Neck circumference as a predictor of cardiovascular risk in chronic kidney disease patients on hemodialysis

• Autor(a) principal: Souza, Ellen Diana Silva de
• Data de Publicação: 2022
• Outros Autores: Souza, Bruno Soares de, Melo, Halanna Celina Magalhães, Almeida, Samanta Siqueira de, Tomiya, Marília Tokiko Oliveira, Brandão, Hannah Fernandes Cavalcanti, Melo, Dejane de Almeida, Silva, Rebecca Peixoto Paes, Maio, Regiane, Lemos, Maria da Conceição Chaves de
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/34703
• topic: Renal Dialysis; Anthropometry; Neck; Obesity.; Diálise renal; Antropometria; Pescoço; Obesidade.; Diálisis Renal; Antropometría; Cuello; Obesidad.

The present study aimed to evaluate neck circumference as a predictive parameter of cardiovascular risk in renal patients undergoing hemodialysis. This is a cross-sectional study with 103 patients with chronic kidney disease undergoing hemodialysis, evaluated from July 2018 to September 2019, in two hemodialysis clinics located in the metropolitan region of Recife-PE. Cardiovascular risk was assessed from neck circumference using the Neck Circumference ≥ 37 cm for men and ≥ 34 cm for women cut-off points, as described by BenNoun, Sohar and Laor. Sociodemographic and lifestyle characteristics, as well as traditional anthropometric parameters and indices, were evaluated. In addition, biochemical parameters such as lipid profile, blood glucose, vitamin D, among others, were evaluated. To assess the association between the variables and cardiovascular risk, the chi-square with Yates correction and the McNemar test were used. To verify the correlations, Pearson's correlation was used. Variables with a value of p≤10 were considered borderline significance and those with p<0.05 were considered statistically significant. Neck circumference is associated with HDL (p<0.001), LDL (p<0.001) and blood glucose (p<0.001) and is correlated with waist circumference (p<0.001), conicity index (p<0.001), waist-to-height ratio (p<0.001), and waist-to-hip ratio (p<0.001), body mass index (p<0.001), arm circumference (p=0.04), as well as serum levels of vitamin D (p<0.001). It is concluded that neck circumference is a good predictor of cardiovascular risk in this population.