2024-03-29T00:38:37Zhttp://digital.csic.es/dspace-oai/requestoai:digital.csic.es:10261/1714262020-12-10T15:47:53Zcom_10261_70com_10261_2col_10261_323
2018-10-23T11:16:11Z
urn:hdl:10261/171426
Neck circumference and clustered cardiovascular risk factors in children and adolescents: cross-sectional study
Castro-Piñero, José
Delgado Alfonso, Alvaro
Gracia-Marco, Luis
Gómez Martínez, Sonia
Esteban-Cornejo, Irene
Veiga, Óscar
Marcos, Ascensión
Segura-Jiménez, Víctor
Ministerio de Ciencia e Innovación (España)
Neck circumference
Anthropometry and body composition
Cardiometabolic risk and cardiovascular disease
Inflammatory markers
Youth
[Objective]: Early detection of cardiovascular disease (CVD) risk factors, such as obesity, is crucial to prevent adverse long-term effects on individuals' health. Therefore, the aims were: (1) to explore the robustness of neck circumference (NC) as a predictor of CVD and examine its association with numerous anthropometric and body composition indices and (2) to release sex and age-specific NC cut-off values to classify youths as overweight/obese. [Design]: Cross-sectional study. [Setting]: 23 primary schools and 17 secondary schools from Spain. [Participants]: 2198 students (1060 girls), grades 1-4 and 7-10. [Measures]: Pubertal development, anthropometric and body composition indices, systolic and diastolic blood pressure (SBP and DBP, respectively), cardiorespiratory fitness, blood sampling triglycerides (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), low-density lipoprotein cholesterol (LDL-c), glucose and inflammatory markers. Homoeostasis model assessment (HOMA-IR) and cluster of CVD risk factors were calculated. [Results]: NC was positively correlated with all anthropometric and body composition indices. NC was negatively associated with maximum oxygen consumption (R 2 =0.231, p<0.001 for boys; R 2 =0.018, p<0.001 for girls) and positively associated with SBP, DBP, TC/HDL-c, TG, HOMA, complement factors C-3 and C-4, leptin, adiponectin and clustered CVD risk factor in both sexes (R 2 from 0.035 to 0.353, p<0.01 for boys; R 2 from 0.024 to 0.215, p<0.001 for girls). Moreover, NC was positively associated with serum C reactive protein, LDL-c and visfatin only in boys (R 2 from 0.013 to 0.107, p<0.05). [Conclusion]: NC is a simple, low-cost and practical screening tool of excess of upper body obesity and CVD risk factors in children and adolescents. Paediatricians can easily use it as a screening tool for overweight/obesity in children and adolescents. For this purpose, sex and age-specific thresholds to classify children and adolescents as normal weight or overweight/obese are provided.
2018-10-23T11:16:11Z
2018-10-23T11:16:11Z
2017
2018-10-23T11:16:11Z
artículo
BMJ Open 7(9): e016048 (2017)
http://hdl.handle.net/10261/171426
10.1136/bmjopen-2017-016048
http://dx.doi.org/10.13039/501100004837
28899889
eng
Publisher's version
https://doi.org/10.1136/bmjopen-2017-016048
Sí
http://creativecommons.org/licenses/by-nc/4.0/
openAccess
BMJ Publishing Group