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Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo

Received: 20 January 2021    Accepted: 14 February 2021    Published: 3 March 2021
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Abstract

Background: it is difficult to measure directly insulin sensitivity in routine practice. An easily measured anthropometric parameter associated with insulin resistance (IR) would be a very useful tool in detecting people at risk. Objective: To investigate the association between neck circumference (NC) and Insulin Resistance (IR) in Bantu population. Methods: Cross-sectional health screening conducted between February and May 2019, among Bantu population from Brazzaville in Republic of Congo. The analysis included 500 participants, aged 20 years. Anthropometric indices and blood pressure were measured by standard protocol. Fasting lipid profile, blood glucose and insulin were determined. Triglyceride Glucose index (TyG index) and triglyceride/high density lipoprotein ratio (TG/HDL) were calculated. IR was defined as HOMA-IR 2. TyG index was calculated by using the formula: Ln [TG (mg/dL) x FPG (mg/dL)/2]. To investigate if there was a statistically association between NC and IR parameters, a correlation was computed. To evaluate the influence of NC on IR parameters, the study population was divided in 3 groups by tertiles of NC in both men and women The diagnostic ability of NC, WC, TyG index and TG/HDL ratio to identify people with IR was determined with the receiver operating characteristic (ROC) curves. Results: NC was positively correlated with insulin, TG/HDL, TyG index and HOMA-IR. For all variables, this correlation was stronger in comparison with WC. In all participants, TG/HDL shows the largest AUC for IR detection (0.810, 95% CI: 0.765–0.855) followed by TyG index (0.799, 95% CI: 0.754–0.844), NC (0.624, 95% CI: 0.572–0.677), and WC (0.616, 95% CI: 0.560–0.672) in that order. Conclusion: NC is associated with IR. NC is better than WC to identify IR in Bantu population from Brazzaville in republic of Congo.

Published in Science Journal of Clinical Medicine (Volume 10, Issue 1)
DOI 10.11648/j.sjcm.20211001.12
Page(s) 7-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Neck Circumference, Insulin Resistance, Bantu, Brazzaville

References
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[8] Guerrero-Romero F, Simental-Mendıa LE, Gonzalez-Ortiz M, Martınez-Abundis E, Ramos-Zavala MG, Hernandez-Gonzalez SO, et al. The product of triglycerides and glucose, a simple measure of insulin sensitivity. Comparison with the euglycemic-hyperinsulinemic clamp. J Clin Endocrinol Metab. 2010; 95: 3347–3351. https://doi.org/10.1210/jc.2010-0288
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    Danny Mafuta-Munganga, Reine Freudlendrich Eboka-Loumingou Sakou, Benjamin Longo-Mbenza, Etienne Mokondjimobe, Blaise Makoso Nimi. (2021). Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo. Science Journal of Clinical Medicine, 10(1), 7-11. https://doi.org/10.11648/j.sjcm.20211001.12

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    Danny Mafuta-Munganga; Reine Freudlendrich Eboka-Loumingou Sakou; Benjamin Longo-Mbenza; Etienne Mokondjimobe; Blaise Makoso Nimi. Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo. Sci. J. Clin. Med. 2021, 10(1), 7-11. doi: 10.11648/j.sjcm.20211001.12

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    AMA Style

    Danny Mafuta-Munganga, Reine Freudlendrich Eboka-Loumingou Sakou, Benjamin Longo-Mbenza, Etienne Mokondjimobe, Blaise Makoso Nimi. Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo. Sci J Clin Med. 2021;10(1):7-11. doi: 10.11648/j.sjcm.20211001.12

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  • @article{10.11648/j.sjcm.20211001.12,
      author = {Danny Mafuta-Munganga and Reine Freudlendrich Eboka-Loumingou Sakou and Benjamin Longo-Mbenza and Etienne Mokondjimobe and Blaise Makoso Nimi},
      title = {Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo},
      journal = {Science Journal of Clinical Medicine},
      volume = {10},
      number = {1},
      pages = {7-11},
      doi = {10.11648/j.sjcm.20211001.12},
      url = {https://doi.org/10.11648/j.sjcm.20211001.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjcm.20211001.12},
      abstract = {Background: it is difficult to measure directly insulin sensitivity in routine practice. An easily measured anthropometric parameter associated with insulin resistance (IR) would be a very useful tool in detecting people at risk. Objective: To investigate the association between neck circumference (NC) and Insulin Resistance (IR) in Bantu population. Methods: Cross-sectional health screening conducted between February and May 2019, among Bantu population from Brazzaville in Republic of Congo. The analysis included 500 participants, aged ≥ 20 years. Anthropometric indices and blood pressure were measured by standard protocol. Fasting lipid profile, blood glucose and insulin were determined. Triglyceride Glucose index (TyG index) and triglyceride/high density lipoprotein ratio (TG/HDL) were calculated. IR was defined as HOMA-IR ≥ 2. TyG index was calculated by using the formula: Ln [TG (mg/dL) x FPG (mg/dL)/2]. To investigate if there was a statistically association between NC and IR parameters, a correlation was computed. To evaluate the influence of NC on IR parameters, the study population was divided in 3 groups by tertiles of NC in both men and women The diagnostic ability of NC, WC, TyG index and TG/HDL ratio to identify people with IR was determined with the receiver operating characteristic (ROC) curves. Results: NC was positively correlated with insulin, TG/HDL, TyG index and HOMA-IR. For all variables, this correlation was stronger in comparison with WC. In all participants, TG/HDL shows the largest AUC for IR detection (0.810, 95% CI: 0.765–0.855) followed by TyG index (0.799, 95% CI: 0.754–0.844), NC (0.624, 95% CI: 0.572–0.677), and WC (0.616, 95% CI: 0.560–0.672) in that order. Conclusion: NC is associated with IR. NC is better than WC to identify IR in Bantu population from Brazzaville in republic of Congo.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Neck Circumference Is Better Associated Than Waist Circumference at Insulin Resistance in Bantu Population from Brazzaville in Republic of Congo
    AU  - Danny Mafuta-Munganga
    AU  - Reine Freudlendrich Eboka-Loumingou Sakou
    AU  - Benjamin Longo-Mbenza
    AU  - Etienne Mokondjimobe
    AU  - Blaise Makoso Nimi
    Y1  - 2021/03/03
    PY  - 2021
    N1  - https://doi.org/10.11648/j.sjcm.20211001.12
    DO  - 10.11648/j.sjcm.20211001.12
    T2  - Science Journal of Clinical Medicine
    JF  - Science Journal of Clinical Medicine
    JO  - Science Journal of Clinical Medicine
    SP  - 7
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2327-2732
    UR  - https://doi.org/10.11648/j.sjcm.20211001.12
    AB  - Background: it is difficult to measure directly insulin sensitivity in routine practice. An easily measured anthropometric parameter associated with insulin resistance (IR) would be a very useful tool in detecting people at risk. Objective: To investigate the association between neck circumference (NC) and Insulin Resistance (IR) in Bantu population. Methods: Cross-sectional health screening conducted between February and May 2019, among Bantu population from Brazzaville in Republic of Congo. The analysis included 500 participants, aged ≥ 20 years. Anthropometric indices and blood pressure were measured by standard protocol. Fasting lipid profile, blood glucose and insulin were determined. Triglyceride Glucose index (TyG index) and triglyceride/high density lipoprotein ratio (TG/HDL) were calculated. IR was defined as HOMA-IR ≥ 2. TyG index was calculated by using the formula: Ln [TG (mg/dL) x FPG (mg/dL)/2]. To investigate if there was a statistically association between NC and IR parameters, a correlation was computed. To evaluate the influence of NC on IR parameters, the study population was divided in 3 groups by tertiles of NC in both men and women The diagnostic ability of NC, WC, TyG index and TG/HDL ratio to identify people with IR was determined with the receiver operating characteristic (ROC) curves. Results: NC was positively correlated with insulin, TG/HDL, TyG index and HOMA-IR. For all variables, this correlation was stronger in comparison with WC. In all participants, TG/HDL shows the largest AUC for IR detection (0.810, 95% CI: 0.765–0.855) followed by TyG index (0.799, 95% CI: 0.754–0.844), NC (0.624, 95% CI: 0.572–0.677), and WC (0.616, 95% CI: 0.560–0.672) in that order. Conclusion: NC is associated with IR. NC is better than WC to identify IR in Bantu population from Brazzaville in republic of Congo.
    VL  - 10
    IS  - 1
    ER  - 

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Author Information
  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

  • Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of Congo

  • Department of Internal Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo

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