Neck circumference as a potential marker of metabolic syndrome among college students

Pereira, Dayse Christina Rodrigues; Araújo, Márcio Flávio Moura de; Freitas, Roberto Wagner Júnior Freire de; Teixeira, Carla Regina de Souza; Zanetti, Maria Lúcia; Damasceno, Marta Maria Coelho

doi:10.1590/0104-1169.3565.2505

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 22 (6) • Dec 2014 • https://doi.org/10.1590/0104-1169.3565.2505 copy

Neck circumference as a potential marker of metabolic syndrome among college students¹ 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, process # 474902/2009-9

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to relate neck circumference with metabolic syndrome and its criteria among college students.

METHOD:

cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C.

RESULTS:

1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006). As neck circumference decreases, pressure levels improve (p<0.001). Additionally, college students with high fasting blood sugar (p=0.003) and high triglyceride levels (p<0.001) presented higher values of neck circumference.

CONCLUSION:

neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.

Anthropometry; Neck Circumference; Nursing; Diabetes Mellitus

Variables		High		Under normal limits		RC: CI_95%	P value
Variables		n	%	n	%	RC: CI_95%	P value
Waist circumference (WC) under normal limits
	Male	128	18.8	554	81.2	1.7; 1.2-2.5	<0.001
	Female	68	11.4	528	88.6	1
High waist circumference (WC)
	Male	18	100	-	-	1.3; 1.1-1.4	<0.017
	Female	78	75.0	26	25.0	1
Blood pressure
	Hypertension	12	55.0	9	45.0	7.5; 2.8 – 20.8	<0.001
	Borderline	14	45.2	17	54.8	4.6; 2.0 -10.4	<0.001
	Normal	36	40.4	53	59.6	3.8; 2.2 -6.3	<0.001
	Excellent	84	15.0	475	85.0	1
Fasting blood sugar (FBS)
	Under normal parameters	28	33.3	56	66.7	2.0; 1.2 – 3.5	<0.005
	Above normal parameters	117	19.3	489	80.7	1
Triglycerides (TG)
	Under normal parameters	51	32.1	108	67.9	2.1; 1.4 – 3.3	<0.001
	Above normal parameters	94	17.7	436	82.3	1
High density lipoprotein (HDL-C)
	Under normal parameters	8	9.8	75	90.2	0.3; 0.1 – 0.7	<0.004
	Above normal parameters	137	22.6	469	77.4	1

Variables			Average	± Standard error of the mean	P value
Waist circumference (WC)
	Male				<0.001
		Under normal parameters	33.61	0.123
		Above normal parameters	41.06	0.631
	Female				<0.001
		Under normal parameters	33.00	0.115
		Above normal parameters	38.37	0.279
Blood pressure					<0.001
		Excellent	33.12	0.130
		Normal	36.00	0.358
		Borderline	37.53	0.448
		Hypertension	37.13	0.854
Fasting blood sugar (FBS)					0.003
		Under normal parameters	33.67	0.136
		Above normal parameters	34.84	0.396
Triglycerides					<0.001
		Under normal parameters	33.53	0.139
		Above normal parameters	34.79	0.306
High density lipoprotein (HDL-C)					<0.001
		Under normal parameters	33.99	0.141
		Above normal parameters	32.57	0.285

Variables		Above normal parameters		Under normal parameters		RC: CI_95%	P value	Mean	Standard error of the mean	P value
Variables		n	%	n	%	RC: CI_95%	P value	Mean	Standard error of the mean	P value
Metabolic Syndrome							< 0.006			< 0.001
	Yes	7	58.3	5	41.7	5.4; 1.4-22.1		37.04	1.199
	No	138	20.4	539	79.6	1		33.76	0.129

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Maria Lúcia Zanetti Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto Departamento de Enfermagem Geral e Especializada Av. Bandeirantes, 3900 Bairro: Monte Alegre CEP: 14040-902, Ribeirão Preto, SP, Brasil E-mail: zanetti@eerp.usp.br

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Neck circumference as a potential marker of metabolic syndrome among college students1 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, process # 474902/2009-9

OBJECTIVE:

METHOD:

RESULTS:

CONCLUSION:

Neck circumference as a potential marker of metabolic syndrome among college students¹ 1 Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, process # 474902/2009-9