Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000200213 |
Resumo: | Abstract BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has become a public health problem worldwide. Neck circumference (NC) is a simple anthropometric adiposity parameter that has been correlated with cardiometabolic disorders like NAFLD. OBJECTIVES: To investigate the association between NC and NAFLD, considering their obesity-modifying effect, among participants from the Longitudinal Study of Adult Health (ELSA-Brasil) baseline study. DESIGN AND SETTINGS: Cross-sectional study at the ELSA-Brasil centers of six public research institutions. METHODS: This analysis was conducted on 5,187 women and 4,270 men of mean age 51.8 (± 9.2) years. Anthropometric indexes (NC, waist circumference [WC] and body mass index [BMI]), biochemical and clinical parameters (diabetes, hypertension and dyslipidemia) and hepatic ultrasound were measured. The association between NC and NAFLD was estimated using multinomial logistic regression, considering potential confounding effects (age, WC, diabetes, hypertension and dyslipidemia). Effect modification was investigated by including the interaction term NC x BMI in the final model. RESULTS: The frequency of NAFLD and mean value of NC were 33.6% and 33.9 (± 2.5) cm in women, and 45.8% and 39.4 (± 2.8) cm in men, respectively. Even after all adjustments, larger NC was associated with a greater chance of moderate/severe NAFLD (1.16; 95% confidence interval [CI] for women; 1.05, 95% CI for men; P < 0.001). Presence of multiplicative interaction between NC and BMI (P < 0.001) was also observed. CONCLUSION: NC was positively associated with NAFLD in both sexes, regardless of traditional adiposity indexes such as BMI and WC. The magnitude of the association was more pronounced among women. |
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São Paulo medical journal (Online) |
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Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-BrasilLiver diseasesNeckBody compositionAdipose tissueWeights and measuresLiver dysfunctionsNeck circumferenceBody fatFatty tissueMetabolic disordersAbstract BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has become a public health problem worldwide. Neck circumference (NC) is a simple anthropometric adiposity parameter that has been correlated with cardiometabolic disorders like NAFLD. OBJECTIVES: To investigate the association between NC and NAFLD, considering their obesity-modifying effect, among participants from the Longitudinal Study of Adult Health (ELSA-Brasil) baseline study. DESIGN AND SETTINGS: Cross-sectional study at the ELSA-Brasil centers of six public research institutions. METHODS: This analysis was conducted on 5,187 women and 4,270 men of mean age 51.8 (± 9.2) years. Anthropometric indexes (NC, waist circumference [WC] and body mass index [BMI]), biochemical and clinical parameters (diabetes, hypertension and dyslipidemia) and hepatic ultrasound were measured. The association between NC and NAFLD was estimated using multinomial logistic regression, considering potential confounding effects (age, WC, diabetes, hypertension and dyslipidemia). Effect modification was investigated by including the interaction term NC x BMI in the final model. RESULTS: The frequency of NAFLD and mean value of NC were 33.6% and 33.9 (± 2.5) cm in women, and 45.8% and 39.4 (± 2.8) cm in men, respectively. Even after all adjustments, larger NC was associated with a greater chance of moderate/severe NAFLD (1.16; 95% confidence interval [CI] for women; 1.05, 95% CI for men; P < 0.001). Presence of multiplicative interaction between NC and BMI (P < 0.001) was also observed. CONCLUSION: NC was positively associated with NAFLD in both sexes, regardless of traditional adiposity indexes such as BMI and WC. The magnitude of the association was more pronounced among women.Associação Paulista de Medicina - APM2022-02-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000200213Sao Paulo Medical Journal v.140 n.2 2022reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2021.0095.r2.22062021info:eu-repo/semantics/openAccessSantos,Laura Luiza MenezesDiniz,Maria de Fátima Haueisen SanderGoulart,Alessandra CarvalhoBarreto,Sandhi MariaFigueiredo,Roberta Carvalhoeng2022-03-10T00:00:00Zoai:scielo:S1516-31802022000200213Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2022-03-10T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
title |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
spellingShingle |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil Santos,Laura Luiza Menezes Liver diseases Neck Body composition Adipose tissue Weights and measures Liver dysfunctions Neck circumference Body fat Fatty tissue Metabolic disorders |
title_short |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
title_full |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
title_fullStr |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
title_full_unstemmed |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
title_sort |
Association between neck circumference and non-alcoholic fatty liver disease: cross-sectional analysis from ELSA-Brasil |
author |
Santos,Laura Luiza Menezes |
author_facet |
Santos,Laura Luiza Menezes Diniz,Maria de Fátima Haueisen Sander Goulart,Alessandra Carvalho Barreto,Sandhi Maria Figueiredo,Roberta Carvalho |
author_role |
author |
author2 |
Diniz,Maria de Fátima Haueisen Sander Goulart,Alessandra Carvalho Barreto,Sandhi Maria Figueiredo,Roberta Carvalho |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Santos,Laura Luiza Menezes Diniz,Maria de Fátima Haueisen Sander Goulart,Alessandra Carvalho Barreto,Sandhi Maria Figueiredo,Roberta Carvalho |
dc.subject.por.fl_str_mv |
Liver diseases Neck Body composition Adipose tissue Weights and measures Liver dysfunctions Neck circumference Body fat Fatty tissue Metabolic disorders |
topic |
Liver diseases Neck Body composition Adipose tissue Weights and measures Liver dysfunctions Neck circumference Body fat Fatty tissue Metabolic disorders |
description |
Abstract BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) has become a public health problem worldwide. Neck circumference (NC) is a simple anthropometric adiposity parameter that has been correlated with cardiometabolic disorders like NAFLD. OBJECTIVES: To investigate the association between NC and NAFLD, considering their obesity-modifying effect, among participants from the Longitudinal Study of Adult Health (ELSA-Brasil) baseline study. DESIGN AND SETTINGS: Cross-sectional study at the ELSA-Brasil centers of six public research institutions. METHODS: This analysis was conducted on 5,187 women and 4,270 men of mean age 51.8 (± 9.2) years. Anthropometric indexes (NC, waist circumference [WC] and body mass index [BMI]), biochemical and clinical parameters (diabetes, hypertension and dyslipidemia) and hepatic ultrasound were measured. The association between NC and NAFLD was estimated using multinomial logistic regression, considering potential confounding effects (age, WC, diabetes, hypertension and dyslipidemia). Effect modification was investigated by including the interaction term NC x BMI in the final model. RESULTS: The frequency of NAFLD and mean value of NC were 33.6% and 33.9 (± 2.5) cm in women, and 45.8% and 39.4 (± 2.8) cm in men, respectively. Even after all adjustments, larger NC was associated with a greater chance of moderate/severe NAFLD (1.16; 95% confidence interval [CI] for women; 1.05, 95% CI for men; P < 0.001). Presence of multiplicative interaction between NC and BMI (P < 0.001) was also observed. CONCLUSION: NC was positively associated with NAFLD in both sexes, regardless of traditional adiposity indexes such as BMI and WC. The magnitude of the association was more pronounced among women. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-02-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000200213 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802022000200213 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2021.0095.r2.22062021 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.140 n.2 2022 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
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1754209268605648896 |