Abstract:【Objective】This study explored the relationship between blood pressure and neck circumference in adults. 【Methods】A total of 181 adults (aged from 22 to 50 years old) who conducted medical examinations from January to October,2017 in the First Hopital of Qinhuangdao were enrolled. Neck circumference(NC),systolic blood pressure(SBP),diastolic blood pressure(DBP),body height,weight,and other parameters (FPG,TG,TC,LDL-C and HDL-C) were measured for statistical analysis.The subjects were divided into two groups: the hypertension group (systolic pressure≥140 mmHg and/or diastolic pressure≥90 mmHg) and the normal blood pressure group (systolic pressure≤140 mmHg and diastolic pressure≤90 mmHg). 【Results】The average age of the subjects was 43.31 ± 6.25 years old,including 92 males(43.95±5.06 years old) and 89 females( 42.43±7.56 years old). There were no significant differences in age, height, FPG, TG, TC, LDL-C, body fat content and total fat mass between the two groups (P>0.05).Weight, waist circumference, neck circumference, upper arm circumference, BMI, systolic pressure, diastolic pressure in hypertension group were all higher than normal blood pressure group, while HDL-C was lower than normal blood pressure group. The differences were statistically significant (P<0.05). There was no correlation of SBP with FPG, TG, TC and total fat mass. There was positive correlation between systolic blood pressure (SBP) and age, height, weight, waist circumference, neck circumference, upper arm circumference, BMI, LDL-C, and body fat content, and SBP was negativelt correlated with HDL-C. There was no correlation of diastolic blood pressure (DBP) with FPG, TG, TC, LDL-C and total fat mass. However, DBP was positively correlated with body mass, waist circumference, neck circumference, upper arm circumference, BMI, LDL-C and body fat content. DBP was negatively correlated with HDL-C (P<0.05). The results of multivariate linear regression analysis indicate that systolic pressure was mainly affected by neck circumference, age and upper arm circumference (P<0.05), while diastolic pressure was mainly affected by neck circumference, upper arm circumference and overall fat quality (P<0.05). 【Conclusion】Neck circumference is closely related to blood pressure in adults.
[1] 王秋萍,张广德,闫行.肥胖对原发性高血压男性患者心血管疾病预后的影响[J].医学临床研究,2018,35(6):1183-1185. [2] 杨光燃,袁申元.颈围对2型糖尿病患者心血管疾病及血脂异常的初步评价作用:北京社区糖尿病研究15[J].中华全科医学,2016,15(1):19-24. [3] Koo HK,Kim DK,Chung HS,et al.Association between metabolic syndrome and rate on lung function decline:a longitudinal analysis[J].Int J Tuberc Lung Dis,2013,17(11):1507-1514. [4] Zhou JY, Ge H, Zhu MF, et al. Neck circumference as an independent predictive contributor to cardio-metabolic syndrome[J].Cardiovasc Diabetol,2013,12:76. [5] Stabe C,Vasques AC,Lima MM,et al. Neck circumference as a simple tool for identifying the metabolic syndrome and insulin resistance results from the Brazilian Metabolic Syndrome Study[J].Clin Endocrinol(Oxf),2013,78(6):874-881. [6] Preis SR,Massaro JM,Hoffmann U,et al.Neck circumference as a novel measure of cardiometabolic risk:the Framirlgham Heart study [J].J Clin Endoerinol Metab,2010,95(8):3701-3710. [7] 王玉,梁军,腾飞,等.社区非糖尿病人群颈围和胰岛素抵抗的相关性分析[J].中华内分泌代谢杂志,2015,31(1):33-36. [8] Nielsen S, Guo Z, Johnson CM, et al. Splanchnic lipolysis in human obesity[J].J Clin Invest,2004,113(11):1582-1588. [9] Umpierrez GE, Smiley D, Robalino G, et al. Intravenous intralipid-induced blood pressure elevation and endothelial dysfunction in obese African-Americans with type 2 diabetes[J].Clin Endocrinol Metab,2008,4 (2) :609-614. [10] Pilz S,Marz W. Free fatty acids as a cardiovascular risk factor[J].Clin Chem Lab Med,2008,46(4):429-434.