Neck circumference as a predictor of cardiometabolic risk and truncal obesity in people living with HIV.

Autor: Oliveira IKF; Food and Nutrition Graduate Program. Nutrition Department. Federal University of Piauí., Teixeira NDSCCA; Food and Nutrition Graduate Program. Nutrition Department. Federal University of Piauí., Rêgo BMP; Food and Nutrition Graduate Program. Nutrition Department. Federal University of Piauí., Aires IO; School of Public Health. University of São Paulo., Torres Rodrigues RR; Nutrition Department. Federal University of Piauí., Araújo REDS; Nutrition Department. Federal University of Piauí., Lima CHR; Food and Nutrition Graduate Program. Nutrition Department. Federal University of Piauí., Sousa RR; Food and Nutrition Graduate Program. Nutrition Department. Federal University of Piauí., Carvalho CMRG; Nutrition Department. Universidade Federal do Piauí., Costa DL; Mother and Child Health Department. Federal University of Piauí., Santos MMD; Nutrition Department. Federal University of Piauí., Paz SMRSD; School of Public Health. University of São Paulo., Paiva AA; Nutrition Department. Universidade Federal do Piauí.
Jazyk: angličtina
Zdroj: Nutricion hospitalaria [Nutr Hosp] 2023 Oct 06; Vol. 40 (5), pp. 1000-1008.
DOI: 10.20960/nh.04402
Abstrakt: Introduction: Introduction: recent studies have suggested the use of neck circumference as a parameter capable of identifying risks of cardiometabolic complications and the accumulation of truncal fat caused by both antiretroviral therapy and the lifestyle of people with the human immunodeficiency virus (HIV). Objective: to investigate the relationship between neck circumference and anthropometric indicators and to assess cardiometabolic risk and truncal obesity through proposed cut-off points. Methods: cross-sectional study including 233 people with HIV. Demographic, socioeconomic, lifestyle and clinical data were collected using a structured questionnaire. The anthropometric evaluation included: weight, height, body mass index (BMI) measurements; waist (WC), neck (NC), arm and arm muscle circumferences; triceps and subscapular skinfolds and their sum. ROC curves were constructed to determine the accuracy of NC in predicting cardiometabolic risk in people living with HIV. Results: the sample was 57.5 % male, with a mean age of 38.4 years (95 %CI: 37.2-39.7 years). NC showed a positive and significant correlation with all anthropometric variables analyzed (p < 0.05), and a higher correlation strength with WC and BMI. The NC cut-off point selected as a predictor of risk of cardiac metabolic complications and truncal obesity in women was ≥ 32.4 cm, considering both WC and BMI. For men, the NC cut-off points were different when considering WC (≥ 39.6 cm) and BMI (≥ 38.1 cm) as a reference. It is worth noting that NC performed well in ROC curve analysis for men, while in women it was a poor performance. Conclusion: NC proved to be a promising indicator in the assessment of nutrition and health of people living with HIV, especially in men.
Databáze: MEDLINE