Neck circumference in adolescents and cardiometabolic risk: A sistematic review

Morais, Aisha Aguiar; Morais, Urjel Aguiar Bouissou; Soares, Maria Marta Sarquis; Romano, Márcia Christina Caetano; Lamounier, Joel Alves

doi:10.1590/1806-9282.64.01.54

Aisha Aguiar Morais ^**Correspondence: Faculdade de Medicina, Universidade de São João del-Rei, Campus Centro-Oeste Dona Lindu, Address: Rua Sebastião Gonçalves Coelho, 400, Divinópolis, MG – Brazil, Postal code: 35501-296. profaisha@ufsj.edu.br

MD, Endocrinologist, MSc and Professor, Faculdade de Medicina, Universidade de São João del-Rei (UFSJ), Campus Centro-Oeste (CCO), Divinópolis, MG, Brazil

Urjel Aguiar Bouissou Morais

Medical Student, Faculdade de Medicina de Barbacena (FAME), Barbacena, MG, Brazil

Maria Marta Sarquis Soares

MD, Endocrinologist, Post-doctoral degree, Professor at Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil

Márcia Christina Caetano Romano

Nurse, PhD and Professor, Nursing Program, UFSJ, Campus Centro-Oeste (CCO), Divinópolis, MG, Brazil

Joel Alves Lamounier

MD, Pediatrician, PhD and Professor, UFMG; Professor and Head of the Medicine Department, UFSJ, São João del-Rei, MG, Brazil

Universidade Federal de São João del-Rei, Universidade Federal de São João del-Rei, São João del-Rei, MG, Brazil

*Correspondence: Faculdade de Medicina, Universidade de São João del-Rei, Campus Centro-Oeste Dona Lindu, Address: Rua Sebastião Gonçalves Coelho, 400, Divinópolis, MG – Brazil, Postal code: 35501-296. profaisha@ufsj.edu.br

Individual contributions

Aisha Aguiar Morais and Urjel Bouissou Aguiar Morais carried out the investigation, selection and critical reading of the articles and wrote the integrative review. Joel Alves Lamounier and Márcia Christina Caetano Romano critically reviewed the intellectual content of the manuscript and approved its final version.

Conflict of interest

The authors declare no conflict of interest.

Author, year, country, reference	Sample (n)	% Obese andoverweight	Type of sample (random or not)	Age (years)	Measurement at thyroid cartilage	Study design, classification	Level of evidence	Comparison	Suggested cutoff points (cm)
Nafiu et al., 2010, USA²⁷27 Nafiu OO, Burke C, Lee J, Voepel-Lewis T, Malviya S, Tremper KK. Neck circumference as a screening measure for identifying children with high body mass index. Pediatrics. 2010; 126(2):e306-10.	1,102	37.7%	no	6-18	yes	Cross-sectional	4	BMI	For high BMImale from 28.5 to 39.0female from 27.0 to 34.6
Hatipoglu et al., 2010, Turkey²⁴24 Hatipoglu N, Mazicioglu MM, Kurtoglu S, Kendirci M. Neck circumference: an additional tool of screening overweight and obesity in childhood. Eur J Pediatr. 2010; 169(6):733-9.	967	42.7%	N/I	6-18	yes	Cross-sectional	4	BMI, WC, BP	For high BMImale from 28.0 to 38.0female from 27.0 to 34.5
Mazicioglu et al., 2010, Turkey¹⁶16 Mazicioglu MM, Kurtoglu S, Ozturk A, Hatipoglu N, Cicek B, Ustunbas HB. Percentiles and mean values for neck circumference in Turkish children aged 6-18 years. Acta Paediatr. 2010; 99(12):1847-53.	4,581	N/I	yes	6-18	yes	Cross-sectional	4	BMI	Percentile curve construction
Lou et al., 2012, China¹⁷17 Lou DH, Yin FZ, Wang R, Ma CM, Liu XL, Lu Q. Neck circumference is an accurate and simple index for evaluating overweight and obesity in Han children. Ann Hum Biol. 2012; 39(2):161-5.	2,847	36%	yes	7-12	yes	Cross-sectional	4	BMI, WC	For high BMImale from 27.4 to 31.3fem from 26.3 to 31.4
Phan et al., 2012, USA⁸8 Phan TL, Maresca MM, Hossain J, Datto GA. Does body mass index accurately reflect body fat? A comparison of anthropometric measures in the longitudinal assessment of fat mass. Clin Pediatr (Phila). 2012; 51(7):671-7.	152	100%^* * 100% obese,	no	9-18	no^ At cricoid cartilage,	Retrospective cohort	3B	BMI, WC, HC, EB^** ****** electrical bioimpedance, N/I: not identified, N/A: does not apply.	Mean NC 35.71
Kurtoglu et al., 2012, Turkey²⁵25 Kurtoglu S, Hatipoglu N, Mazicioglu MM, Kondolot M. Neck circumference as a novel parameter to determine metabolic risk factors in obese children. Eur J Clin Invest. 2012; 42(6):623-30.	581	79.3%	no	5-18	yes	Cross-sectional	4	MetS according to IDF, BMI, WC, HOMA-IR	For MetSmale at 36female at 35
Hingorjo et al., 2012, Pakistan¹⁸18 Hingorjo MR, Qureshi MA, Mehdi A. Neck circumference as a useful marker of obesity: a comparison with body mass index and waist circumference. J Pak Med Assoc. 2012; 62(1):36-40.	150	26.6%	no	18-20	yes	Cross-sectional	4	BMI, WC, HC	For high BMImale 35.5female 32
Guo et al., 2012, China¹⁹19 Guo X, Li Y, Sun G, Yang Y, Zheng L, Zhang X, et al. Prehypertension in children and adolescents: association with body weight and neck circumference. Intern Med. 2012; 51(1):23-7.	6802	23.1%	Yes	5-18	Yes	Cross-sectional	4	Pre-HBP, BMI, WC	For pre-HBP 33.2 (p90)
Silva et al., 2014, Brazil²⁶26 Silva CC, Zambon MP, Vasques ACJ, Rodrigues AMB, Camilo DF, Antonio MARGM, et al. Circunferência do pescoço como um novo indicador antropométrico para predição de resistência à insulina e componentes da síndrome metabólica em adolescentes: Brazilian Metabolic Syndrome Study. Rev Paul Pediatr. 2014; 32(2):221-9.	260	50.8%	No	10-19	No^* ***** mean neck length,	Cross-sectional	4	IR (HOMA IR), BMI, WC, EB^* ***** mean neck length, , components of MetS	For IR male prepubescent 30.3 and pubescent 34.8 fem prepubescent 32 and pubescent 34.1
Oliveira et al., 2014, Brazil²⁰20 Oliveira AV, Costa ACPJ, Pascoal LM, Santos LH, Chaves ES, Araújo MFM. Correlação entre indicadores antropométricos e pressão arterial de adolescentes. Texto Contexto Enferm. 2014; 23(4):995-1003.	260	N/I	No	10-19	N/I	Cross-sectional	4	BP	Direct correlation with SBP and DBP in both genders
Gonçalves et al., 2014, Brazil²¹21 Gonçalves VSS, Faria ER, Franceschini SCC, Priore SE. Neck circumference as predictor of excess body fat and cardiovascular risk factors in adolescents. Rev Nutr. 2014; 27(2):161-71.	260	20.4%	Yes	10-15	No^* ***** mean neck length,	Cross-sectional	4	WC, BP, DEXA, glycemia, insulin, lipids	For cardiovascular risk male 30.4female 28.8
Katz et al., 2014, Canada²⁹29 Katz SL, Vaccani JP, Clarke J, Hoey L, Colley RC, Barrowman NJ. Creation of a reference dataset of neck sizes in children: standardizing a potential new tool for prediction of obesity-associated diseases? BMC Pediatr. 2014; 14:159.	1,913	26.3%	Yes	6-17	Yes	Cross-sectional	4	BMI and WC	For high BMImale at 33.3female at 31.6Percentile curve construction
Fuly et al., 2014, Brazil¹⁵15 Fuly JT, Giovaninni NP, Marcato DG, Alves ER, Sampaio JD, Moraes LI, et al. Evidence of underdiagnosis and markers of high blood pressure risk in children aged 6 to 13 years. J Pediatr (Rio J). 2014; 90(1):65-70.	794	23.6%	No	6-13	Yes	Cross-sectional	4	HBP	Mean NChipertensive 28.9±3.0normotensive 27.5±2.1
Kuciene et al., 2015, Lithuania³¹31 Kuciene R, Dulskiene V, Medzioniene J. Association of neck circumference and high blood pressure in children and adolescents: a case-control study. BMC Pediatr. 2015; 15:127.	794	15.8%	N/I^* ***** mean neck length,	12-15	Yes	Case-control	3D	HBP	BMI and WC For pre-HBP and HBPmale 12 years: ≥ 35 / 13 years: ≥ 36 /14 -15 years: ≥ 38female 12 years: ≥ 33/13 -14 years: ≥ 3415 years: ≥ 35
Ferretti et al., 2015, Brazil²²22 Ferretti RL, Cintra IP, Passos MA, Moraes Ferrari GL, Fisberg M. Elevated neck circumference and associated factors in adolescents. BMC Public Health. 2015; 15:208.	1,668	29.5%	No	10-17	Yes	Cross-sectional	4	BMI, BP	For overweight / obesity:male 34.25 / 37.95female 31.25 / 32.65
Androutsus, 2012, Greece²³23 Androutsos O, Grammatikaki E, Moschonis G, Roma-Giannikou E, Chrousos GP, Manios Y, et al. Neck circumference: a useful screening tool of cardiovascular risk in children. Pediatr Obes. 2012; 7(3):187-95.	324	37%	No	9-13	No^* * 100% obese,	Cross-sectional	4	BMI, WC, HC, WC/HC, lipids, BP, IR levels and blood glucose	Mean NCmale 30.7±2.54female 30.5±2.25
Coutinho, 2014, Brazil³⁰30 Coutinho CA, Longui CA, Monte O, Conde W, Kochi C. Measurement of neck circumference and its correlation with body composition in a sample of students in São Paulo, Brazil. Horm Res Paediatr. 2014; 82(3):179-86.	2,794	35%	No	6-19	No^ At cricoid cartilage,	Cross-sectional	4	BMI, WC, WC/HC, EB	Percentage curves: mean±2SD
Nafiu, 2013, USA²⁸28 Nafiu OO, Zepeda A, Curcio C, Prasad Y. Association of neck circumference and obesity status with elevated blood pressure in children. J Hum Hypertens. 2014; 28(4):263-8.	1,058	37.7%	No	6-18	Yes	Cross-sectional	4	BMI, CI, WC/H, BP	P90, nutritional status: normal weight 33.6±3.2/overweight 34.9±3.7/obese 36.7±5.2

[1] *Correspondence: Faculdade de Medicina, Universidade de São João del-Rei, Campus Centro-Oeste Dona Lindu, Address: Rua Sebastião Gonçalves Coelho, 400, Divinópolis, MG – Brazil, Postal code: 35501-296. profaisha@ufsj.edu.br

Brasil

Brasil

Neck circumference in adolescents and cardiometabolic risk: A sistematic review

Circunferência do pescoço de adolescentes e risco cardiometabólico: uma revisão sistemática

Summary

Objective:

Method:

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