Arias Téllez María José, Martinez-Tellez Borja, Soto Johana, Sánchez-Delgado Guillermo
Universidad de Chile.
Nutr Hosp. 2018 Apr 5;35(3):707-721. doi: 10.20960/nh.1582.
The objective of this systematic review was doing a search of the validity of neck perimeter as a marker of adiposity in children and adolescents as well as in adults. A systematic search for articles published before June 30, 2017 was conducted using the PubMed and Web of Science databases. Original studies, in Spanish or English, were searched to analyze the association between neck circumference and any other marker of adiposity. MeSH (Medical Subject Heading) categories were used in PubMed. The search criteria used were: (("neck circumference" or "neck diameter") AND ("Body Composition" [Mesh] OR "Anthropometry" [Mesh])). This search was repeated in Web of Science. We identified 494 studies, of which 47 were finally selected for this review. From the total, 66% of studies (16 in children and adolescents and 15 in adults) only specify that there is a relationship between neck circumference and body mass index or waist circumference, waist/hip circumference ratio in children and adults. We also observed that neck circumference was directly associated with adiposity markers indirectly measured by reference methods such as computed tomography (CT) or dual-energy x-ray absorptiometry (DXA) in adults. Conversely, no studies were found in children and adolescents. In conclusion, neck circumference is associated with doubly-indirect markers of total and central fat mass in children and adolescents, while in adults it is associated with adiposity parameters measured with indirect and doubly-indirect methods. Further studies including methods that address the association between neck circumference and body composition analyzed using reference methods are required, especially in children and adolescents.
本系统评价的目的是检索颈围作为儿童、青少年及成人肥胖指标的有效性。利用PubMed和科学网数据库对2017年6月30日前发表的文章进行系统检索。检索西班牙语或英语的原始研究，以分析颈围与任何其他肥胖指标之间的关联。PubMed使用医学主题词（MeSH）类别。使用的检索标准为：（“颈围”或“颈直径”）与（“身体成分”[MeSH]或“人体测量学”[MeSH]）。在科学网重复此检索。我们识别出494项研究，其中47项最终被选入本评价。总体而言，66%的研究（儿童和青少年中有16项，成人中有15项）仅明确指出颈围与儿童及成人的体重指数、腰围、腰臀比之间存在关联。我们还观察到，在成人中，颈围与通过计算机断层扫描（CT）或双能X线吸收法（DXA）等参考方法间接测量的肥胖指标直接相关。相反，在儿童和青少年中未发现相关研究。总之，颈围与儿童和青少年总体及中心脂肪量的双重间接指标相关，而在成人中，它与通过间接和双重间接方法测量的肥胖参数相关。需要开展进一步研究，包括采用参考方法分析颈围与身体成分之间关联的方法，尤其是在儿童和青少年中。
