Neck circumference and cardiometabolic syndrome in adult patients at a tertiary hospital in Lagos, Nigeria: A cross-sectional study

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Clinical Sciences Pub Date : 2023-07-01 DOI:10.4103/jcls.jcls_10_23
A. Dada, Amisu Mumani, B. Okunowo
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Abstract

Background: Cardiometabolic syndrome (CMS) is an emerging problem of public health importance in low- and middle-income countries like Nigeria, resulting in a significant increase in morbidity and mortality. Studies from other regions have suggested using neck circumference (NC) values for predicting CMS. This study explores the utility of this approach among patients seen at a tertiary facility in Lagos, Nigeria. Methods: This was a hospital-based, descriptive cross-sectional study. Participants were adult patients managed and seen in the follow-up clinics of the endocrinology unit. NC of >37 cm or >34 cm in males and females was considered abnormal. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 28.0. Results: A total of 202 patients were recruited (mean age [standard deviation]: 61.5 [12.2] years). The prevalence of CMS was 79.2%, with hypertension being the most prevalent cardiometabolic risk (85.1%). The mean NCs were 38.9 (4.2) cm for men and 36.0 (2.9) cm for women, with 67.8% of participants having abnormal values. NC was significantly correlated with diastolic blood pressure (DBP) (P = 0.028), but not other components of CMS among participants. On receiver operating curve (ROC) analysis, NC was not significantly predictive of CMS (females: area under the curve [AUC]: 0.616 [P = 0.068]; males: AUC: 0.0469 [P = 0.080]). Conclusion: This study revealed a high prevalence of metabolic syndrome among participants. There was a significant correlation between NC and other anthropometric indices, but not with the components of CMS, except DBP. On ROC analysis, NC was not significantly related to CMS. The study's findings suggest that NC is not a useful predictor of CMS in this population.
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尼日利亚拉各斯一家三级医院成年患者的颈围与心脏代谢综合征:横断面研究
背景:在尼日利亚等中低收入国家,心脏代谢综合征(CMS)是一个新出现的具有重要公共卫生意义的问题,导致发病率和死亡率大幅上升。其他地区的研究建议使用颈围(NC)值来预测 CMS。本研究探讨了这种方法在尼日利亚拉各斯一家三级医疗机构就诊患者中的实用性。方法:这是一项基于医院的描述性横断面研究。参与者为在内分泌科随访门诊接受管理和就诊的成年患者。男性和女性的 NC >37 厘米或 >34 厘米被视为异常。数据采用社会科学统计软件包(SPSS)28.0 版进行分析。结果共招募了 202 名患者(平均年龄 [标准差]:61.5 [12.2] 岁)。CMS 患病率为 79.2%,高血压是最常见的心脏代谢风险(85.1%)。男性的平均 NC 值为 38.9 (4.2) 厘米,女性为 36.0 (2.9) 厘米,67.8% 的参与者数值异常。NC与舒张压(DBP)有明显相关性(P = 0.028),但与 CMS 的其他组成部分无关。根据接收器操作曲线(ROC)分析,NC 对 CMS 的预测作用不明显(女性:曲线下面积 [AUC]:0.616 [P = 0.068];男性:AUC:0.0469 [P = 0.080]).结论这项研究显示,参与者中代谢综合征的发病率很高。NC与其他人体测量指数之间存在明显的相关性,但与代谢综合征的组成部分(DBP除外)之间不存在明显的相关性。在 ROC 分析中,NC 与 CMS 的关系并不明显。研究结果表明,在这一人群中,NC 并非预测 CMS 的有效指标。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
期刊最新文献
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