Valencia-Sosa Evelyn, González-Pérez Guillermo Julián, Chávez-Palencia Clío, Vega-López María Guadalupe, Romero-Velarde Enrique
Doctorado en Ciencias de la Salud Pública, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, 950 Sierra Mojada St., Guadalajara 44340, Jalisco, Mexico.
Departamento Académico de Disciplinas Especializantes de Ciencias de la Salud I Área de Nutrición, Universidad Autónoma de Guadalajara, Av Patria 1201 Lomas del Valle, Guadalajara 45129, Jalisco, Mexico.
Children (Basel). 2024 Jul 27;11(8):908. doi: 10.3390/children11080908.
BACKGROUND/OBJECTIVES: Neck circumference (NC) has been proposed as a simple measurement to identify patients with overweight and obesity. It has been found that adipose tissue at the cervical level is associated with the presence of metabolic alterations. The aim of this study was to estimate the association between NC and indicators of Metabolic Syndrome (MS) to subsequently estimate its capacity to identify the risk of MS compared to waist circumference (WC) and Body Mass Index (BMI).
A cross-sectional study was carried out with a sample of 286 children 6-9 years old who attended six public primary schools in Jalisco, Mexico. Pearson's correlation coefficients along with sensitivity and specificity tests were performed to analyze the relationship between NC and MS indicators. Odds ratio (OR) and concordance analyses were performed considering the Kappa index.
NC showed statistically significant correlations with all MS indicators except for LDL cholesterol and total cholesterol. The cut-off points of NC to identify MS according to sex was >27.4 cm for girls and >29.8 cm for boys. The association of NC with values above the cutoff point and the presence of MS was OR: 21.6 (CI: 7.11-65.74).
NC represents a simple and cost-effective alternative to identify children at risk of MS when compared to BMI and WC.
背景/目的：颈围（NC）已被提议作为一种识别超重和肥胖患者的简单测量方法。已发现颈部水平的脂肪组织与代谢改变的存在有关。本研究的目的是评估颈围与代谢综合征（MS）指标之间的关联，进而评估其与腰围（WC）和体重指数（BMI）相比识别代谢综合征风险的能力。
对墨西哥哈利斯科州六所公立小学的286名6至9岁儿童进行了横断面研究。采用Pearson相关系数以及敏感性和特异性检验来分析颈围与代谢综合征指标之间的关系。考虑Kappa指数进行比值比（OR）和一致性分析。
除低密度脂蛋白胆固醇和总胆固醇外，颈围与所有代谢综合征指标均存在统计学显著相关性。根据性别确定代谢综合征的颈围切点为女孩>27.4厘米，男孩>29.8厘米。颈围与高于切点值和代谢综合征存在的关联为OR：21.6（CI：7.11 - 65.74）。
与体重指数和腰围相比，颈围是识别有代谢综合征风险儿童的一种简单且经济有效的替代方法。
