Volaco Alexei, Martins Clara Martinuze, Soares Jessica Queiroz, Cavalcanti Ana Maria, Moyses Simone Tetu, Filho Roberto Pecoits, Baena Cristina Pellegrino, Precoma Dalton Bertolin
Pontificia Universidade Catolica do Parana, Postgraduate Program in Health Sciences, Curitiba, Brazil.
Pontificia Universidade Catolica do Parana, Graduate - School of Medicine, Curitiba, Brazil.
Curr Diabetes Rev. 2018;14(5):464-471. doi: 10.2174/1573399813666171002113442.
The Neck Circumference (NC) is an anthropometric measure to evaluate obesity. The FINDRISC predicts the risk of developing type 2 diabetes mellitus. Our aims were to identify the mean value of NC in individuals with higher (≥15 points) and lower FINDRISC and to establish cutoff values that indicate individuals with higher FINDRISC.
It is a population-based, cross-sectional study representative of the city of Curitiba, Brazil. We studied individuals (>18 years), without diabetes mellitus, between August 2013 and August 2014. We evaluated anthropometric parameters, glycaemia, socioeconomic situation, chronic conditions, and their risk factors. In a sex-specific analysis, data are presented as mean and standard deviation. We performed Pearson's and Spearman's correlation between NC and the waist circumference, body mass index and FINDRISC. Receiver Operating Characteristic curves were estimated for NC and higher FINDRISC. Logistic regression models were built to analyze the association between higher FINDRISC and 1-SD increase in NC.
We studied 950 individuals (621 women) with a mean age of 47.4 ± 17.6 years and body mass index of 26.2 ± 5.6 kg/m2. The mean NCs were 34.1 ± 3.1 cm in women and 38.2 ± 3.5 cm in men. Mean NC was lower in women (33.7 ± 2.9 cm vs. 35.8 ± 3.2 cm) and men (37.7 ± 3.4 cm vs. 41 ± 3.6 cm) with lower FINDRISC (p <0.001). All the correlations with NC were significant (p ≤ 0.001). The area under the curve for NC and the higher FINDRISC was 0.702 (95% CI 0.653 - 0.752) for women and 0.762 for men (95% CI 0.679 - 0.845), determining the best cutoff value of 34.5 cm for women and 39.5 cm for men to discriminate individuals with higher FINDRISC. Fully adjusted odds ratios for higher FINDRISC per 1-SD increase in NC in women and men were, respectively 1.89 (95% CI 1.53 - 2.33) and 2.86 (95% CI 1.91 - 4.29).
NC is positively correlated to the body mass index, waist circumference, glycaemia, and FINDRISC scores in a population-based sample of adults. We identified the mean values of NC in higher and lower FINDRISC and established cutoff values for NC and higher FINDRISC.
颈围（NC）是评估肥胖的一种人体测量指标。芬兰糖尿病风险评分（FINDRISC）可预测2型糖尿病的发病风险。我们的目的是确定FINDRISC评分较高（≥15分）和较低的个体的颈围平均值，并确定能够指示FINDRISC评分较高个体的临界值。
这是一项基于人群的横断面研究，代表巴西库里蒂巴市。我们研究了2013年8月至2014年8月期间年龄大于18岁且无糖尿病的个体。我们评估了人体测量参数、血糖、社会经济状况、慢性病及其危险因素。在按性别进行的分析中，数据以平均值和标准差表示。我们对颈围与腰围、体重指数和FINDRISC进行了Pearson相关性分析和Spearman相关性分析。绘制了颈围与较高FINDRISC的受试者工作特征曲线。建立逻辑回归模型以分析较高FINDRISC与颈围增加1个标准差之间的关联。
我们研究了950名个体（621名女性），平均年龄为47.4±17.6岁，体重指数为26.2±5.6kg/m²。女性的平均颈围为34.1±3.1cm，男性为38.2±3.5cm。FINDRISC评分较低的女性（33.7±2.9cm对35.8±3.2cm）和男性（37.7±3.4cm对41±3.6cm）的平均颈围较低（p<0.001）。与颈围的所有相关性均具有统计学意义（p≤0.001）。女性颈围与较高FINDRISC的曲线下面积为0.702（95%可信区间0.653-0.752），男性为0.762（95%可信区间0.679-0.845），确定女性区分FINDRISC评分较高个体的最佳临界值为34.5cm，男性为39.5cm。女性和男性颈围每增加1个标准差，较高FINDRISC的完全调整优势比分别为1.89（95%可信区间1.53-2.33）和2.86（95%可信区间1.91-4.29）。
在一个基于人群的成年人样本中，颈围与体重指数、腰围、血糖和FINDRISC评分呈正相关。我们确定了FINDRISC评分较高和较低的个体的颈围平均值，并确定了颈围和较高FINDRISC的临界值。
