Neck circumference is associated with carotid intimal-media thickness but not with coronary artery calcium: Results from The ELSA-Brasil

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBAENA, C. P.
dc.contributor.authorLOTUFO, P. A.
dc.contributor.authorSANTOS, I. S.
dc.contributor.authorGOULART, A. C.
dc.contributor.authorBITTENCOURT, M. S.
dc.contributor.authorDUNCAN, B. B.
dc.contributor.authorLIU, S.
dc.contributor.authorBENSENOR, I. M.
dc.date.accessioned2016-07-04T13:52:04Z
dc.date.available2016-07-04T13:52:04Z
dc.date.issued2016
dc.description.abstractBackground and aims: It is uncertain whether neck circumference can be a risk indicator for subclinical atherosclerosis. We aimed to investigate their relationships measured by coronary artery calcium (CAC) and common carotid intima-media thickness (cc-IMT) with neck circumference in ELSA-Brasil. Methods and results: In cross-sectional and sex-specific analyses of 2266 women (50.6 +/- 8.4 yrs) and 1886 men (50.7 +/- 9.0 yrs) with both cc-IMT and CAC, free from previous cardiovascular disease at baseline, we built logistic models using diverse cut-off points for CAC score (0 vs >0, <100 vs >= 100, <400 vs >= 400 Agatston units) and cc-IMT (<75th percentile vs >= 75th; <90th percentile vs >= 90th) as dependent variables, after which adjustments for age and traditional cardiovascular risk factors were made. Mean neck circumference was 33.6 (+/- 2.4 cm) for women and 38.8 (+/- 2.6 cm) for men. In fully adjusted models including sociodemographic, cardiovascular risk factors and body-mass index and waist circumference, for each 1 standard deviation increase in neck circumference we found an odds ratio (OR, 95% CI) for IMT above the 75th percentile of (1.52, 1.16; 1.99) for women and (1.66, 1.28; 2.14) for men, and above the 90th cc-IMT percentile [1.66 (1.19; 2.32) for men but not for women [1.21 (0.80; 1.82)]. We found no association between neck circumference and CAC using different cut-off points (p > 0.05 for all). Conclusion: Neck circumference was significantly and independently associated with cc-IMT but not with CAC in women and men, indicating a possible effect of perivascular fat tissue on atherosclerosis.
dc.description.indexMEDLINE
dc.description.sponsorshipBrazilian Ministry of Health (Science and Technology Department)
dc.description.sponsorshipBrazilian Ministry of Science and Technology
dc.description.sponsorshipCNPq - National Research Council [01 06 0010.00 RS, 01 06 0212.00 BA, 01 06 0300.00 ES, 01 06 0278.00 MG, 01 06 0115.00 SP, 01 06 0071.00 RJ]
dc.identifier.citationNUTRITION METABOLISM AND CARDIOVASCULAR DISEASES, v.26, n.3, p.216-222, 2016
dc.identifier.doi10.1016/j.numecd.2016.01.004
dc.identifier.eissn1590-3729
dc.identifier.issn0939-4753
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/13884
dc.language.isoeng
dc.publisherELSEVIER SCI LTD
dc.relation.ispartofNutrition Metabolism and Cardiovascular Diseases
dc.rightsrestrictedAccess
dc.rights.holderCopyright ELSEVIER SCI LTD
dc.subjectNeck
dc.subjectCarotid artery diseases
dc.subjectBody fat distribution
dc.subject.othersubcutaneous adipose-tissue
dc.subject.otherbody-fat distribution
dc.subject.otherrisk-factors
dc.subject.othermetabolic syndrome
dc.subject.otherectopic fat
dc.subject.othersubclinical atherosclerosis
dc.subject.othercardiovascular risk
dc.subject.othermagnetic-resonance
dc.subject.otherdisease
dc.subject.othercohort
dc.subject.wosCardiac & Cardiovascular Systems
dc.subject.wosEndocrinology & Metabolism
dc.subject.wosNutrition & Dietetics
dc.titleNeck circumference is associated with carotid intimal-media thickness but not with coronary artery calcium: Results from The ELSA-Brasil
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalBAENA, C. P.:Univ Hosp, Ctr Clin & Epidemiol Res, Ave Lineu Prestes 2565 3 Andar, BR-05508000 Sao Paulo, SP, Brazil; Pontificia Univ Catolica Parana, Sch Med, Curitiba, Parana, Brazil
hcfmusp.author.externalDUNCAN, B. B.:Univ Fed Rio Grande do Sul, Sch Med, Postgrad Studies Program Epidemiol, Porto Alegre, RS, Brazil
hcfmusp.citation.scopus27
hcfmusp.contributor.author-fmusphcPAULO ANDRADE LOTUFO
hcfmusp.contributor.author-fmusphcITAMAR DE SOUZA SANTOS
hcfmusp.contributor.author-fmusphcALESSANDRA CARVALHO GOULART
hcfmusp.contributor.author-fmusphcMARCIO SOMMER BITTENCOURT
hcfmusp.contributor.author-fmusphcISABELA JUDITH MARTINS BENSEñOR
hcfmusp.description.beginpage216
hcfmusp.description.endpage222
hcfmusp.description.issue3
hcfmusp.description.volume26
hcfmusp.origemWOS
hcfmusp.origem.pubmed26874907
hcfmusp.origem.scopus2-s2.0-84959532717
hcfmusp.origem.wosWOS:000371790300007
hcfmusp.publisher.cityOXFORD
hcfmusp.publisher.countryENGLAND
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