Neck circumference as a new anthropometric indicator for prediction of insulin resistance and components of metabolic syndrome in adolescents: Brazilian Metabolic Syndrome Study.

Autor:	da Silva Cde C; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Zambon MP; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Vasques AC; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Rodrigues AM; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Camilo DF; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Antonio MÂ; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Cassani RS; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil., Geloneze B; Faculdade de Ciências Médicas, Unicamp, Campinas, SP, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo [Rev Paul Pediatr] 2014 Jun; Vol. 32 (2), pp. 221-9.
DOI:	10.1590/0103-0582201432210713
Abstrakt:	Objective: To evaluate the correlation between neck circumference and insulin resistance and components of metabolic syndrome in adolescents with different adiposity levels and pubertal stages, as well as to determine the usefulness of neck circumference to predict insulin resistance in adolescents. Methods: Cross-sectional study with 388 adolescents of both genders from ten to 19 years old. The adolescents underwent anthropometric and body composition assessment, including neck and waist circumferences, and biochemical evaluation. The pubertal stage was obtained by self-assessment, and the blood pressure, by auscultation. Insulin resistance was evaluated by the Homeostasis Model Assessment-Insulin Resistance. The correlation between two variables was evaluated by partial correlation coefficient adjusted for the percentage of body fat and pubertal stage. The performance of neck circumference to identify insulin resistance was tested by Receiver Operating Characteristic Curve. Results: After the adjustment for percentage body fat and pubertal stage, neck circumference correlated with waist circumference, blood pressure, triglycerides and markers of insulin resistance in both genders. Conclusions: The results showed that the neck circumference is a useful tool for the detection of insulin resistance and changes in the indicators of metabolic syndrome in adolescents. The easiness of application and low cost of this measure may allow its use in Public Health services.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu Plný text ve formátu PDF