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BioMed Research International
Volume 2015, Article ID 745410, 11 pages
http://dx.doi.org/10.1155/2015/745410
Research Article

Neck Circumference as a Predictive Indicator of CKD for High Cardiovascular Risk Patients

1Graduate Institute of Life Sciences, National Defense Medical Center, No. 161, Section 6, Minquan East Road, Neihu District, Taipei City 114, Taiwan
2Department of Education and Research, Shin Kong Wu Ho-Su Memorial Hospital, No. 95, Wenchang Road, Shilin District, Taipei City 111, Taiwan
3Division of Cardiology, Chiayi Chang Gung Memorial Hospital, No. 6, West Section Chiapu Road, Putzu City, Chiayi Hsien 613, Taiwan
4Division of Cardiology, Department of Medicine, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Chenggong Road, Neihu District, Taipei City 114, Taiwan
5Division of Cardiology, Department of Internal Medicine, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fuxing Street, Guishan District, Taoyuan City 333, Taiwan
6School of Nursing, College of Medicine, Chang Gung University, No. 259, Wenhua 1st Road, Guishan District, Taoyuan City 333, Taiwan
7Department of Biomedical Engineering, National Defense Medical Center, No. 161, Section 6, Minquan East Road, Neihu District, Taipei City 114, Taiwan
8Section of Biostatistics and Informatics, Department of Epidemiology, School of Public Health, National Defense Medical Center, Room 4317, No. 161, Section 6, Minquan East Road, Neihu District, Taipei City 114, Taiwan

Received 15 July 2014; Revised 2 December 2014; Accepted 5 January 2015

Academic Editor: Jamal H. Hashim

Copyright © 2015 Ya-Fang Liu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Neck circumference (NC) is an anthropometric measure of obesity for upper subcutaneous adipose tissue distribution which is associated with cardiometabolic risk. This study investigated whether NC is associated with indicators of chronic kidney disease (CKD) for high cardiometabolic risk patients. Methods. A total of 177 consecutive patients who underwent the outpatient departments of cardiology were prospectively enrolled in the study. The patients were aged >20 years with normal renal function or with stages 1–4 CKD. A linear regression was performed using the Enter method to present an unadjusted , standardized coefficients, and standard error, and the Durbin-Watson test was used to assess residual independence. Results. Most anthropometric measurements from patients aged ≧65 were lower than those from patients aged <65, except for women’s waist circumference (WC) and waist hip ratio. Female NC obtained the highest values for 24 hr CCR, uric acid, microalbuminuria, hsCRP, triglycerides, and HDL compared to BMI, WC, and hip circumference. The significances of female NC with 24 hr CCR and uric acid were improved after adjusted age and serum creatinine. Conclusions. NC is associated with indicators of CKD for high cardiometabolic risk patients and can be routinely measured as easy as WC in the future.