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), 2021. Published by Science Publishing Group |
Neck Circumference, Insulin Resistance, Bantu, Brazzaville
[1] | DeFronzo RA, Tobin JD, Andres R. Glucose clamp technique: a method for quantifying insulin secretion and resistance. Am J Physiol 1979; 237: E214-23. |
[2] | Bergman RN, Prager R, Volund A, Olefsky JM. Equivalence of the insulin sensitivity index in man derived by the minimal model method and the euglycemic glucose clamp. J Clin Invest 1987; 79: 790-800. |
[3] | Greenfield MS, Doberne L, Kraemer F, Tobey T, Reaven G. Assessment of insulin resistance with the insulin suppression test and the euglycemic clamp. Diabetes 1981; 30: 387-92. |
[4] | Lim MH, Oh TJ, Choi K, Lee JC, Cho YM, Kim S. Application of the oral minimal model to Korean subjects with normal glucose tolerance and type 2 diabetes mellitus. Diabetes Metab J 2016; 40: 308-17. |
[5] | Galvin P, Ward G, Walters J, Pestell R, Koschmann M, Vaag A et al. A simple method for quantitation of insulin sensitivity and insulin release from an intravenous glucose tolerance test. Diabet Med 9: 921–928, 1992. |
[6] | Bello-Chavolla OY, Almeda-Valdes P, Gomez-Velasco D, Viveros-Ruiz T, Cruz-Bautista I, Romo-Romo A, et al. METS-IR, a novel score to evaluate insulin sensitivity, is predictive of visceral adiposity and incident type 2 diabetes. Eur J Endocrinol 2018; 178, 533-544. (https://doi.org/10.1530/EJE-17-0883) |
[7] | Simental-Mendıa LE, Rodrıguez-Moran M, Guerrero-Romero F. The product of fasting glucose and triglycerides as surrogate for identifying insulin resistance in apparently healthy subjects. Metab Syndr Relat Disord. 2008; 6: 299–304. https://doi.org/10.1089/met.2008.0034 |
[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 |
[9] | Er L-K, Wu S, Chou H-H, Hsu L-A, Teng M-S, Sun Y-C, et al. (2016) Triglyceride Glucose-body Mass Index Is a Simple and Clinically useful Surrogate Marker for Insulin Resistance in nondiabetic Individuals. PLoS One 11 (3): e0149731. (doi: 10/ 1371/journal.pone.0149731). |
[10] | Eboka-Loumingou Sakou RF, Longo-Mbenza B, Guie G, MûnkaNkalla-Lambi A, Mokondjimobe E, Monabeka HG, Tukadila HA, Nkodila NA. Diagnostic Performance of the TG/HDL-C Ratio in the Prediction of Insulin Resistance in Brazzaville, Republic of Congo. International Journal of Health Sciences and Research. Vol.10; Issue: 1; January 2020: 135 – 145. |
[11] | Yang GR, Yuan SY, Fu HJ, Wan G, Zhu LX, Bu XL et al. Neck circumfence positively related with central obesity, overweight, and metabolic syndrome in Chinese subjects with type 2 diabetes: Beijing Community Diabetes Study 4. Diabetes Care, 33 (2010), pp 2465-2467. |
[12] | Taylor R. Insulin resistance and type 2 diabetes. Diabetes. 2012; 61: 778–779. https://doi.org/10.2337/db12-0073 |
[13] | Fonseca VA. Defining and characterizing the progression of type 2 diabetes. Diabetes Care. 2009; 32: S151–S156. https://doi.org/10.2337/dc09-S301 |
[14] | Ren X, Chen ZA., Zheng S, Han T, Li Y, Liu W, et al. Association between triglyceride to HDL-C Ratio (TG/HDL-C) and insulin resistance in Chinese patients with newly diagnosed type 2 diabetes mellitus. PLoS One. 2016; 11: e0154345. https://doi.org/10.1371/journal.pone.0154345 |
[15] | Chiang JK, Lai NS, Chang JK, Koo M. Predicting insulin resistance using the triglyceride-to-high-density lipoprotein cholesterol ratio in Taiwanese adults. Cardiovasc Diabetol. 2011; 10: 93. https://doi.org/10.1186/1475-2840-10-93 |
[16] | He J, He S, Liu K, Wang Y, Shi D, Chen X. The TG/HDL-C ratio might be a surrogate for insulin resistance in Chinese nonobese women. Int J Endocrinol. 2014; 2014: 105168. https://doi.org/10.1155/2014/105168 |
[17] | Kang HT, Yoon JH, Kim JY, Ahn SK, Linton JA, Koh SB, et al. The association between the ratio of triglyceride to HDL-C and insulin resistance according to waist circumference in a rural Korean population. Nutr Metab Cardiovasc Dis. 2012; 22: 1054–1060. https://doi.org/10.1016/j.numecd.2011.01.013 |
[18] | Du T, Yuan G, Zhang M, Zhou X, Sun X, Yu X. Clinical usefulness of lipid ratios, visceral adiposity indicators, and the triglycerides and glucose index as risk markers of insulin resistance. Cardiovasc Diabetol. 2014; 13: 146. https://doi.org/10.1186/s12933-014-0146-3 |
APA Style
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
ACS 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
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
@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} }
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 -