Neck circumference:
cutoff points for Brazilian children
Keywords:
Anthropometry., Child development, Nutritional statusAbstract
Objective
The objective of the present study was to propose cutoff points of neck circumference for predicting overweight in Brazilian children.
Method
We conducted a cross-sectional study with 875 children from public schools in Brazil. Weight, height, and neck circumference were measured. Nutritional status and the risk of complications were assessed based on the values of body mass index and neck circumference. Receiver operating characteristic curve analysis was used to verify the cutoff points.
Results
The median age was eight years, and the majority of the children had normal weights by body mass index and had no risk of metabolic complications by neck circumference. There was a correlation between neck circumference and body mass index (k=0.689; p<0.005). The mean values proposed for overweight were 29.2 cm for girls and 29.1 cm for boys.
Conclusion
Neck circumference had a good correlation with body mass index, and the cutoff points proposed can identify overweight in Brazilian children.
References
Casedei K, Kiel J. Anthropometric Measurement. In: StatPearls [Internet]. Treasure Island: StatPearls Publishing; 2022.
Santos S, Severo M, Lopes C, Oliveira A. Anthropometric indices based on waist circumference as measures of adiposity in children. Obesity. 2018:26(5);810-13.
Souza EB, Barros-Filho AA, Saron MLG. Métodos de avaliação da composição corporal em pediatria. Cadernos UniFOA. 2018:13(37);123-36.
Soar C, Vasconcelos, FAG, Assis MAA. Waist-hip ratio and waist circumference associated with body mass index in a study with schoolchildren. Cad. Saude Publica. 2004:20(6);1609-16.
Ben-Noun L, Laor A. Relationship between changes in neck circumference and cardiovascular risk factors. Exp Clin Cardiol. 2006:11(1);14-20.
Stabe C, Vasques AC, Lima MM, Tambascia MA, Pareja JC, Yamanaka A, Geloneze B. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance: results from the Brazilian Metabolic Syndrome Study. Clin Endocrinol. 2013:78(6);874-81.
Preis SR, Massaro JM, Hoffmann U, D’Agostino RBS, 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.
Colin-Ramirez E, Castillo-Martinez L, Orea-Tejeda A, Villa Romero AR, Vergara Castaneda A, Asensio Lafuente E. Waist circumference and fat intake are associated with high blood pressure in Mexican children aged 8 to 10 years. J Am Diet Assoc. 2009;109(6):996-1003.
Silva CC, Zambon MP, Vasques ACJ, Rodrigues AMB, Camilo DF, Antonio MARGM, et al. Circunferência do pescoço como um novo indicador antropométrico para predição de resistência à insulina e componentes da síndrome metabólica em adolescentes: Brazilian Metabolic Syndrome Study. Rev Paul Pediatr. 2014;32(2):221-9.
Magalhães EIS, Sant’Ana LFR, Priore SE, Franceschini SCC. 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.
Hatipoglu N, Mazicioglu MM, Kurtoglu S, Kendirci M. Neck circumference: an additional tool of screening overweight and obesity in childhood. Eur J Pediatr. 2010;169:733-9.
Lou DH, Yin FZ, Wang R, Ma CM, Liu XL, Lu Q. Neck circumference is na accurate and simple index for evaluating overweight and obesity in Han children. Ann Hum Biology. 2012:39(2):161-65.
Tanner JM. Growth at adolescence. 2nd ed. Oxford: Blackwell Scientific Publications; 1962
Ministério da Saúde (Brasil). Orientações para a coleta e análise de dados antropométricos em serviços de saúde. Brasília: Ministério da Saúde; 2011.
World Health Organization. WHO Child Growth Standards: length/height-for-age, weight-for-age, weight-for-length, weight-for- height and body mass index-for-age: methods and development. Geneva: Organization; 2007.
Ministério da Saúde (Brasil). Obesidade infantil afeta 3,1 milhões de crianças menores de 10 anos no Brasil. Brasília: Ministério; 2021. [cited 2021 Aug 13]. Available from: https://www.gov.br/saude/pt-br/assuntos/noticias/obesidade-infantil-afeta-3-1-milhoes-de-criancas-menores-de-10-anos-no-brasil
Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional de Saúde do Escolar. Rio de Janeiro: Instituto, 2016.
Munusamy J, Yadav J, Kumar R, Bhalla A, Dayal D. Metabolic complications of childhood obesity. J Family Med Prim Care. 2021;10(6):2325-30.
Mittal M, Jain V. Management of obesity and its complications in children and adolescents. Indian J Pediatr 2021;88:1222-34.
Volta Redonda. Características da cidade. Peculiaridades da cidade. Volta Redonda: Secretaria Municipal de Comunicação; 2018. [cited 2018 Aug 13]. Available from: http://www.voltaredonda.rj.gov.br/2012-12-20-11-24- 20/caracteristica
Ministério da Saúde (Brasil). Pesquisa Nacional por Amostra de Domicílios – PNAD Contínua. Rio de Janeiro: IBGE; 2021.
Martins AB, Tufik S, Moura SMGT. Síndrome da apnéia-hipopnéia obstrutiva do sono: fisiopatologia. J Bras Pneumol. 2007;33(1):93-100.
Chen B, Li HF. Waist circumference as an indicator of high blood pressure in preschool obese children. Asia Pac J Clin Nutr. 2011;20(4):557-62.
Bar-Or O. Treinability of prepubescent child. Phys Sports Med. 1989;17:65-82.
Roman EP, Barros Filho AA. Diferenças no crescimento e na composição corporal entre escolares de origem germânica e brasileira. Rev Paul Pediatr. 2007;25(3):227-32.
Kawamura T. Interpretação de um teste sob a visão epidemiológica: eficiência de um teste. Arq Bras Cardiol. 2002;79(4):437-41.
Ribeiro EAG, Leal DB, Assis MAA. Acurácia diagnóstica de índices antropométricos na predição do excesso de gordura corporal em crianças de sete a dez anos. Rev Bras Epidemiol. 2014;17(1):243-54.
