Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures.
Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures.
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颈部周长可能是标准人体测量指标的更好替代方法。
DOI：
10.1155/2016/6058916
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发表时间：
2016
影响因子：
4.3
通讯作者：
Pérez CM
中科院分区：
文献类型：
--
作者：
Joshipura K;Muñoz-Torres F;Vergara J;Palacios C;Pérez CM
本文评估了颈围作为代谢风险标记物。超重/肥胖，非糖尿病的西班牙裔，40-65岁，没有重大心血管疾病，被招募到圣胡安超重成年人纵向研究(SOALS)。1206名参与者完成了基线测试。计算了年龄、性别、吸烟状况和体力活动调整后的偏相关系数(R)和Logistic模型。颈围与腰围(r=0.64)、BMI(r=0.66)和体脂百分比(r=0.45)显著相关。与腰围OR=1.97(95%CI：1.48-2.66)和其他人体测量指标相比，颈围最高(与最低)的三分位数与糖尿病前期的相关性更高：多变量OR=2.30(95%CI：1.71-3.06)。与腰围相比，颈围与HOMA、低高密度脂蛋白胆固醇和甘油三酯有较高的相关性，多变量OR分别为8.42(95%CI：5.43~13.06)、2.41(95%CI：1.80~3.21)和1.52(95%CI：1.14~2.03)，而与hs-CRP和高血压的相关性较弱，OR=3.61(95%CI：2.66~4.90)和OR=2.58(95%CI：1.90~3.49)。模特合体的AIC与颈围或腰围大体相似。颈围与代谢因素显示出相似或更好的相关性，并且比腰围更可行。因此，颈围可能是比腰围更好的选择。
This paper evaluates neck circumference as a metabolic risk marker. Overweight/obese, nondiabetic Hispanics, 40–65 years old, who are free of major cardiovascular diseases, were recruited for the San Juan Overweight Adults Longitudinal Study (SOALS). Baseline exams were completed by 1,206 participants. Partial correlation coefficients (r) and logistic models adjusted for age, gender, smoking status, and physical activity were computed. Neck circumference was significantly correlated with waist circumference (r = 0.64), BMI (r = 0.66), and body fat % (r = 0.45). Neck circumference, highest (compared to lowest) tertile, had higher association with prediabetes: multivariable OR = 2.30 (95% CI: 1.71–3.06) compared to waist circumference OR = 1.97 (95% CI: 1.48–2.66) and other anthropometric measures. Neck circumference showed higher associations with HOMA, low HDL-C, and triglycerides, multivariable OR = 8.42 (95% CI: 5.43–13.06), 2.41 (95% CI: 1.80–3.21), and 1.52 (95% CI: 1.14–2.03), but weaker associations with hs-CRP and hypertension, OR = 3.61 (95% CI: 2.66–4.90) and OR = 2.58 (95% CI: 1.90–3.49), compared to waist circumference. AIC for model fit was generally similar for neck or waist circumference. Neck circumference showed similar or better associations with metabolic factors and is more practicable than waist circumference. Hence, neck circumference may be a better alternative to waist circumference.