Is the neck circumference an emergent predictor for inflammatory status in obese adults?

Author(s)

Jamar, G. ^{[1, 2]} ; Pisani, L. P. ^{[3, 4, 2]} ; Oyama, L. M. ^{[4, 1]} ; Belote, C. ^[2] ; Masquio, D. C. L. ^{[1, 2]} ; Furuya, V. A. ^[2] ; Carvalho-Ferreira, J. P. ^{[1, 2]} ; Andrade-Silva, S. G. ^{[1, 2]} ; Damaso, A. R. ^{[3, 4, 1, 2]} ; Caranti, D. A. ^{[3, 1, 2]}

Affiliation

^[1] Univ Fed Sao Paulo, Post Grad Program Interdisciplinary Hlth Sci, Santos, SP - Brazil

^[2] Univ Fed Sao Paulo, Obes Study Grp GEO, Santos, SP - Brazil

^[3] Univ Fed Sao Paulo, Dept Biosci, Santos, SP - Brazil

^[4] Univ Fed Sao Paulo, Post Grad Program Nutr, Sao Paulo - Brazil

• Document type: Journal article
• Source: INTERNATIONAL JOURNAL OF CLINICAL PRACTICE; v. 67, n. 3, p. 217-224, MAR 2013.
• Web of Science Citations: 16

Abstract

Background: Plasminogen Activator Inhibitor 1 (PAI-1) is a prothrombotic adipokine involved in the coagulation cascade and fibrinolysis that associated with proinflammatory adipokines may increase the risk related to obesity. Anthropometric measures are commonly used in clinical practice and, currently, neck circumference (NC) has been used as a marker of cardiovascular risk that can favour inflammatory factors. Objective: To verify the possible correlations between prothrombotic and pro/anti-inflammatory markers with anthropometric measurements in obese. Subjects and methods: A total of 43 obese adults were enrolled. The variables include body mass, stature, body mass index (BMI), NC, chest circumference (CC), abdominal circumference (AC), hip circumference (HC), blood pressure and blood collection used to assess the level of adipokines. Results: The sample was stratified by BMI. PAI-1 levels were positively correlated with body mass (r=0.31, p=0.04), NC (r=0.43, p=0.004), CC (r=0.40, p=0.004), AC (r=0.37, p=0.01), diastolic blood pressure (r=0.35, p=0.03), leptin/adiponectin ratio (r=0.36, p=0.01) and negatively correlated with adiponectin (r=0.34, p=0.02). In stepwise multiple linear regression analysis, NC showed to be an independent predictor to PAI-1 when adjusted for gender and BMI, according to the age (=0.47, p=0.02 and =0.42, p=0.02 respectively). Conclusion: In conclusion, NC could be suggested as an independent predictor higher PAI-1. This association can be a new screening of persons at an enhanced cardiovascular risk and inflammation in this obese population, so useful in clinical practice. (AU)

• FAPESP's process: 11/51723-7 - Effects of interdisciplinary therapy on metabolic syndrome control in obese adults and its relationship with pro and anti inflammatory adipocytes
• Grantee: Danielle Arisa Caranti
• Support Opportunities: Regular Research Grants