Creation of a reference dataset of neck sizes in children: standardizing a potential new tool for prediction of obesity-associated diseases?

BMC Pediatrics

Nicholas J Barrowman²  Rachel C Colley²  Lynda Hoey²  Janine Clarke³  Jean-Philippe Vaccani⁴  Sherri L Katz¹ 

[1] University of Ottawa, Faculty of Medicine, Ottawa, Canada;Children’s Hospital of Eastern Ontario Research Institute, Clinical Research Unit Ottawa, Ottawa, Canada;Statistics Canada, Health Statistics Division, Ottawa, Canada;Children’s Hospital of Eastern Ontario, Department of Surgery, Division of Otolaryngology, Ottawa, Canada

关键词: Obesity;    Anthropometric measures;    Neck circumference;    Sleep medicine;    Epidemiology;   

Others  :  1138677
DOI  :  10.1186/1471-2431-14-159

 received in 2013-12-03, accepted in 2014-06-19,  发布年份 2014

【 摘 要 】

Background

Neck circumference (NC), is an emerging marker of obesity and associated disease risk, but is challenging to use as a screening tool in children, as age and sex standardized cutoffs have not been determined. A population-based sample of NC in Canadian children was collected, and age- and sex-specific reference curves for NC were developed.

Methods

NC, waist circumference (WC), weight and height were measured on participants aged 6–17 years in cycle 2 of the Canadian Health Measures Survey. Quantile regression of NC versus age in males and females was used to obtain NC percentiles. Linear regression was used to examine association between NC, body mass index (BMI) and WC. NC was compared in healthy weight (BMI < 85^th percentile) and overweight/obese (BMI > 85^th percentile) subjects.

Results

The sample included 936 females and 977 males. For all age and sex groups, NC was larger in overweight/obese children (p < 0.0001). For each additional unit of BMI, average NC in males was 0.49 cm higher and in females, 0.43 cm higher. For each additional cm of WC, average NC in males was 0.18 cm higher and in females, 0.17 cm higher.

Conclusion

This study presents the first reference data on Canadian children’s NC. The reference curves may have future clinical applicability in identifying children at risk of central obesity-associated conditions and thresholds associated with disease risk.

【 授权许可】

   
2014 Katz et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

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