The predictive value of neck circumference for metabolic syndrome in health care subjects in Sichuan Province
Objective To explore the optimal cut-off value of neck circumference(NC)to predict the risk of metabolic syndrome(MetS)among health care subjects in Sichuan Province.Methods A total of 3,345 health care subjects who underwent a health examination from January 2015 to December 2019 at our Health Management Center were included.MetS was identified according to the 2004 Chinese Diabetes Society criteria.Results NC was significantly correlated with BMI and waist circumference(P<0.01).The results of ROC analysis showed that the optimal NC cut-off points for predicting the risk of MetS were 37 cm in males and 33 cm in females.In the upper NC cut-off point compared to the lower NC cut-off point,NC was associated with an increased risk of MetS by 5.107-fold in males and 6.102-fold in females after adjustments for age,smoking status,drinking status,sports activities and minorities.Conclusions NC is an independent risk factor for MetS.It serves as an effective anthropometric indicator for predicting the risk of MetS in health care subjects in Sichuan Province.Particularly,individuals with NC above the optimal cut-off value would face a significantly multiplied risk of developing MetS.
Neck circumferenceHealth care objectsReceiver operating characteristic curveMetabolic syndrome