Neck circumference and cardiovascular risk factors in children and adolescents

Keywords: obesity, cardiovascular diseases, nutritional status

Abstract

Aims: To investigate the association between neck circumference (NC) and cardiovascular risk factors in children and adolescents seen in outpatient clinic in a university hospital in the city of Recife-PE.
Methods: Sociodemographic, anthropometric, biochemical and lifestyle data were collected. The sample consisted of convenience, composed of children and adolescents monitored at the nutrition / pediatrics clinic who agreed to participate in the research, from April to September 2018.
Results: The sample consisted of 144 patients with a mean age of 11.0 ± 3.0 years, the majority being male (51.4%). 37.6% of the patients had elevated NC, most of them male (41.1%). A large percentage of patients with high screen time (71.5%) were seen. There was a significant association between NC and nutritional status, 24.8% of those with excess weight presented NC elevation. Positive correlation was found between NC with body mass index and lipid profile.
Conclusion: It was observed that there is a significant association between NC and nutritional status, corroborating with the literature, which suggests that such a measure can be a useful tool to identify overweight or obesity and an important predictor of cardiovascular health problems, since it also correlates with biochemical parameters.

Downloads

Download data is not yet available.

Author Biographies

Ávilla Monalisa Silva de Oliveira, Universidade Federal de Pernambuco (UFPE), Hospital das Clínicas, Recife, PE, Brasil.

Especialista em Nutrição Clínica pelo Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE), em Recife, PE, Brasil.

Skalyt Lee Barbosa e Silva, Universidade Federal de Pernambuco (UFPE), Hospital das Clínicas, Recife, PE, Brasil.

Especialista em Nutrição Clínica pelo Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE), em Recife, PE, Brasil.

Lílian Caroline de Souza e Silva, Universidade Federal de Pernambuco (UFPE), Hospital das Clínicas, Recife, PE, Brasil.

Especialista em Nutrição Clínica pelo Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE), em Recife, PE, Brasil.

Ilma Kruze Grande de Arruda, Universidade Federal de Pernambuco (UFPE), Departamento de Nutrição, Recife, PE, Brasil.

Doutora em Nutrição pela Universidade Federal de Pernambuco (UFPE), em Recife, PE, Brasil; professora titular da Universidade Federal de Pernambuco (UFPE), em Recife, PE, Brasil.

References

Bloch KV, Klein CH, Szklo M, Kuschnir MCC, Abreu G de A, Barufaldi LA, et al. Erica: Prevalência de hipertensão arterial e obesidade em adolescentes brasileiros. Rev. Saude Publica. 2016;50(suppl 1):9s. https://doi.org/10.1590/S01518-8787.2016050006685

Pinho L., Santos SHS, Caldeira AP, Botelho ACC, Flávio EF. Excesso de peso e consumo alimentar em adolescentes de escolas públicas no norte de Minas Gerais. Cien Saude Colet. 2014;(19):67-74. https://orcid.org/0000-0002-2947-5806

Ribas SA, Silva LCS. Fatores de risco cardiovascular e fatores associados em escolares do Município de Belém, Pará, Brasil. Cad. Saúde Pública. 2014;30(3):577-86.https://doi.org/10.1590/0102-311X00129812

Pelegrini A, Silva DAS, Silva JMF, Grigollo L, Petroski EL. Indicadores antropométricos de obesidade na predição de gordura corporal elevada em adolescentes. Rev. Paulista de Pediatr. 2015;33(1):56-62. https://doi.org/10.1016/j.rpped.2014.06.007

Magalhães EI S, Sant’ana LF R, Priore SE, Franceschini S CC. Perímetro da cintura, Relação cintura/estatura e perímetro do pescoço como parâmetros na avaliação da obesidade central em crianças. Rev. Paul. Pediatr. 2014;32(3)273-82. https://doi.org/10.1590/0103-0582201432320

Preis SR, Massaro JM, Hoffmann U, D’Agostino RB, Levy D, Robins SJ, et al. Neck circumference as a novel measure of cardiometabolic risk: The framingham heart study. J. Clin. Endocrinol. Metab. 2010;95(8):3701-10.

American Academy of Pediatrics. Committee on Public Education. American Academy of Pediatrics: Children,

adolescents, and television. Pediatrics. 2001;107(2):423-6. https://doi.org/10.1542/peds.107.2.423

Lohman TG, Roche AF, Martorell R. Anthrometric standardization reference manual. Champaign: Human Kinetics; 1988.

Onis M de, Onyango AW, Borghi E, Amani S, Chizuru N, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull. World Health Organ. [Online]. 2007 Sep 1 [acesso em 21 jan. 2020];85(09):660-7. Disponível em: http://www.who.int/bulletin/volumes/85/9/07-043497.pdf

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. https://doi.org/10.3109/03014460.2012.660990

Faludi AA, Izar MCO, Saraiva JFK, Chacra APM, Bianco HT, Afiune Neto A et al. Atualização da Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose – 2017. Arq Bras Cardiol 2017; 109(2Supl.1):1-76. https://doi.org/10.5935/abc.20170121

Dias PJP, Domingos IP, Ferreira MG, Muraro AP, Sichieri R, Silva RMV. Prevalência e fatores associados aos comportamentos sedentários em adolescentes. Rev. Saude Publica. 2014;48(2):266-74. https://doi.org/10.1590/S0034-8910.2014048004635

Santos A, Andaki ACR, Santos Amorim PR Dos, Mendes EL. Fatores associados ao comportamento sedentário em escolares de 9-12 anos de idade. Motriz. Rev. Educ. Fis. 2013;19(3 SUPPL):25-34. http://dx.doi.org/10.1590/S1980-65742013000700005

Coelho LG, Cândido APC, Machado-Coelho GLL, Freitas SN de. Association between nutritional status, food habits and physical activity level in schoolchildren. J. Pediatr. (Rio. J). 2012;88(5):406-12. http://dx.doi.org/10.2223/JPED.2211

Camelo LV, Rodrigues JFC; Giatti L, Barreto SM. Lazer sedentário e consumo de alimentos entre adolescentes brasileiros: Pesquisa Nacional de Saúde do Escolar (PeNSE), 2009. Cad. Saúde Pública. 2012;28(11):2155-62. https://doi.org/10.1590/S0102-311X2012001100015

Ferreira WF, Rombaldi AJ, Ricardo LIC, Hallal PC, Azevedo MR. Prevalência de comportamento sedentário de escolares e fatores associados. Rev. Paul. Pediatr. 2016;34(1):56-63. http://dx.doi.org/10.1016/j.rppede.2015.09.002

Lourenço CLM, Zanetti HR, Amorim PRS, Mota JAPS, Mendes EL. Comportamento sedentário em adolescentes: prevalência e fatores associados. R. bras. Ci. e Mov 2018;26(3):23-32.

Pinho MGM, Adami F, Benedet J, Vasconcelos FAG. Associação entre tempo de tela e padrões alimentares com sobrepeso/obesidade em adolescentes. Rev de Nutr. 2017;30(3)377-89. https://doi.org/10.1590/1678-98652017000300010

Lucena JMS, Cheng LA, Cavalcante TLM, Silva VA, Junior JCF. Prevalência do tempo excessivo de tela e fatores associados em adolescentes. Rev. Paul. de Pediatr. 2015;33(4):407-14. http://dx.doi.org/10.1016/j.rpped.2015.04.001

Souza MFC, Gurgel RQ, Barreto IDC, Shanmugam S. Neck circumference as screening measure for identifying adolescents with overweight and obesity. J. Hum. Growth Dev. 2016;26(2):260-266. https://doi.org/10.7322/jhgd.119302

Nielsen S, Hensrud DD, Jensen MD, Nielsen S, Guo Z, Johnson CM, et al. Splanchnic lipolysis in human obesity Find the latest version: Splanchnic lipolysis in human obesity. J. Clin. Invest. 2004;113(11)1582-8. https://doi.org/10.1172/jci21047

Souza MFC. Identificação de pontos de corte da circunferência do pescoço para determinação dos níveis de excesso de peso e predição do risco cardiometabólico em adolescentes [tese]. Sergipe. Universidade Federal de Sergipe, 2016. 67p.

Bao W, Srinivasan SR, Valdez R, Greenlund KJ, Wattigney WA, Berenson GS. Longitudinal changes in cardiovascular risk from childhood to young adulthood in offspring of parents with coronary artery disease: the Bogalusa Heart Study. JAMA. 1997;278(21):1749-54. doi:10.1001/jama.1997.03550210047037

Moura IH, Vieira EES, Silva GRF, Carvalho RBN, Silva ARV. Prevalência de hipertensão arterial e seus fatores de risco em adolescentes. Acta Paul Enferm. 2015;28(1):81-6. http://dx.doi.org/10.1590/1982-0194201500014

Pereira PF, Serrano HMS, Carvalho GQ, Lamounier JA, Peluzio M do CG, Franceschini S do CC, et al. Circunferência da cintura e relação cintura/estatura: Úteis para identifcar risco metabólico em adolescentes do sexo feminino? Rev. Paul. Pediatr. 2011;29(3):372-7. https://doi.org/10.1590/S0103-05822011000300011

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. https://doi.org/10.1007/s00431-009-1104-z

Nafiu OO, Burke C, Lee J, Voepel-Lewis T, Malviya S, Tremper KK. Neck circunference as a screening measure for identifying childrn with high body mass index. Pediatrics. 2010;126(2):e306-10. https://doi.org/10.1542/peds.2010-0242

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 Pediatr. 2010;99:1847-53.

Hatipoglu N, et al. Relationship between neck circunference and non-alcoholic fatty liver disease in childhood obesity. Journ of Clini Res in Pediat Endocrin. 2016;8(1):32-9.

Published
2021-03-18
How to Cite
Monalisa Silva de Oliveira, Ávilla, Lee Barbosa e Silva, S., de Souza e Silva, L. C., & Kruze Grande de Arruda, I. (2021). Neck circumference and cardiovascular risk factors in children and adolescents. Scientia Medica, 31(1), e37855. https://doi.org/10.15448/1980-6108.2021.1.37855