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Association of neck circumference and high blood pressure in children and adolescents: a case–control study

Overview of attention for article published in BMC Pediatrics, September 2015
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Title
Association of neck circumference and high blood pressure in children and adolescents: a case–control study
Published in
BMC Pediatrics, September 2015
DOI 10.1186/s12887-015-0444-2
Pubmed ID
Authors

Renata Kuciene, Virginija Dulskiene, Jurate Medzioniene

Abstract

High blood pressure (BP) is a serious, common and growing global public health problem. The aim of this study was to evaluate the associations between high NC (neck circumference) alone and in combinations with BMI (body mass index), WC (waist circumference), and high BP among Lithuanian children and adolescents aged 12 to 15 years. An epidemiological case-control study was performed between May 2012 and November 2013. NC, WC, hip circumference (HC), mid-upper arm circumference (MUAC), body height, weight, and BP were measured. The participants with high BP (≥90th percentile) were screened on two separate occasions. Data on NC, WC, HC, MUAC, BMI, body adiposity index (BAI), waist-to-height ratio (WHtR), waist-to-hip ratio (WHR), and BP were analyzed in 1947 children and adolescents aged 12-15 years. Age- and sex-adjusted odds ratios (aORs) with 95 % confidence intervals (CI) for the associations were estimated using multivariate logistic regression models. The prevalence rates of prehypertension (BP ≥90th- < 95th percentile) and hypertension (BP ≥95th percentile) was 6.3 and 25.1 %, respectively. The overall prevalence of high NC (if NC was in the ≥90th percentile), overweight/obesity (as measured by BMI), and abdominal overweight/obesity (if WC was in the ≥75th percentile) were 14.3, 15.8, and 13 %, respectively. After adjustment for age and sex, NC in the ≥90th percentile was significantly associated with an increased risk of elevated BP (prehypertension: aOR = 2.99; 95 % CI, 1.88-4.77; hypertension aOR = 4.05; 95 % CI, 3.03-5.41, and prehypertension/hypertension aOR = 3.75; 95 % CI, 2.86-4.91), compared to the participants with NC in the <90th percentile. Overweight/obesity and abdominal overweight/obesity were also significantly associated with an elevated BP. The combinations including both risk factors (high NC with overweight/obesity, and high NC with abdominal overweight/obesity) showed higher aORs than those with either risk factor alone. High NC alone-but particularly in combinations with overweight/obesity and abdominal overweight/obesity-was associated with an increased risk of high BP.

Mendeley readers

The data shown below were compiled from readership statistics for 66 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Brazil 1 2%
Unknown 65 98%

Demographic breakdown

Readers by professional status Count As %
Student > Doctoral Student 12 18%
Student > Postgraduate 10 15%
Student > Master 10 15%
Student > Bachelor 9 14%
Student > Ph. D. Student 5 8%
Other 9 14%
Unknown 11 17%
Readers by discipline Count As %
Medicine and Dentistry 26 39%
Nursing and Health Professions 12 18%
Biochemistry, Genetics and Molecular Biology 4 6%
Agricultural and Biological Sciences 3 5%
Economics, Econometrics and Finance 1 2%
Other 6 9%
Unknown 14 21%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 October 2015.
All research outputs
#10,995,996
of 12,373,815 outputs
Outputs from BMC Pediatrics
#1,284
of 1,456 outputs
Outputs of similar age
#220,335
of 267,568 outputs
Outputs of similar age from BMC Pediatrics
#134
of 162 outputs
Altmetric has tracked 12,373,815 research outputs across all sources so far. This one is in the 1st percentile – i.e., 1% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,456 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.9. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 267,568 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 162 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.