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Type: Artigo
Title: Cutoffs And Cardiovascular Risk Factors Associated With Neck Circumference Among Community-dwelling Elderly Adults: A Cross-sectional Study
Author: Coelho Junior
Helio Jose; Carvalho Sampaio
Ricardo Aurelio; Goncalvez
Ivan de Oliveira; Aguiar
Samuel da Silva; Palmeira
Rafael; de Oliveira
Jose Fernando; Asano
Ricardo Yukio; Sewo Sampaio
Priscila Yukari; Uchida
Marco Carlos
Abstract: In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people. DESIGN AND SETTING: Cross-sectional study conducted in two community centers for elderly people. METHODS: 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying over-weight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference. RESULTS: Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women. CONCLUSION: The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.
Subject: Anthropometry
Blood Pressure
Primary Health Care
Editor: Associacao Paulista Medicina
São Paulo
Citation: Sao Paulo Medical Journal. Associacao Paulista Medicina, v. 134, p. 519 - 527, 2016.
Rights: aberto
Identifier DOI: 10.1590/1516-3180.2016.0160110906
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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