Relationship Between Waist-to-Neck Circumference Ratio and Coronary Artery Calcium Score

Year 2024, Volume: 14 Issue: 3, 277 - 283, 31.12.2024

Sidar Şiyar Aydın , Selim Aydemir Onur Altınkaya , Murat Özmen Muhammed Cüneyt Şeker , Oğuzhan Birdal

Abstract

Aim: Coronary artery calcium score (CACS) is the leading parameter for detecting subclinical atherosclerosis. The waist-to-neck circumference ratio (WNR) is advantageous in determining visceral fat levels associated with atherosclerosis. In light of these findings, our study aimed to investigate the relationship between CACS and WNR.
Material and Method: We conducted a cross-sectional study at a single center as part of our research. The study consists of 362 patients who visited the cardiology outpatient clinic from March to May 2024. They underwent multidetector coronary computed tomography and had their CACS calculated. After obtaining written consent from the patients, past disease histories, waist circumference, neck circumference, blood pressure, and laboratory parameters were recorded. Waist-to-neck circumference ratio was calculated. Patients were divided into two groups: CACS=0 and CACS >0.
Results: Of all the patients, 70.7% (256 patients) had a CACS score of 0, with the remaining 29.3% (106 patients) having a CACS score greater than. The mean age in the group with CACS >0 was 52.85±8.79 years, and the mean age was statistically significantly higher (p<0.001). Waist-to-neck circumference ratio was statistically significantly higher in the group with CACS >0 (p<0.001). In logistic regression analyses, WNR emerged as a significant independent predictor of detecting the presence of CACS (p=0.001). The Receiver operating characteristic curve (ROC) analysis was performed to evaluate the ability of WNR to predict the presence of CACS, the area under the curve was determined as 0.665 (0.604–725), the cut-off was 2.75, the sensitivity was 67.9%, and the specificity was 67.2% (p<0.001).
Conclusion: Our study found a significant relationship between WNR and the presence of CACS.

Keywords

anthropometric measurements, atherosclerosis, waist-neck circumference ratio, coronary artery calcium score

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