Aisha Aguiar Morais1, Urjel Aguiar Bouissou Morais2, Maria Marta Sarquis Soares3, Márcia Christina Caetano Romano4, Joel Alves Lamounier5. 1. MD, Endocrinologist, MSc and Professor, Faculdade de Medicina, Universidade de São João del-Rei (UFSJ), Campus Centro-Oeste (CCO), Divinópolis, MG, Brazil. 2. Medical Student, Faculdade de Medicina de Barbacena (FAME), Barbacena, MG, Brazil. 3. MD, Endocrinologist, Post-doctoral degree, Professor at Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. 4. Nurse, PhD and Professor, Nursing Program, UFSJ, Campus Centro-Oeste (CCO), Divinópolis, MG, Brazil. 5. MD, Pediatrician, PhD and Professor, UFMG; Professor and Head of the Medicine Department, UFSJ, São João del-Rei, MG, Brazil.
Abstract
OBJECTIVE: To critically analyze articles on the relation between neck circumference (NC) in adolescents and: body mass index, fat distribution, metabolic syndrome and its individual components, and cardiovascular risk. METHOD: Systematic review undertaken by two independent researchers using the Pubmed/Medline, Lilacs/Medline, Scielo and Cochrane databases in English, Spanish and Portuguese in the period comprising the past 5 years. RESULTS: Eighteen (18) articles were selected. The articles show an association between NC in adolescents and body fat (BMI), central fat distribution (WC), metabolic syndrome and several of its individual components, and cardiovascular risk. Some values are proposed for NC cutoff points as a diagnostic tool for nutritional status, high blood pressure and pre-hypertension, cardiovascular risk, insulin resistance and metabolic syndrome. We identified a percentile curve constructed for Brazilian adolescents. CONCLUSION: There is a shortage of studies with representative samples, variety at the NC measurement sites, and the age of the participants, which makes it difficult to establish definitive landmarks.
OBJECTIVE: To critically analyze articles on the relation between neck circumference (NC) in adolescents and: body mass index, fat distribution, metabolic syndrome and its individual components, and cardiovascular risk. METHOD: Systematic review undertaken by two independent researchers using the Pubmed/Medline, Lilacs/Medline, Scielo and Cochrane databases in English, Spanish and Portuguese in the period comprising the past 5 years. RESULTS: Eighteen (18) articles were selected. The articles show an association between NC in adolescents and body fat (BMI), central fat distribution (WC), metabolic syndrome and several of its individual components, and cardiovascular risk. Some values are proposed for NC cutoff points as a diagnostic tool for nutritional status, high blood pressure and pre-hypertension, cardiovascular risk, insulin resistance and metabolic syndrome. We identified a percentile curve constructed for Brazilian adolescents. CONCLUSION: There is a shortage of studies with representative samples, variety at the NC measurement sites, and the age of the participants, which makes it difficult to establish definitive landmarks.
Authors: Sayed A Tantawy; Dalia M Kamel; Noor Alsayed; Ebrahim Rajab; Walid Kamal Abdelbasset Journal: Medicine (Baltimore) Date: 2020-04 Impact factor: 1.889