The value of neck circumference for identifying metabolic syndrome in type 2 diabetes
10.3760/cma.j.cn115455-20200823-01120
- VernacularTitle:2型糖尿病患者颈围对代谢综合征的筛查价值
- Author:
Gang CHENG
1
;
Jianghong XU
;
Ying ZHOU
;
Yan WANG
;
Xiangjun ZHAO
;
Bo JIANG
Author Information
1. 河北省秦皇岛市中医医院内分泌二科 066000
- Keywords:
Diabetes mellitus, type 2;
Waist circumference;
Metabolic syndrome;
Neck circumference
- From:
Chinese Journal of Postgraduates of Medicine
2021;44(7):606-610
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the value of neck circumference (NC) for identifying metabolic syndrome (MS) in patients with type 2 diabetes.Methods:a total of 413 type 2 diabetic patients (188 male and 225 female) in Qinhuangdao Chinese Medicine Hospital from August 2018 to July 2019 were recruited. Waist circumference (WC), NC and metabolic indicators were measured. The association between WC, NC and metabolic indicators was explored. Area under the curve (AUC) was used to evaluate the abilities of NC.Results:The average age of male was (55.35 ± 14.15) years, and the detection rate of MS was 74.47% (140/188). The average age of female was (60.19 ± 10.29) years, and the detection rate of MS was 71.11% (160/225). In male group, WC showed a negative correlation with age and high density lipoprotein-cholesterol (HDL-C) ( P<0.05); NC showed a negative correlation with glycated hemoglobin, total cholesterol (TC) and HDL-C ( P<0.05), and a positive correlation with diastolic blood pressure (DBP) ( P<0.05). In female group, WC showed a positive correlation with fasting plasma glucose (FPG) and systolic blood pressure (SBP), and a negative correlation with HDL-C; NC showed a positive correlation with FPG and SBP. WC and HC were good indexes for identifying metabolic syndrome in type 2 diabetes (WC: AUC male 0.862, female 0.870; NC: AUC male 0.745, female 0.752). After applying the ROC analysis, neck circumferences ≥ 34.5 cm in males and ≥ 31.75 cm in females were determined as the best cutoff values to predict MS in type 2 diabetes. Conclusions:NC is a helpful tool to detect MS in type 2 diabetes.
