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The correlation between neck circumference and risk factors in patients with hypertension: What matters

Yudan Zhang1, Haixia Wu, Yilian Xu

  • 1Department of Nursing, The Second Affiliated Hospital of Hainan Medical University, Hainan Province, China.

Medicine
|November 21, 2020
PubMed

Insights

Neck circumference is a valuable indicator for cardiovascular risk in hypertensive patients. Increased neck circumference correlates with higher risks of hypertension, diabetes, and metabolic syndrome, aiding in disease screening.

Area of Science:

  • Cardiology
  • Metabolic Health
  • Public Health

Background:

  • Hypertension is a major cardiovascular risk factor.
  • Identifying accessible screening tools for cardiovascular disease (CVD) risk is crucial.
  • Neck circumference (NC) is a simple anthropometric measure.

Purpose of the Study:

  • To investigate the association between neck circumference and cardiovascular risk factors in patients with hypertension.
  • To determine if neck circumference can serve as a predictor for hypertension, diabetes, metabolic syndrome, and dyslipidemia.

Main Methods:

  • Cross-sectional analysis of 2860 hypertensive patients.
  • Collected data included height, weight, neck circumference, waist circumference, blood glucose levels, lipid profiles (HDL-C, LDL-C), and HbA1c.
  • Statistical analysis compared differences and correlations, and calculated optimal cut-off points for neck circumference.

Main Results:

  • Significant differences in neck circumference and cardiovascular risk factors were observed between males and females.
  • Neck circumference showed positive correlations with waist circumference, BMI, fasting blood glucose, 2-hour postprandial glucose (2hPPG), HbA1c, triacylglycerol, and LDL-C.
  • Neck circumference demonstrated a negative correlation with HDL-C.
  • Increasing neck circumference was associated with a higher risk of hypertension, diabetes, metabolic syndrome, abdominal obesity, and dyslipidemia.
  • Optimal neck circumference cut-off points were identified as 37.8 cm for males and 33.9 cm for females.

Conclusions:

  • Neck circumference is significantly associated with multiple cardiovascular risk factors in hypertensive patients.
  • Neck circumference is a valuable and easily measurable indicator for screening cardiovascular risks, including hypertension, diabetes, metabolic syndrome, and dyslipidemia.
  • Promoting neck circumference measurement in clinical practice can enhance cardiovascular disease screening efforts.

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