Evidence map›Paper›PMID 31699715›Full record

ArticleBMJ open2019

Is neck circumference an appropriate tool to predict cardiovascular risk in clinical practice? A cross-sectional study in Chilean population.

Patricia Caro, Ximena Guerra, Andrea Canals, Gerardo Weisstaub, Carlos Sandaña

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

  1. Trial
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  6. Sleep apnoea from a dentist's point of view.Central European journal of public health · 2024
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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.

Patricia CaroSchool of Public Health, Faculty of Sciences, Universidad Mayor, Santiago, Chile.
Ximena GuerraSchool of Nutrition and Dietetics, Universidad Tecnológica de Chile Sede Apoquindo, Santiago, Chile.
Andrea CanalsAcademic Direction, Clínica Santa María, Santiago, Chile.
Gerardo WeisstaubPublic Nutrition Department, Instituto de Nutrición y Tecnología de los Alimentos Universidad de Chile, Santiago, Chile.
Carlos SandañaSchool of Public Health, Faculty of Sciences, Universidad Mayor, Santiago, Chile carlos.sandana@umayor.cl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNeck circumference has emerged as a predictor of obesity and metabolic syndrome, but its clinical usefulness for different groups of population is not clearly defined. The aim is to evaluate the predictive capacity of neck circumference in order to detect cardiovascular risks (CVRs) on the Chilean population and to compare it with waist circumference performance.

designCross-sectional study.

settingGeneral Chilean population.

participantsData of 4607 adults aged 18 and over from the Chilean National Health Survey 2009-2010 were analysed. PRIMARY AND SECONDARY OUTCOME MEASURES: Anthropometrics measures included neck and waist circumference, height and weight. CVR was identified according to the Framingham tables adapted for the Chilean population. Receiver operating characteristics curves and logistic regression models were made to evaluate the performance of neck circumference to predict a moderate/high CVR, comparing it to waist circumference.

resultsAlmost 10% of the sample had a moderate or high CVR. The probability of having a moderate/high cardiovascular risk increase with cervical obesity (OR 1.95, 95% CI 1.04 to 3.68) and central obesity (OR 4.5, 95% CI 2.47 to 8.22). The area under the curves were high for cervical obesity (AUC 81.4%, 95% CI 78.8% to 84.0%) and central obesity (AUC 82.2%, 95% CI 79.7% to 84.7%) and not statistically different (p=0.152).

conclusionsNeck obesity has a high capacity to predict moderate/high CVR in the Chilean population. Its good performance appears as an opportunity to use it in clinical practice when waist circumference measurement is difficult to measure and eventually replace the waist circumference measurement as the technique is easier.

Indexed as

Waist CircumferenceAdultAgedAnthropometryCardiovascular DiseasesChileCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedNeckObesityObesity, AbdominalRisk Factorscardiovascular riskneck circumferenceoverweightwaist circumference

Identifiers

PMID31699715
PMCPMC6858176

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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.