Abstract
OBJECTIVE: to relate neck circumference with metabolic syndrome and its criteria among college students. METHOD: cross-sectional study conducted with 702 college students in Fortaleza, CE, Brazil from September 2010 to June 2011. Socio-demographic data, waist circumference and neck circumference were collected together with blood pressure, fasting blood sugar, triglyceride levels, and HDL-C. RESULTS: 1.7% of the studied sample presented metabolic syndrome. Of these, 58.3% presented altered neck circumference (p<0.006). As neck circumference decreases, pressure levels improve (p<0.001). Additionally, college students with high fasting blood sugar (p=0.003) and high triglyceride levels (p<0.001) presented higher values of neck circumference. CONCLUSION: neck circumference is a potential predictive marker in the detection of metabolic syndrome and its components among college students.
Highlights
The National Priorities for Research and the Research Agenda in the health field gives priority in one of its sub-agendas to non-communicable diseases (NCDs), such as hypertension, diabetes mellitus and obesity[1]
The results found so far show that neck circumference is an innovative and additional parameter to determine the distribution of body fat, which is associated with visceral fat, to metabolic syndrome’s components and insulin resistance, especially among women[12]
Of the 702 college students, 62.7% were women; 53.3% were aged between 20 and 24 years old (21.5±1.57); 49.3% were biracial; 92.3% were single; 69.1% were in their first to the fifth semester; 71.2 % lived with their parents; and 65.2 % studied only
Summary
The National Priorities for Research and the Research Agenda in the health field gives priority in one of its sub-agendas to non-communicable diseases (NCDs), such as hypertension, diabetes mellitus and obesity[1]. There are various sources providing criteria for identifying MS[3,4], those established by the National Cholesterol Education Program - Adult Treatment Panel III (NCEP ATP III) and recommended by the I Brazilian Guideline for the Diagnosis and Treatment of Metabolic Syndrome, are more frequently used in clinical studies due to their practicality. These programs consider the presence of three or more criteria to indicate the presence of metabolic syndrome, namely: waist circumference greater than 88cm in women and 102 cm in men, triglycerides above 150mg/ dl, HDL cholesterol below 40 mg/dl in men or 50mg/ dl in women, blood pressure above or equal to 130/85 mmHg, and circulating glucose greater than or equal to 110 mg/dl[3]
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