCPMC5910608
OpenAlexW2804154914

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.