Can the neck circumference be used as an indicator of body adiposity? Systematic review

  • Natália Alves de Oliveira Universidade Federal de Ouro Preto (UFOP), Ouro Preto-MG, Brasil
  • Sônia Maria de Figueiredo Universidade Federal de Ouro Preto (UFOP), Ouro Preto-MG, Brasil
  • Nathalia Sernizon Guimarães Universidade Federal de Minas Gerais (UFMG), Belo Horizonte-MG, Brasil
Keywords: Neck circumference, Anthropometry, Body fat distribution, Adults

Abstract

Objective: Analyze the association of neck circumference (NC) as a marker of body adiposity in adults and the elderly. Method: A systematic review was conducted in the Nature Publishing Group (CrossRef), ScienceDirect Journals (Elsevier), Science Citation Index Expanded (MEDLINE / PubMed (NLM) and Scopus (Elsevier)) between 2010 and 2018; with the descriptors: "neck circumference" AND "anthropometry" AND "obesity". Eligibility criteria were articles about the association between NC and body adiposity, including transverse studies, cohort and case-control. Results: A total of 16 studies were included, fourteen of which were cross-sectional and only two cohort studies. The neck circumference was associated with anthropometric markers of adiposity in young, adult and elderly subjects. Significant positive associations were observed between NC and (a) BMI; (b) HC; (c) WC and (d) WHtR; in at least one of the sexes investigated. In four studies, the WHR was the index that presented the lowest agreement with the NC, and in two studies the NC was superior to the WC. Conclusion: Among the studies analyzed, NC was associated with anthropometric indicators already used in the assessment of body adiposity. Future studies should be developed to determine and validate neck circumferential cut-off points in representative samples as groups of people living with HIV.

Author Biographies

Natália Alves de Oliveira, Universidade Federal de Ouro Preto (UFOP), Ouro Preto-MG, Brasil

Programa de Pós Graduação em Saúde e Nutrição, Escola de Nutrição, UFOP.

Sônia Maria de Figueiredo, Universidade Federal de Ouro Preto (UFOP), Ouro Preto-MG, Brasil

Departamento de Alimentos, Escola de Nutrição, UFOP.

Nathalia Sernizon Guimarães, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte-MG, Brasil

Programa de Pós-Graduação em Ciências da Saúde: Infectologia e Medicina Tropical, Faculdade de Medicina, Universidade Federal de Minas Gerais-UFMG.

References

-Anand, D.; Puri, S. Anthropometric and Nutritional Profile of People Living with HIV and AIDS in India: An Assessment. Indian J Community Med. Vol. 39. Num. 3. 2014. p. 161-168.

-Arnold, T. J.; Schweitzer, A.; Hoffman, H. J.; Onyewu, C.; Hurtado, M. E.; Hoffman, E. P. Neck and waist circumference biomarkers of cardiovascular risk in a cohort of predominantly African-American college students: A preliminary study. J Acad Nutr Diet. Vol. 114 Núm. 1. 2014. p. 107-116.

-Ben-Noun, L.; Sohar, E.; Laor, A. Neck circumference as a simple screening measure for identifying over weight and obese patients. Obes Res. Vol. 9. Núm. 8: 2001. p. 470-477.

-Beraldo, R. A., Santos, A.P.; Guimarães, M. P.; Vassimon, H. S.; Paula, F. J. A.; Machado, D. R. L.; Foss-Freitas, M. C.; Navarro A. M. Redistribuição de gordura corporal e alterações no metabolismo de lipídeos e glicose em pessoas vivendo com HIV/AIDS. Rev Bras Epidemiol Vol. 20. Núm. 3. 2017. p. 526-536.

-Carr,A. HIV lipodystrophy: risk factors, pathogenesis, diagnosis and management. Aids. Vol. 17. Suppl 1. 2003. p. 141-148.

-Deresz, L. F.; Brito, C.; Schneider, C. D.; Rabito, E. I.; Ikeda, M. L. R.; Lago, P. D. Consumo alimentar e risco cardiovascular em pessoas vivendo com HIV/AIDS. Cien Saude Colet. Vol. 23. Núm. 8. 2018. p. 2533-2542.

-Duki, Y.; Naidoo, D. P. Relationship of Body Anthropometry with Cardiovascular Risk Factors in a Random Community Sample: The Phoenix Lifestyle Project. Metab Syndr Relat Disord. Vol. 14. Núm. 2. 2016. p. 102-107. 8-Faludi, A. A.; Izar, M. C. O.; Saraiva, J. F. K.; Chacra, A. P. M.; Bianco, H. T.; Neto, A. e colaboradores. Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose -2017. Arq Bras Cardiol. Vol. 109. Supl.1. 2017. p. 1-76.

-Fitch, K. V.; Stanley, T. L.; Looby, S. E.; Rope, A. M.; Grinspoon, S. K. Relationship Between Neck Circumference and Cardiometabolic Parameters in HIV-Infected and non-HIV-Infected Adults. Diabetes Care Apr. Vol. 34. Núm. 4. 2011. p. 1026-1031.

-Guimarães, N. S.; Fausto, M. A.; Kakehasi, A. M.; Navarro, A. M.; Tupinambás, U. Can anthropometry measure the body fat of people living with HIV/AIDS? A systematic review. Rev Esp Nutr Hum Diet. Vol. 21. Num. 2. 2017. p. 101-111.

-Hingorjo, M. R.; Qureshi, M. A.; Mehdi, A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist. J. Pak. Med. Assoc. Vol. 62. Núm.1. 2012. p. 36-40.

-Joshipura, K.; Muñoz-Torres, F.; Vergara, J.; Palacios, C.; Pérez, C. M. Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures. J Diabetes Res. 2016:6058916.

-Khan, K.; McKay, H.; Kannus, P.; Bailey, D.; Wark, J.; Bennell, K. Physical activity and bone health. Champaign: Human Kinetics. 2001. 276p.

-Lin, S.; Hu, L.; Li, P.; Li, X.; Lin, K.; Zhu, B.; um, P.; Zeng, L. Utility of Neck Circumference for Identifying Metabolic Syndrome by Different Definitions in Chinese Subjects over 50 Years Old: A Community-Based Study. J Diabetes Res. 2018:3708939.

-Lukaski, H. C. Methods for the assessment of human body composition: traditionaland new. Am J Clin Nutr. Vol. 46. Num. 4. 1987. p. 537-556.

-Martins, G. Q.; Matheus, S. C.; Santos, D. L.; Martins, M. S. Comparison of anthropometric equations to estimate body fat in subjects with overweight. Nutr Clín Diet Hosp. Vol. 35. Num. 3. 2015. p. 27-33.

-Massip, T. N.; Nicot, G. B.; Massip, J. N.; Valdés, A. V.; Pimienta, A. S. Evaluación nutricional de personas con VIH/SIDA. Rev. chil. nutr. Vol. 42. Num. 2. 2015. p. 131-138.

-Moher, D.; Liberati, A.; Tetzlaff, J.; Altman, D. G.; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med.Num. 151. 2009. p. 264-269.

-Mondal, N.; Sem, J.; Bose, K.; Timungpi, R.; Kathar, M.; Hanse, S. Neck circumference as a screening measure of overweight/obesity among Indian adults Anthropological Review. Vol. 79. Núm. 3. 2016. p. 347-365.

-Mondal, N.; Timungpi, R.; Kathar, M.; Hanse, S.; Teronpi, S.; Timung, A.; Kaushik Bose K.;Sem, J. Cut-off point estimation of neck circumference to determine overweight and obesity among Asian Indian adults. Epidemiology Biostatistics and Public Health. Vol. 14. Núm. 2. 2017. e12310-1:9.

-Nell, T. A.; Kruger, M. J.; Beukes, D. C.; Calitz, E.; Essop, R.; Essop, M. F. Distinct gender differences in anthropometric profiles of a peri-urban South African HIV population: a cross sectional study. BMC Infectious Diseases. 2015. p.15-85.

-Nielsen, S.; Guo, Z.; Johnson, C. M.; Hensrud, D. D.; Jensen, M. D. Splanchnic lipolysis in human obesity. The Journal of clinical investigation. Vol. 113. Núm. 11. 2004. p. 1582-1588.

-Pereira, D. C. R.; Araújo, M. F. M.; Freitas, R. W. J. F.; Teixeira, C. R. S.; Zanetti, M. L.; Damasceno, M. M. C. Neck circumference as a potential marker of metabolic syndrome among college students. Rev. Latino-Am. Enfermagem. Vol. 22 Núm. 6. 2014. p. 973-979.

-Petreça, D. R.; Menezes, E. C.; Sandreschi, P. F.; Fank, F.; Mazo, G. Z. Neck circumference as a discriminator of obesity in older women enrolled in a physical activity program. Rev Bras Cineantropom Desempenho Hum. Vol. 19. Núm. 6. 2017. p. 710-719.

-Pires, D. S.; Ferraz, S. F.; Monteiro, M. L.; Reis, V. A. G. A.; Pontes, D. B.; Andrade, M. I. V. A. M. C. N. Perfil nutricional e métodos de avaliação do estado nutricional de pacientes infectados pelo HIV. BRASPEN J. Vol. 32. Núm. 3. 2017. p. 209-213.

-Preis, S. R.; Massaro, J. M.; Hoffmann, U.; D’Agostino, R. B. Sr.; Levy, D.; Robins, S. J.; Meigs., J. B.; Vasan, R. S.; O’Donnell, C. J.; Fox, C. S. Neck circumference as a novel measure of cardiometabolic risk: the Framingham Heart study. J Clin Endocrinol Metab. Vol. 95. Núm. 8. 2010. p. 3701-3710.

-Ren, L.; Cai, J.; Liang, J.; Li, W.; Sun, Z. Impact of Cardiovascular Risk Factors on Carotid Intima-Media Thickness and Degree of Severity: A Cross-Sectional Study. PLoS One. Vol. 10. Núm. 12. 2015. e0144182.

-Saka, M.; Türker, P.; Ercan, A.; Kızıltan, G.; Baş, M. Is neck circumference measurement an indicator for abdominal obesity? A pilot study on Turkish Adults. African Health Sciences. Vol. único. Núm. 3. 2014. p. 570-575.

-Sarry El Din, A.; Hassan, N.; El-Masry, S.; Al-Tohamy, M. Neck Circumference as a Simple Screening Measure for IdentifyingEgyptian Overweight and Obese Adults. Maced J Med Sci. Vol. 15. Núm. 3. 2013. p. 232-237.

-Selvan, C.; Dutta, D.; Thukral, A.; Nargis, T.; Kumar, M.; Mukhopadhyay, S.; Chowdhury, S. Neck height ratio is an important predictor of metabolic syndrome among Asian Indians. Indian J Endocrinol Metab. Vol. 20. Núm. 6. 2016. p. 831-837.

-Souza, R. G. M.; Gomes, A. C.; Prado, C. M. M.; Mota, J. F. Métodos de análise da composição corporal em adultos obesos. Rev. Nutr. Vol. 27. Num. 5. 2015. p. 569-583.

-Souza, W. C.; Grzelczak, M. T.; Alarcón-Meza, EI.; Brasilino, F. F.; Mascarenhas, L. P. G. Aplicabilidade do índice de adiposidade corporal na estimativa da gordura corporal em escolares masculino. Revista Brasileira de Obesidade, Nutrição e Emagrecimento. Vol. 10. Num. 55. 2016. p. 12-19.

-Stabe, C.; Vasques, A. C.; Lima, M. M.; Tambascia, M. A.; Pareja, J. C.; Yamanaka, A.; Geloneze, B. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results from the Brazilian Metabolic Syndrome Study. Clinical Endocrinology. Vol. 78. Num. 6. 2013. p. 874-881.

-Tape, T. G. The Area Under an ROC Curve. In: Interpreting Diagnostic Tests. 2018. [acessado em 30 Ago 2018]. Disponivel em: http:// gim.unmc.edu/dxtests/roc3.htm.

-Vague, J. The degree of masculine differentiation of obesities: a factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease. Am J Clin Nutr. Vol. 4. Núm. 1. 1956. p. 20-34.

-Verma, M.; Rajput, M.; Sahoo, S. S.; Kaur, N. Neck Circumference: Independent Predictor for Overweight and Obesity in Adult Population. Indian J Community Med Vol. 42. Núm. 4. 2017. p. 209-213.

-Vogt, B. P.; Ponce, P.; Caramori, J. C. AnthropometricIndicators Predict Metabolic Syndrome Diagnosis in Maintenance Hemodialysis Patients. Nutr Clin Pract. Vol. 31. Núm. 3. 2016. p. 368-374.

-World Health Organization. Physical status: the use and interpretation of anthropometry. 1995. [acessado em 30 ago 2018]. Disponível em: http://www.who.int/ childgrowth/publications/physical status/en/

-Zanuncio, V. V.; Pessoa, M. C.; Pereira, P. F.; Longo, G. Z. Neck circumference, cardiometabolic risk, and Framingham risk score: Population-based study. Rev. Nutri. Vol. 30. Núm. 6. 2017. p. 771-781.

-Zhou, J.; Ge, H.; Zhu, M.; Wang, L.; Chen, L.; Tan, Y.; Chen, Y.; Zhu, H. Neck circumference as an independent predictive contributor to cardio-metabolic syndrome. Cardiovascular Diabetology. 2013. p.12-76.

Published
2019-02-11
How to Cite
Oliveira, N. A. de, de Figueiredo, S. M., & Guimarães, N. S. (2019). Can the neck circumference be used as an indicator of body adiposity? Systematic review. Brazilian Journal of Obesity, Nutrition and Weight Loss, 13(77), 157-165. Retrieved from https://www.rbone.com.br/index.php/rbone/article/view/907
Section
Scientific Articles - Original