Volume 24 Issue 6
Jun.  2026
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Article Navigation >  Chinese Journal of General Practice  > 2026  >  24(6): 989-992
ZHAO Liang, SHEN Yanting, FANG Tingting, LIU Fang, SHI Jianwei, NI Ming. Comparative evaluation of neck circumference, body mass index, and waist circumference for detecting abnormal glucose and lipid metabolism in community-dwelling older adults[J]. Chinese Journal of General Practice, 2026, 24(6): 989-992. doi: 10.16766/j.cnki.issn.1674-4152.004537
Citation: ZHAO Liang, SHEN Yanting, FANG Tingting, LIU Fang, SHI Jianwei, NI Ming. Comparative evaluation of neck circumference, body mass index, and waist circumference for detecting abnormal glucose and lipid metabolism in community-dwelling older adults[J]. Chinese Journal of General Practice, 2026, 24(6): 989-992. doi: 10.16766/j.cnki.issn.1674-4152.004537
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Comparative evaluation of neck circumference, body mass index, and waist circumference for detecting abnormal glucose and lipid metabolism in community-dwelling older adults

doi: 10.16766/j.cnki.issn.1674-4152.004537
  • 1.

    Shenxin Community Health Service Center, Minhang District, Shanghai 201108, China

Funds:

 2023MW09

 24692113600

  • Received Date: 2025-08-05
    Available Online: 2026-11-10
    Abstract
  •   Objective  To assess the ability of neck circumference (NC), body mass index (BMI), and waist circumference (WC) to predict abnormal glucose and lipid metabolism in community-dwelling older adults and to examine sex-specific differences.  Methods  Data from 2 449 elderly individuals (≥60 years; 1 061 males, 1 388 females) undergoing physical examinations at the Shanghai Minhang Shenxin Community Health Service Center (April to May 2024) were retrospectively analyzed. Height, weight, NC, WC, fasting glucose, and lipid profiles were recorded. BMI was calculated. Using MedCalc 21.0, receiver operating characteristic (ROC) curves were generated by gender to compare the area under the curve (AUC) for NC, BMI, and WC, determine optimal cut-offs, and perform Z-tests.  Results  Men had significantly higher weight, NC, and WC than women (P < 0.01), while BMI did not differ significantly between the genders (P>0.05). The optimal NC cut-off for predicting abnormal glucose metabolism in women was 35 cm; for dyslipidemia, it was 37 cm in men and 34 cm in women. In women, no significant differences were observed among BMI, NC, and WC in predicting abnormal glucose metabolism. In men, BMI, NC, and WC showed comparable predictive efficacy for dyslipidemia; in women, NC and WC performed similarly.  Conclusion  NC has a comparatively better predictive value for dyslipidemia in community-dwelling adults aged ≥60 years and for dysglycemia in older women. BMI, NC, and WC showed similar performance in predicting dyslipidemia. Routine inclusion of NC in community health examinations may aid early detection and intervention for abnormal glucose and lipid metabolism.

     

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