Neck Circumference May Be a Better Alternative to Standard Anthropometric Measures
Table 5
Logistic regression for associations between anthropometric measures and metabolic measures including components of metabolic syndrome.
Binary metabolic outcomes
Anthropometric measure tertile
Neck circumference
Waist circumference
BMI
Body fat percent
Tertile
OR
95% CI
OR
95% CI
OR
95% CI
OR
95% CI
Hypertension
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.35
1.01–1.81
1.68
1.25–2.25
1.61
1.20–2.16
1.53
1.14–2.05
3
2.58
1.90–3.49
2.76
2.03–3.75
2.78
2.05–3.79
2.55
1.88–3.46
AICλ
1511.05
1507.60
1507.24
1503.10
Low HDL-C
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.50
1.13–1.99
1.96
1.47–2.61
1.48
1.12–1.97
0.91
0.69–1.21
3
2.41
1.80–3.21
2.13
1.59–2.84
1.87
1.41–2.50
1.07
0.80–1.42
AIC
1622.27
1626.60
1639.99
1646.83
Triglycerides ≥ 150
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.15
0.86–1.55
1.16
0.87–1.55
1.26
0.94–1.69
1.28
0.96–1.71
3
1.52
1.14–2.03
1.23
0.92–1.65
1.27
0.94–1.70
1.16
0.87–1.56
AIC
1586.28
1592.46
1591.26
1581.61
Glucose ≥ 100
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.08
0.76–1.53
1.21
0.85–1.72
1.13
0.79–1.60
1.52
1.05–2.20
3
1.18
0.84–1.67
1.45
1.02–2.05
1.26
0.89–1.79
1.97
1.37–2.83
AIC
1224.50
1221.13
1223.71
1198.65
hs-CRP > 3
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.78
1.34–2.38
1.83
1.38–2.44
2.42
1.81–3.24
1.43
1.08–1.91
3
3.61
2.66–4.90
5.20
3.78–7.16
6.76
4.87–9.39
4.29
3.13–5.87
AIC
1528.21
1486.83
1452.85
1494.83
HOMA-IR†
1
1.00
—
1.00
–
1.00
—
1.00
—
2
1.97
1.21–3.17
2.82
1.74–4.57
4.46
2.63–7.58
2.09
1.35–3.23
3
8.42
5.43–13.06
7.99
5.08–12.57
10.95
6.58–18.24
4.86
3.24–7.33
AIC
1035.89
1062.43
1047.45
1096.29
Prediabetes‡
1
1.00
—
1.00
—
1.00
—
1.00
—
2
1.34
1.01–1.79
1.22
0.91–1.61
1.41
1.06–1.87
1.27
0.95–1.67
3
2.30
1.71–3.06
1.97
1.48–2.66
2.00
1.49–2.68
1.82
1.36–2.46
AIC
1574.19
1584.42
1584.66
1578.04
Adjusted for age, gender, smoking status, and physical activity. . Model selection criteria: lower AIC implies better model fitness. †Upper quartile versus lower three quartiles for HOMA-IR cutoff. ‡Prediabetes versus normal glycemia defined by ADA plasma fasting glucose, 2 hr OGTT, and HbA1c cutoffs.
