Publication:
Neck Circumference Cut-Off Points for Identifying Adiposity: Association with Chronic Metabolic Diseases in Older People

dc.contributor.authorDíaz, Dominique A.
dc.contributor.authorLera, Lydia
dc.contributor.authorManríquez, Carlos
dc.contributor.authorValenzuela, Andrea
dc.contributor.authorSaguez, Rodrigo
dc.contributor.authorWeisstaub, Gerardo
dc.contributor.authorAlbala, Cecilia
dc.date.accessioned2024-12-27T17:20:36Z
dc.date.available2024-12-27T17:20:36Z
dc.date.issued2024
dc.description.abstractBackground: The leading cause of death in older people is cardiovascular diseases. Several studies have found that neck circumference (NC) is a simple anthropometric marker associated with adiposity. The aim of this study is to estimate and validate NC cut-off points as adiposity markers and analyze their association with cardiovascular and chronic metabolic diseases in older people. Methods: A cross-sectional study in 358 non-disabled, community-dwelling older people (71.7 ± 3.9 years) living in Santiago de Chile and participating in the HTSMayor study was conducted. Measurements of body composition and cardiovascular risks were evaluated. Receiver operating characteristic (ROC) curves and multiple logistic regression models were used to evaluate the association of NC with cardiovascular and chronic metabolic diseases. NC cut-off points were obtained to predict obesity, abdominal obesity, and adiposity. Results: The best performance values of neck circumference relative to obesity and adiposity were obtained with respect to abdominal obesity (40.6 cm in men and 34.2 cm in women). Higher NC values were associated with a higher area under the curve (AUC) for men and women (men: AUC = 0.84; women: AUC = 0.86). NC was significantly associated with a higher risk for diabetes mellitus (OR = 1.95), hypertension (OR = 2.42), acute myocardial infarction (OR = 4.36), and comorbidities (OR = 2.01), and a lower risk for sarcopenia (OR = 0.35). Conclusions: This study shows that NC is a useful tool for detecting abdominal obesity, obesity, and adiposity in older people and that a higher NC increases the risk of chronic diseases.
dc.description.versionVersión pubicada
dc.format.extent12 p.
dc.identifier.citationDíaz, D.A.; Lera, L.; Márquez, C.; Valenzuela, A.; Saguez, R.;Weisstaub, G.; Albala, C. Neck Circumference Cut-Off Points for Identifying Adiposity: Association with Chronic Metabolic Diseases in Older People. J. Pers. Med. 2024, 14, 710. https://doi.org/10.3390/ jpm14070710
dc.identifier.doihttps://doi.org/10.3390/ jpm14070710
dc.identifier.urihttps://hdl.handle.net/11447/9538
dc.language.isoen
dc.subjectNeck circumference
dc.subjectObesity
dc.subjectAbdominal obesity
dc.subjectAdiposity
dc.subjectChronic diseases
dc.titleNeck Circumference Cut-Off Points for Identifying Adiposity: Association with Chronic Metabolic Diseases in Older People
dc.typeArticle
dcterms.accessRightsAcceso abierto
dcterms.sourceJournal of Personalized Medicine
dspace.entity.typePublication

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