https://doi.org/10.4081/cardio.2024.27
Neck-to-height ratio in Bosnian university students according to the 2017 American College of Cardiology/American Heart Association guidelines on hypertension classification
Published: March 28, 2024
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Objectives: The purpose of the present study was to assess neck-to-height ratio (NtHR) and its possible association with other anthropometric measures of obesity and blood pressure (BP) values in Bosnian university students stratified by new 2017 American College of Cardiology/American Heart Association Task Force hypertension (HT) guidelines.
Methods: The present study included 417 subjects with median age 20 (19-21) years that were divided into normal BP, elevated BP, stage 1 HT, and stage 2 HT groups based on BP measurements using auscultatory methods. Standard anthropometric indices including neck circumference (NC) were measured. NtHR (cm/m) was calculated in each participant based on the NC and height. Differences between groups were assessed by Kruskal-Wallis followed by Man-Whitney test and correlations were determined by Spearman test.
Results: The prevalence of elevated BP was 19.2%, stage 1 HT 21.6%, and stage 2 HT 11.0 %. NtHR was highest in the stage 2 HT group. NtHR correlated significantly with all anthropometric measures in all groups. No correlation between NtHR, systolic BP, and diastolic BP was found, except in the stage 1 HT group, where a significant correlation between NtHR and systolic BP was uncovered.
Conclusions: Based on the observed correlations between NtHR and standard measures of obesity, NtHR could be included in clinical practice, since it is simple and does not induce discomfort. The high prevalence of elevated BP found in the present study suggests HT prevention requires the implementation of programs aimed at promoting healthy dietary habits, physical activity, as well as effective stress management and coping mechanisms.
Whelton PK, Carey RM, Aronow WS, et al. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart association task force on clinical practice guidelines. Hypertension 2018;7:e13-115.
DOI: https://doi.org/10.1161/HYP.0000000000000065
Lim S, Eckel RH. Pharmacological treatment and therapeutic perspectives of metabolic syndrome. Rev Endocr Metab Disord 2014;15:329-41.
DOI: https://doi.org/10.1007/s11154-014-9298-4
Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the Joint National Committee on prevention, detection, evaluation, and treatment of high blood pressure. Hypertension 2003;42:1206-52.
DOI: https://doi.org/10.1161/01.HYP.0000107251.49515.c2
Dobrowolski P, Prejbisz A, Kuryłowicz A, Baska A, Burchardt P, Chlebus K. Metabolic syndrome - a new definition and management guidelines: a joint position paper by the Polish Society of Hypertension, Polish Society for the Treatment of Obesity, Polish Lipid Association, Polish Association for Study of Liver, Polish Society of Family Medicine, Polish Society of Lifestyle Medicine, Division of Prevention and Epidemiology Polish Cardiac Society, "Club 30" Polish Cardiac Society, and Division of Metabolic and Bariatric Surgery Society of Polish Surgeons. Arch Med Sci 2022;18:1133-56.
DOI: https://doi.org/10.5114/aoms/152921
Mlinar B, Marc J, Janez A, Pfeifer M. Molecular mechanisms of insulin resistance and associated diseases. Clin Chim Acta 2007;375:20-35.
DOI: https://doi.org/10.1016/j.cca.2006.07.005
Anderson EA, Hoffman RP, Balon TW, Sinkey CA, Mark AL. Hyperinsulinemia produces both sympathetic neural activation and vasodilation in normal humans. J Clin Invest 1991;87:2246-52.
DOI: https://doi.org/10.1172/JCI115260
Fahed G, Aoun L, Bou Zerdan M, et al. metabolic syndrome: updates on pathophysiology and management in 2021. Int J Mol Sci 2022;23:786.
DOI: https://doi.org/10.3390/ijms23020786
Castellon X, Bogdanova V. Chronic inflammatory diseases and endothelial dysfunction. Aging Dis 2016;7:81-9.
DOI: https://doi.org/10.14336/AD.2015.0803
Muniyappa R, Sowers JR. Role of insulin resistance in endothelial dysfunction. Rev Endocr Metab Disord 2013;14:5-12.
DOI: https://doi.org/10.1007/s11154-012-9229-1
Gil JS, Drager LF, Guerra-Riccio GM, et al. The impact of metabolic syndrome on metabolic, pro-inflammatory and prothrombotic markers according to the presence of high blood pressure criterion. Clinics (Sao Paulo) 2013;68:1495-501.
DOI: https://doi.org/10.6061/clinics/2013(12)04
Zaciragic A, Elezovic M, Avdagic N, et al. Relationship between the neck circumference, standard anthropometric measures, and blood pressure in Bosnian young adults. Eurasian J Med 2019;51:150-3.
DOI: https://doi.org/10.5152/eurasianjmed.2018.18197
Selvan C, Dutta D, Thukral A, et al. Neck height ratio is an important predictor of metabolic syndrome among Asian Indians. Indian J Endocrinol Metab 2016;20:831-7.
DOI: https://doi.org/10.4103/2230-8210.192927
Ho AW, Moul DE, Krishna J. Neck Circumference-height ratio as a predictor of sleep related breathing disorder in children and adults. J Clin Sleep Med 2016;12:311-7.
DOI: https://doi.org/10.5664/jcsm.5572
Yang X, Chen S, Zhou Z, et al. Neck-to-height ratio and arterial stiffness in Chinese adults: cross-sectional associations in a community-based cohort. J Hypertens 2021;39:1195-202.
DOI: https://doi.org/10.1097/HJH.0000000000002751
Mondal SA, Dutta D, Kumar M, et al. Neck circumference to height ratio is a reliable predictor of liver stiffness and nonalcoholic fatty liver disease in prediabetes. Indian J Endocrinol Metab 2018;22:347-54.
DOI: https://doi.org/10.4103/ijem.IJEM_31_18
Zhang Y, Wu H, Xu Y, Qin H, Lan C, Wang W. The correlation between neck circumference and risk factors in patients with hypertension: what matters. Medicine (Baltimore) 2020;99:e22998.
DOI: https://doi.org/10.1097/MD.0000000000022998
Soitong P, Jangjaicharoen S, Kaewsanit A, et al. Association of neck circumference and hypertension among adults in a rural community Thailand: a cross-sectional study. PLoS One 2021;16:e0256260.
DOI: https://doi.org/10.1371/journal.pone.0256260
Patil MB, Samarthana D. Neck height ratio is an important anthropometric predictor in metabolic syndrome. JMSCR 2019;7:787-92.
DOI: https://doi.org/10.18535/jmscr/v7i6.131
Pinheiro RP, Oliveira CRD, Rodrigues ADS, Meneses MJM, Alves RJ. Neck-to-height ratio, arterial stiffness and cardiometabolic risk factors in hyperlipidemic patients: a preliminary report. Atherosclerosis 2022;355:162.
DOI: https://doi.org/10.1016/j.atherosclerosis.2022.06.694
George C, Goedecke JH, Crowther NJ, et al. The role of body fat and fat distribution in hypertension risk in urban black south African women. PLoS One 2016;11:e0154894.
DOI: https://doi.org/10.1371/journal.pone.0154894
Liang J, Wang Y, Dou L, et al. Neck circumference and prehypertension: the cardiometabolic risk in Chinese study. J Hypertens 2015;33:275-8.
DOI: https://doi.org/10.1097/HJH.0000000000000396
Hinton TC, Adams ZH, Baker RP, et al. Investigation and treatment of high blood pressure in young people: too much medicine or appropriate risk reduction? Hypertension 2020;75:16-22.
DOI: https://doi.org/10.1161/HYPERTENSIONAHA.119.13820
Shihab HM, Meoni LA, Chu AY, et al. Body mass index and risk of incident hypertension over the life course: the Johns Hopkins precursors study. Circulation 2012;126:2983-9.
DOI: https://doi.org/10.1161/CIRCULATIONAHA.112.117333
Tadesse T, Alemu H. Hypertension and associated factors among university students in Gondar, Ethiopia: a cross-sectional study. BMC Public Health 2014;14:937.
DOI: https://doi.org/10.1186/1471-2458-14-937
Kamara K, Wilson OWA, Papalia Z, Bopp M, Bopp CM. Comparison of College student hypertension prevalence between the JNC7 and ACC/AHA diagnostic criteria. Int J Exerc Sci 2019;12:898-903.
Jadhav U, Tiwaskar M, Khan A, et al. Hypertension in young adults in India: perspectives and therapeutic options amongst clinician's in a cross sectional observational study. J Assoc Physicians India 2021;69:11-2.
Aggarwal R, Chiu N, Wadhera RK, et al. Racial/ethnic disparities in hypertension prevalence, awareness, treatment, and control in the United States, 2013 to 2018. Hypertension 2021;78:1719-26.
DOI: https://doi.org/10.1161/HYPERTENSIONAHA.121.17570
How to Cite
Začiragić, A., Mikić, M., Dervišević, A., Lepara, O., Avdagić, N., Babić, N., … Valjevac, A. (2024). Neck-to-height ratio in Bosnian university students according to the 2017 American College of Cardiology/American Heart Association guidelines on hypertension classification. Global Cardiology, 2(1). https://doi.org/10.4081/cardio.2024.27
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