Association Between Neck Circumference and Microalbuminuria in Community Residents

Chaohui Jian,* Yiting Xu,* Yun Shen, Yufei Wang, Xiaojing Ma, Yuqian Bao Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabete...

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Autores principales:	Jian C, Xu Y, Shen Y, Wang Y, Ma X, Bao Y
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	neck circumference microalbuminuria urine albumin-to-creatinine ratio Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/551030b50c0d4291b44fc039d721b7a4
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spelling	oai:doaj.org-article:551030b50c0d4291b44fc039d721b7a42021-12-02T14:47:24ZAssociation Between Neck Circumference and Microalbuminuria in Community Residents1178-7007https://doaj.org/article/551030b50c0d4291b44fc039d721b7a42021-05-01T00:00:00Zhttps://www.dovepress.com/association-between-neck-circumference-and-microalbuminuria-in-communi-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Chaohui Jian,* Yiting Xu,* Yun Shen, Yufei Wang, Xiaojing Ma, Yuqian Bao Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaojing Ma; Yuqian BaoDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Diabetes Institute, 600 Yishan Road, Shanghai, 200233, People’s Republic of ChinaTel +86-21-64369181Fax +86-21-64368031Email maxiaojing@sjtu.edu.cn; yqbao@sjtu.edu.cnObjective: Neck circumference (NC) represents the subcutaneous fat deposition in the neck and is an effective indicator for evaluating metabolic disorders, such as metabolic syndrome, subclinical atherosclerosis, and non-alcoholic fatty liver disease. Microalbuminuria (MAU) is regarded as a potential sign of systemic endothelial dysfunction and microvascular abnormalities. The aim of this study was to elucidate the association of NC with urine albumin-to-creatinine ratio (UACR) and MAU.Methods: A total of 1882 Shanghai community residents were enrolled (816 men and 1066 women), with age ranging from 40 to 80 years. Anthropometric parameters, including NC, and biochemical indices were measured. MAU was determined if 30 mg/g ≤ UACR < 300 mg/g. An elevated NC was defined as NC ≥ 38.5 cm for men and NC ≥ 34.5 cm for women.Results: Individuals with an elevated NC had significantly higher prevalence of MAU and UACR values than those with normal NC in both men and women (all P < 0.05). The logistic regression analysis showed that there were significant and positive associations between elevated NC and the increasing risk of MAU after adjusting for lipid profile and glycemic indices (P = 0.007 for men and P = 0.009 for women). After further adjusting for blood pressure, elevated NC caused an 69.3% additional risk of MAU in men (P = 0.037) and the positive correlation in women disappeared (P = 0.131).Conclusion: There was an independent and positive association between elevated NC and the risk of MAU in men in the Chinese community population.Chinese Clinical Trial Registry (Www.chictr.org.cn) Registration Number: ChiCTR1900024011.Keywords: neck circumference, microalbuminuria, urine albumin-to-creatinine ratioJian CXu YShen YWang YMa XBao YDove Medical Pressarticleneck circumferencemicroalbuminuriaurine albumin-to-creatinine ratioSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 2407-2414 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	neck circumference microalbuminuria urine albumin-to-creatinine ratio Specialties of internal medicine RC581-951
spellingShingle	neck circumference microalbuminuria urine albumin-to-creatinine ratio Specialties of internal medicine RC581-951 Jian C Xu Y Shen Y Wang Y Ma X Bao Y Association Between Neck Circumference and Microalbuminuria in Community Residents
description	Chaohui Jian,* Yiting Xu,* Yun Shen, Yufei Wang, Xiaojing Ma, Yuqian Bao Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital; Shanghai Clinical Center for Diabetes; Shanghai Key Clinical Center for Metabolic Disease; Shanghai Diabetes Institute; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, 200233, People’s Republic of China*These authors contributed equally to this workCorrespondence: Xiaojing Ma; Yuqian BaoDepartment of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, Shanghai Diabetes Institute, 600 Yishan Road, Shanghai, 200233, People’s Republic of ChinaTel +86-21-64369181Fax +86-21-64368031Email maxiaojing@sjtu.edu.cn; yqbao@sjtu.edu.cnObjective: Neck circumference (NC) represents the subcutaneous fat deposition in the neck and is an effective indicator for evaluating metabolic disorders, such as metabolic syndrome, subclinical atherosclerosis, and non-alcoholic fatty liver disease. Microalbuminuria (MAU) is regarded as a potential sign of systemic endothelial dysfunction and microvascular abnormalities. The aim of this study was to elucidate the association of NC with urine albumin-to-creatinine ratio (UACR) and MAU.Methods: A total of 1882 Shanghai community residents were enrolled (816 men and 1066 women), with age ranging from 40 to 80 years. Anthropometric parameters, including NC, and biochemical indices were measured. MAU was determined if 30 mg/g ≤ UACR < 300 mg/g. An elevated NC was defined as NC ≥ 38.5 cm for men and NC ≥ 34.5 cm for women.Results: Individuals with an elevated NC had significantly higher prevalence of MAU and UACR values than those with normal NC in both men and women (all P < 0.05). The logistic regression analysis showed that there were significant and positive associations between elevated NC and the increasing risk of MAU after adjusting for lipid profile and glycemic indices (P = 0.007 for men and P = 0.009 for women). After further adjusting for blood pressure, elevated NC caused an 69.3% additional risk of MAU in men (P = 0.037) and the positive correlation in women disappeared (P = 0.131).Conclusion: There was an independent and positive association between elevated NC and the risk of MAU in men in the Chinese community population.Chinese Clinical Trial Registry (Www.chictr.org.cn) Registration Number: ChiCTR1900024011.Keywords: neck circumference, microalbuminuria, urine albumin-to-creatinine ratio
format	article
author	Jian C Xu Y Shen Y Wang Y Ma X Bao Y
author_facet	Jian C Xu Y Shen Y Wang Y Ma X Bao Y
author_sort	Jian C
title	Association Between Neck Circumference and Microalbuminuria in Community Residents
title_short	Association Between Neck Circumference and Microalbuminuria in Community Residents
title_full	Association Between Neck Circumference and Microalbuminuria in Community Residents
title_fullStr	Association Between Neck Circumference and Microalbuminuria in Community Residents
title_full_unstemmed	Association Between Neck Circumference and Microalbuminuria in Community Residents
title_sort	association between neck circumference and microalbuminuria in community residents
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/551030b50c0d4291b44fc039d721b7a4
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Association Between Neck Circumference and Microalbuminuria in Community Residents

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