better correlated with gravidity and mortality, the NRS was
more correlated with malnutrition. By increasing this cohort, it
is possible to consolidate this view and refine the NR concept
for trauma ICU patients.
References
[1] Kondrup J. Curr Opin Clin Nutr Metab Care. 2014;17(2):177.
[2] Rahman A. et al. Clin Nutr. 2016;35(1):158.
Disclosure of Interest: None declared
SUN-P159
CAN NECK CIRCUMFERENCE PREDICT CARDIOMETABOLIC RISK
FACTORS? A PROSPECTIVE CROSS-SECTIONAL STUDY
G. Kaner
1
, G. Pekcan
2
, K. Tel Adıgüzel
2
, N. Seremet Kürklü
3
,
G. Pamuk
4
.
1
Department of Nutrition and Dietetics, İzmir Katip
Çelebi University, Faculty of Health Sciences, İzmir,
2
Department of Nutrition and Dietetics, Hacettepe University,
Faculty of Health Sciences, Ankara,
3
Department of Nutrition
and Dietetics, Akdeniz University, Antalya School of Health,
Antalya,
4
Clinic of Family Medicine, İzmir Katip Çelebi
University, Faculty of Medicine, İzmir, Turkey
Rationale: Neck circumference (NC) is associated with cardio-
vascular risk factors. The data for the measurement of the NC
to predict cardiometabolic risk parameters are limited. This
study was conducted to evaluate the association between NC
and cardiometabolic risk parameters.
Methods: A total of 331 women, aged 20–49 years were
recruited into the study. Anthropometric measurements
(body weight, height, waist and NC) and biochemical para-
meters (serum fasting blood glucose (FBG), fasting blood
insulin (FBI), triglyceride, high-density lipoprotein cholesterol
(HDL), low-density lipoprotein cholesterol (LDL), and fibrino-
gen) were collected. Homeostasis model assessment-estimated
IR (HOMA-IR) was calculated.
Results: According to WHO criteria, percentages of women
with normal weight, overweight, obese and morbidly obese
were 14.2%, 31.7%, 44.7%, 7.9%, respectively. Seventy-one
percent of women had NC is less than 37 cm, while that of
twenty-nine percent of the women is higher. A moderate
correlation were found between BMI, WC, FBI, HOMA-IR, and
fibrinogen levels. A positive weak correlation was found
between NC and FBG ( p = 0.031), TG ( p = 0.000), and LDL
cholesterol (p = 0.016). Moreover, a negative weak correlation
was found between NC and HDL cholesterol (p = 0.000). A
positive relationship between plasma fibrinogen and body
weight (r = 0.222), BMI (r = 0.242), WC (r = 0.187), TG (r =
0.124), and LDL cholesterol (r = 0.118) were detected whereas
a negative relationship were found between HDL cholesterol
and plasma fibrinogen (r = −0.119).
Conclusion: A significant relation is existent between NC
and cardiometabolic risk factors. NC is an easy and effective
anthropometric measurement. For this reason, its combination
with anthropometric measurements such as waist and hip
circumferences, waist-hip ratio and BMI which are widely
used to determine cardiometabolic risks can provide clinical
benefits.
Disclosure of Interest: None declared
SUN-P160
IS NECK CIRCUMFERENCE A SIMPLE TOOL FOR IDENTIFYING
INSULIN RESISTANCE: A HOSPITAL BASED STUDY IN TURKEY
G. Kaner
1
, G. Pekcan
2
, N. Seremet Kürklü
3
, K. Tel Adıgüzel
2
.
1
Department of Nutrition and Dietetics, İzmir Katip Çelebi
University, Faculty of Health Sciences, İzmir,
2
Department of
Nutrition and Dietetics, Hacettepe University, Faculty of
Health Sciences, Ankara,
3
Department of Nutrition and
Dietetics, Akdeniz University, Antalya School of Health,
Antalya, Turkey
Rationale: Neck circumference (NC) was recorded to be more
significantly linked with insulin resistance (IR) than waist
circumference (WC). However, whether NC can be a credible
indicator of identification of the central obesity and IR is still a
matter of debate in Turkish population. This study aimed to
determine whether NC is a practical and effective method for
women with central obesity and insulin resistance.
Methods: A total of 527 women, aged 20–49 years, were
recruited into the study and classified as women with normal
body weight, overweight and obese. Anthropometrical mea-
surements such as body weight, height, WC, waist to height
ratio and NC were taken. Serum fasting blood glucose, fasting
blood insulin, triglyceride, high-density lipoprotein choles-
terol, serum low-density lipoprotein cholesterol, were ana-
lysed. Insulin resistance was determined with “Homeostasis
model assessment IR index (HOMA-IR).
Results: A total of 130 women were with normal weight, 172
women were overweight and 225 were obese. 66.8% of the
overweight and 95.6% of the obese women’s WC is more than
88 cm. According to the waist to height ratio, it has been
detected that 70.9% of the overweight women are in risk
group for chronic diseases whereas 88.4% of obese women are
in high risk group. While the majority (86.2%) of the normal-
weight women’s NC is less than 34 cm, that of 88.4% of the
obese women is higher than 34 cm. A positive strong relation-
ship between body weight (r = 0.654), BMI (r = 0.653), WC (r =
0.574), Waist/height ratio (r = 0.541) and NC were determined.
82.9% of the women with NC higher than 34 cm have IR and
being in the risk group regarding NC increases the risk of having
IR 4.7 times.
Conclusion: In women, NC, BMI, WC and waist to height ratio
have a positive correlation. Therefore, it is beneficial to use NC
as avalid indicator for both overall and central obesity.
Disclosure of Interest: None declared
SUN-P161
DIAGNOSTIC ACCURACY OF PG-SGA SF, MUSTAND SNAQ IN
PATIENTS WITH HEAD AND NECK CANCER
H. Jager-Wittenaar
1,2
, F. D. Ottery
1,3
, H. de Bats
4
, B. Welink-
Lamberts
4
, B. F. van der Laan
5
, J. L. Roodenburg
2
.
1
Research
Group Healthy Ageing, Allied Health Care and Nursing, Hanze
University of Applied Sciences,
2
Oral and Maxillofacial Surgery,
University of Groningen, University Medical Center Groningen,
Groningen, Netherlands;
3
Ottery & Associates, Vernon Hills
(Chicago), United States;
4
Dietetics,
5
Otorhinolaryngology/
Head & Neck Surgery, University of Groningen, University
Medical Center Groningen, Groningen, Netherlands
Rationale: The Patient-Generated Subjective Global
Assessment (PG-SGA SF; ©FD Ottery, 2005, 2006, 2015) is a
Nutritional assessment 1 S103