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dc.contributor.author | Castro-Piñero, José | - |
dc.contributor.author | Delgado Alfonso, Alvaro | - |
dc.contributor.author | Gracia-Marco, Luis | - |
dc.contributor.author | Gómez-Martínez, Sonia | - |
dc.contributor.author | Esteban-Cornejo, Irene | - |
dc.contributor.author | Veiga, Óscar | - |
dc.contributor.author | Marcos, Ascensión | - |
dc.contributor.author | Segura-Jiménez, Víctor | - |
dc.date.accessioned | 2018-10-23T11:16:11Z | - |
dc.date.available | 2018-10-23T11:16:11Z | - |
dc.date.issued | 2017 | - |
dc.identifier | doi: 10.1136/bmjopen-2017-016048 | - |
dc.identifier | e-issn: 2044-6055 | - |
dc.identifier.citation | BMJ Open 7(9): e016048 (2017) | - |
dc.identifier.uri | http://hdl.handle.net/10261/171426 | - |
dc.description.abstract | [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. | - |
dc.description.sponsorship | This work was supported by the DEP 2010 21662 C04 00 (DEP 2010 21662 C04 01: DEP 2010 21662 C04 02: DEP 2010 21662 C04 03: DEP 2010 21662 C04 04) grant from the National Plan for Research: Development and Innovation (R+D+i) MICINN. | - |
dc.publisher | BMJ Publishing Group | - |
dc.relation.isversionof | Publisher's version | - |
dc.rights | openAccess | - |
dc.subject | Neck circumference | - |
dc.subject | Anthropometry and body composition | - |
dc.subject | Cardiometabolic risk and cardiovascular disease | - |
dc.subject | Inflammatory markers | - |
dc.subject | Youth | - |
dc.title | Neck circumference and clustered cardiovascular risk factors in children and adolescents: cross-sectional study | - |
dc.type | artículo | - |
dc.identifier.doi | 10.1136/bmjopen-2017-016048 | - |
dc.relation.publisherversion | https://doi.org/10.1136/bmjopen-2017-016048 | - |
dc.date.updated | 2018-10-23T11:16:11Z | - |
dc.description.version | Peer Reviewed | - |
dc.language.rfc3066 | eng | - |
dc.rights.license | http://creativecommons.org/licenses/by-nc/4.0/ | - |
dc.contributor.funder | Ministerio de Ciencia e Innovación (España) | - |
dc.relation.csic | Sí | - |
dc.identifier.funder | http://dx.doi.org/10.13039/501100004837 | es_ES |
dc.identifier.pmid | 28899889 | - |
dc.subject.uri | http://metadata.un.org/sdg/4 | es_ES |
dc.type.coar | http://purl.org/coar/resource_type/c_6501 | es_ES |
dc.subject.sdg | Promote sustained, inclusive and sustainable economic growth, full and productive employment and decent work for all | es_ES |
dc.subject.sdg | Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all | es_ES |
item.openairetype | artículo | - |
item.grantfulltext | open | - |
item.cerifentitytype | Publications | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.fulltext | With Fulltext | - |
Aparece en las colecciones: | (ICTAN) Artículos |
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neckcross.pdf | 383,89 kB | Adobe PDF | Visualizar/Abrir |
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