Observational studyAmerican heart journal2019
Neck circumference and cardiovascular outcomes: Insights from the Jackson Heart Study.
Observational study in American heart journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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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.
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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.
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Who cites it
12 citing papers in PubMed, 22 citations in OpenAlex.
- Association between neck circumference to height ratio and coronary heart disease: a case-control study in a Northern Chinese female population.Scientific reports · 2026Article
- Neck Circumference and the Heart: Unveiling a New Anthropometric Marker for LVH Risk in Type 2 Diabetes-The TESEO Study.Diabetes/metabolism research and reviews · 2025Article
- Neck circumference predicts the incident cardiac events of obese hypertension with obstructive sleep apnea.American journal of preventive cardiology · 2025Article
- The correlation between neck circumference and atherogenic index of plasma with coronary heart disease.Frontiers in endocrinology · 2025Observational
- Neck circumference as a predictor of all-cause mortality in middle-aged and older adults in rural Ecuador.International health · 2024Article
- The association between physical activity and neck circumference with cardiovascular disease risk in older wheelchair users.Journal of rehabilitation medicine · 2024Article
- Association between Neck Circumference and Thyroid Disease: Findings of a Nationwide Cross-Sectional Study in Korea.Iranian journal of public health · 2024Article
- Increased Neck Circumference and Increased Waist-Hip Ratio: Predictive Factors of Acute Myocardial Infarction.Cureus · 2023Article
- Association of moderate and vigorous physical activity and relative muscle strength with neck circumference: a cross-sectional analysis of the Study of Health in Pomerode (SHIP-Brazil).Einstein (Sao Paulo, Brazil) · 2023Article
- Change of neck circumference in relation to visceral fat area: a Chinese community-based longitudinal cohort study.International journal of obesity (2005) · 2022Article
- Article
- Neck Circumference and Risk of Incident Atrial Fibrillation in the Framingham Heart Study.Journal of the American Heart Association · 2022Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
Abstract
backgroundEmerging data suggest that neck circumference (NC) is associated with cardiometabolic risk factors. Limited research is available regarding the association between NC and cardiovascular outcomes in African Americans.
methodsUsing data from the Jackson Heart Study, we included participants with recorded NC measurements at baseline (2000-2004). Baseline characteristics for the included population were summarized by tertiles of NC. We then calculated age- and sex-adjusted cumulative incidence of clinical cardiovascular outcomes and performed Cox proportional-hazards with stepwise models.
resultsOverall, 5,290 participants were categorized into tertiles of baseline NC defined as ≤37 cm (n = 2179), 38-40 cm (n = 1552), and >40 cm (n = 1559). After adjusting for age and sex, increasing NC was associated with increased risk of heart failure (HF) hospitalization (cumulative incidence = 13.4% [99% CI, 10.7-16.7] in the largest NC tertile vs 6.5% [99% CI, 4.7-8.8] in the smallest NC tertile), but not mortality, stroke, myocardial infarction, or coronary heart disease (all P ≥ .1). Following full risk adjustment, there was a nominal increase in the risk of HF hospitalization with increasing NC, but this was not statistically significant (hazard ratio per 1-cm increase, 1.04 [99% CI, 0.99-1.10], P = .06).
conclusionsIn this large cohort of African American individuals, a larger NC was associated with increased risk for HF hospitalization following adjustment for age and sex, but this risk was not statistically significant after adjusting for other clinical variables. Although NC is not independently associated with increased risk for cardiovascular events, it may offer prognostic information particularly related to HF hospitalization.
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