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首页> 外文期刊>Sao Paulo Medical Journal >Cutoffs and cardiovascular risk factors associated with neck circumference among community-dwelling elderly adults: a cross-sectional study
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Cutoffs and cardiovascular risk factors associated with neck circumference among community-dwelling elderly adults: a cross-sectional study

机译:社区居住的老年人与颈围相关的临界值和心血管危险因素:一项横断面研究

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CONTEXT AND OBJECTIVE: In elderly people, measurement of several anthropometric parameters may present complications. Although neck circumference measurements seem to avoid these issues, the cutoffs and cardiovascular risk factors associated with this parameter among elderly people remain unknown. This study was developed to identify the cutoff values and cardiovascular risk factors associated with neck circumference measurements among elderly people. DESIGN AND SETTING: Cross-sectional study conducted in two community centers for elderly people. METHODS: 435 elderly adults (371 women and 64 men) were recruited. These volunteers underwent morphological evaluations (body mass index and waist, hip, and neck circumferences) and hemodynamic evaluations (blood pressure values and heart rate). Receiver operating characteristic curve analyses were used to determine the predictive validity of cutoff values for neck circumference, for identifying overweight/obesity. Multivariate analysis was used to identify cardiovascular risk factors associated with large neck circumference. RESULTS: Cutoff values for neck circumference (men = 40.5 cm and women = 35.7 cm), for detection of obese older adults according to body mass index, were identified. After a second analysis, large neck circumference was shown to be associated with elevated body mass index in men; and elevated body mass index, blood pressure values, prevalence of type 2 diabetes and hypertension in women. CONCLUSION: The data indicate that neck circumference can be used as a screening tool to identify overweight/obesity in older people. Moreover, large neck circumference values may be associated with cardiovascular risk factors.
机译:背景与目的:在老年人中,测量几个人体测量学参数可能会带来并发症。尽管颈围的测量似乎可以避免这些问题,但老年人中与此参数相关的临界值和心血管危险因素仍然未知。这项研究的目的是确定与老年人颈围测量相关的临界值和心血管危险因素。设计与环境:在两个老年人社区中心进行的横断面研究。方法:招募了435名老年人(371名女性和64名男性)。这些志愿者接受了形态学评估(体重指数以及腰围,臀部和颈部周围)以及血液动力学评估(血压值和心率)。受试者工作特征曲线分析用于确定颈围临界值的预测有效性,以识别超重/肥胖。使用多变量分析来确定与大颈围相关的心血管危险因素。结果:确定了根据体重指数检测肥胖老年人的颈围临界值(男性= 40.5 cm,女性= 35.7 cm)。在进行第二次分析后,显示出大的颈围与男性体重指数升高有关。体重指数,血压值,2型糖尿病的患病率和女性高血压的升高。结论:数据表明颈围可以用作筛查工具,以识别老年人的超重/肥胖。此外,大的颈围值可能与心血管危险因素有关。

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