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Wider neck circumference is related to severe asthma in children

Bulent Hacihamdioglu1, Mutluay Arslan2, Ediz Yeşilkaya1

  • 1Department of Pediatric Endocrinology, GATA Military School of Medicine, Ankara, Turkey.

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
|May 9, 2015
PubMed

Insights

Neck circumference is linked to asthma severity in children. Wider neck circumference in children indicates a higher likelihood of moderate-to-severe asthma, suggesting it as a useful indicator.

Area of Science:

  • Pediatric Allergy and Immunology
  • Respiratory Medicine
  • Clinical Pediatrics

Background:

  • Obesity is a known risk factor for childhood asthma.
  • Central obesity measures correlate with asthma severity in adults.
  • The study investigates the link between fat distribution, specifically neck circumference (NC), and asthma severity in children.

Purpose of the Study:

  • To determine the association between anthropometric measures of fat distribution, including neck circumference (NC), and asthma severity in pediatric patients.
  • To explore if specific fat distribution patterns are more indicative of severe asthma in children.

Main Methods:

  • Children with asthma were recruited and categorized into mild (GINA Step 1-2) and moderate-to-severe (GINA Step 3-5) groups.
  • Standard anthropometric measurements, including height, weight, waist circumference, hip circumference, and neck circumference (NC), were collected.
  • Asthma severity was assessed using Global Initiative for Asthma (GINA) guidelines.

Main Results:

  • 127 children were included; 71.6% had mild asthma.
  • Children with severe asthma had significantly wider neck circumferences (29.0 cm vs. 28.0 cm, p=0.019).
  • A neck circumference above the 90th percentile was more prevalent in severe asthma cases (41.7% vs. 23.1%) and independently associated with severe asthma (OR 2.52, p=0.038).

Conclusions:

  • Neck circumference is a simple, accessible anthropometric tool associated with asthma severity in children.
  • Increased neck circumference may serve as a potential indicator for more severe asthma in pediatric populations.
  • Further research can explore NC's role in asthma management and risk stratification.
Abstract

Keywords:
asthmachildrenfat distributionneck circumferenceobesity

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