Ismail Ozkaya1, Bulent Yardimci2, Aydin Tunckale3. 1. Department of Nutrition and Dietetics, Kirklareli Universty Health School, Kırklareli, Turkey. Electronic address: dytismail@hotmail.com. 2. Department of Internal Medicine, Istanbul Florence Nightingale Hospital, Istanbul, Turkey. 3. Department of Internal Medicine, Division of General Internal Medicine, Istanbul Bilim University, Faculty of Medicine, Istanbul, Turkey.
Abstract
OBJECTIVE: To investigate the association between neck circumference (NC), overweight, and metabolic syndrome (MS) in Turkish patients with type 2 diabetes. METHODS: A total of 264 diabetic patients (mean age: 52.9±8.1 years) were recruited from two centers in Istanbul to perform anthropometric measurements, including waist and hip circumference, NC, and body mass index. Blood pressure, fasting glucose, and lipid profile (total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglyceride levels) were determined. RESULTS: NC correlated with waist circumference, systolic blood pressure, and triglycerides in men, whereas NC only correlated with waist circumference in women. Additionally, NC was shown to negatively correlate with high-density lipoprotein cholesterol in both men and women. Receiver operating characteristic analysis showed that the area under the curve for NC and overweight was 0.95 for both men and women (P<0.001). Moreover, a NC of 38cm for men and 37cm for women was the best cut-off point for determining overweight. The area under the curve for NC and MS was 0.87 for men and 0.83 for women (P<0.001). A NC of 39cm for men and 37cm for women was the best cut-off point to determine participants with MS. CONCLUSIONS: Our findings suggest a positive correlation of NC with MetS in Turkish patients with type 2 diabetes, and could be a useful and accurate tool to identify MS.
OBJECTIVE: To investigate the association between neck circumference (NC), overweight, and metabolic syndrome (MS) in Turkish patients with type 2 diabetes. METHODS: A total of 264 diabeticpatients (mean age: 52.9±8.1 years) were recruited from two centers in Istanbul to perform anthropometric measurements, including waist and hip circumference, NC, and body mass index. Blood pressure, fasting glucose, and lipid profile (total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, and triglyceride levels) were determined. RESULTS: NC correlated with waist circumference, systolic blood pressure, and triglycerides in men, whereas NC only correlated with waist circumference in women. Additionally, NC was shown to negatively correlate with high-density lipoprotein cholesterol in both men and women. Receiver operating characteristic analysis showed that the area under the curve for NC and overweight was 0.95 for both men and women (P<0.001). Moreover, a NC of 38cm for men and 37cm for women was the best cut-off point for determining overweight. The area under the curve for NC and MS was 0.87 for men and 0.83 for women (P<0.001). A NC of 39cm for men and 37cm for women was the best cut-off point to determine participants with MS. CONCLUSIONS: Our findings suggest a positive correlation of NC with MetS in Turkish patients with type 2 diabetes, and could be a useful and accurate tool to identify MS.
Authors: Amanda Popolino Diniz; Márcia Elivane Alves; Virgínia Capistrano Fajardo; Silvia Nascimento de Freitas; Guilherme Augusto Sousa Batista; Bruno Francia Maia Athadeu; George Luiz Lins Machado-Coelho; Fernando Luiz Pereira de Oliveira; Fausto Aloísio Pedrosa Pimenta; Raimundo Marques do Nascimento Neto Journal: Rev Bras Med Trab Date: 2020-12-11