Hélio José Coelho1, Ricardo Aurélio Carvalho Sampaio1, Ivan de Oliveira Gonçalvez2, Samuel da Silva Aguiar3, Rafael Palmeira2, José Fernando de Oliveira4, Ricardo Yukio Asano5, Priscila Yukari Sewo Sampaio6, Marco Carlos Uchida7. 1. MSc. Physical Educator and Doctoral Student, Applied Kinesiology Laboratory, School of Physical Education, Universidade de Campinas (UNICAMP), Campinas (SP), Brazil. 2. MSc. Physical Educator and Doctoral Stu-dent, Health Sciences Center, Universidade de Mogi das Cruzes (UMC), Mogi das Cruzes (SP), Brazil. 3. Physical Educator and Master's degree Student, School of Physical Education, Universidade Católica de Brasília (UCB), Brasília (DF), Brazil. 4. PhD. Physical Educator and Adjunct Professor, School of Physical Education, Universidade Católica de Brasília (UCB), Brasília (DF), Brazil. 5. PhD. Physical Educator and Postdoctoral Student, School of Arts, Sciences and Humanities, Universidade de São Paulo (USP), São Paulo (SP), Brazil. 6. PhD. Occupational Therapist and Researcher, Applied Kinesiology Laboratory, School of Physical Education, Universidade de Campinas (UNICAMP), Campinas (SP), Brazil. 7. PhD. Physical Educator and Head, Applied Kinesiology Laboratory, School of Physical Education, Universidade de Campinas (UNICAMP), Campinas (SP), Brazil.
Abstract
CONTEXT AND OBJECTIVE: : In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people. DESIGN AND SETTING: : Cross-sectional study conducted in two community centers for elderly people. METHODS: : 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying overweight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference. RESULTS: : Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women. CONCLUSION: : The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.
CONTEXT AND OBJECTIVE: : In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people. DESIGN AND SETTING: : Cross-sectional study conducted in two community centers for elderly people. METHODS: : 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying overweight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference. RESULTS: : Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women. CONCLUSION: : The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.
Authors: Patricia A Espinoza López; Kelly Jéssica Fernández Landeo; Rodrigo Ricardo Pérez Silva Mercado; Jesús José Quiñones Ardela; Rodrigo M Carrillo-Larco Journal: Wellcome Open Res Date: 2021-01-26
Authors: Raphael Miranda Ramos; Hélio José Coelho-Júnior; Raul Cosme Ramos do Prado; Rodrigo Silveira da Silva; Ricardo Yukio Asano; Jonato Prestes; Alexandre Igor Araripe Medeiros; Bruno Rodrigues; Claudio de Oliveira Assumpção Journal: Gerontol Geriatr Med Date: 2018-11-13