Research Article

Neck Circumference is an Effective Supplement for Nonalcoholic Fatty Liver Disease Screening in a Community-Based Population

Table 1

Characteristics of the study participants.

VariablesNon-LFC-NAFLD (n = 919)LFC-NAFLD (n = 779)
Men (n = 309)Women (n = 610)Men (n = 268)Women (n = 511)

Age (years)63 (57–67)59 (55–64)61 (56–66)#60 (56–64)#
BMI (kg/m2)23.54 (21.81–25.25)22.60 (20.82–24.50)25.62 (24.03–27.59)##25.36 (23.32–27.70)##
WC (cm)84.0 (79.0–89.0)78.0 (73.0–83.0)91.0 (86.0–96.0)##86.0 (81.0–92.0)##
NC (cm)37.0 (35.2–39.0)32.8 (31.3–34.1)38.8 (37.1–40.4)##34.5 (33.0–36.0)##
SBP (mmHg)131 (120–142)126 (114–138)137 (127–149)##132 (122–145)##
DBP (mmHg)78 (72–84)74 (68–81)84 (77–90)##78 (71–84)##
ALT (U/L)18.0 (15.0–24.0)16.0 (13.0–21.0)23.5 (18.0–33.0)##21.0 (16.0–28.0)##
AST (U/L)20.0 (17.0–24.0)20.0 (17.0–23.0)21.0 (18.0–25.0)##21.0 (18.0–25.0)##
GGT (U/L)24.0 (19.0–33.0)18.0 (15.0–26.0)32.0 (24.3–43.8)##25.0 (19.0–35.0)##
FPG (mmol/L)5.77 (5.38–6.30)5.65 (5.29–6.07)6.00 (5.50–6.94)##6.02 (5.57–6.72)##
2hPG (mmol/L)7.35 (5.85–8.91)7.04 (5.75–8.83)8.33 (6.40–10.92)##8.47 (6.78–11.28)##
HbA1c (%)5.60 (5.40–5.90)5.70 (5.40–6.00)5.80 (5.50–6.30)##5.80 (5.50–6.20)##
Fasting insulin (mU/L)7.28 (4.97–9.96)7.89 (6.02–10.46)11.40 (8.09–16.18)##12.15 (8.78–16.33)##
TC (mmol/L)5.07 (4.53–5.60)5.48 (4.88–6.27)5.20 (4.55–5.86)5.57 (5.01–6.26)
TG (mmol/L)1.25 (0.88–1.78)1.17 (0.89–1.67)1.93 (1.36–2.78)##1.66 (1.30–2.46)##
HDL-c (mmol/L)1.32 (1.12–1.53)1.58 (1.37–1.82)1.15 (0.98–1.32)##1.36 (1.18–1.57)##
LDL-c (mmol/L)3.11 ± 0.753.36 ± 0.893.26 ± 0.80#3.47 ± 0.83#
CRP (mg/L)0.67 (0.32–1.46)0.75 (0.36–1.34)0.97 (0.58–1.71)##1.30 (0.73–2.55)##
HOMA-IR1.89 (1.30–2.63)2.03 (1.47–2.78)3.18 (2.09–4.59)##3.35 (2.41–4.65)##
LFC (%)6.5 (5.3–7.8)7.1 (6.0–8.0)24.2 (16.4–27.3)##25.2 (17.2–33.6)##
Qualitative NAFLD, n (%)0 (0)0 (0)231 (86.19)##423 (82.78)##
Smoking, n (%)130 (42.07)6 (0.98)102 (38.06)3 (0.59)

Data are expressed as mean ± standard deviation for normally distributed variables or the median (interquartile range) for skewed distribution variables. , men versus women in Non-LFC-NAFLD and LFC-NAFLD; , men versus women in Non-LFC-NAFLD and LFC-NAFLD. , Non-LFC-NAFLD versus LFC-NAFLD in men and women; , Non-LFC-NAFLD versus LFC-NAFLD in men and women. LFC-NAFLD, nonalcoholic fatty liver disease based on liver fat content; BMI, body mass index; WC, waist circumference; NC, neck circumference; SBP, systolic blood pressure; DBP, diastolic blood pressure; ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, gamma-glutamyl transpeptidase; FPG, fasting plasma glucose; 2hPG, 2-h plasma glucose; HbA1c, glycated hemoglobin A1c; TC, total cholesterol; TG, triglyceride; HDL-c, high-density lipoprotein cholesterol; LDL-c, low-density lipoprotein cholesterol; CRP, C-reactive protein; HOMA-IR, homoeostasis model assessment-insulin resistance index; LFC, liver fat content; NAFLD, nonalcoholic fatty liver disease.