• Sandra Brigitte Amado Garzon, Oscar Mauricio Muñoz-Velandia, Alvaro J Ruiz, Patricia Hidalgo Martínez, and Liliana Otero.
• MD, MSc. Assistant Professor, School of Medicine, Pontificia Universidad Javeriana, Bogotá, Colombia; and Internist, Department of Internal Medicine, Hospital Universitario San Ignacio, Bogotá, Colombia.
• Sao Paulo Med J. 2023 Jan 1; 142 (3): e2022415e2022415.

BackgroundNeck circumference (NC) is a useful anthropometric measure for predicting obstructive sleep apnea (OSA). Ethnicity and sex also influence obesity phenotypes. NC cut-offs for defining OSA have not been established for the Latin American population.ObjectivesTo evaluate NC, waist circumference (WC), and body mass index (BMI) as predictors of OSA in the Colombian population and to determine optimal cut-off points.Design And SettingDiagnostic tests were conducted at the Javeriana University, Bogota.MethodsAdults from three cities in Colombia were included. NC, WC, and BMI were measured, and a polysomnogram provided the reference standard. The discrimination capacity and best cut-off points for diagnosing OSA were calculated.Results964 patients were included (57.7% men; median age, 58 years) and 43.4% had OSA. The discrimination capacity of NC was similar for men and women (area under curve, AUC 0.63 versus 0.66, P = 0.39) but better for women under 60 years old (AUC 0.69 versus 0.57, P < 0.05). WC had better discrimination capacity for women (AUC 0.69 versus 0.57, P < 0.001). There were no significant differences in BMI. Optimal NC cut-off points were 36.5 cm for women (sensitivity [S]: 71.7%, specificity [E]: 55.3%) and 41 cm for men (S: 56%, E: 62%); and for WC, 97 cm for women (S: 65%, E: 69%) and 99 cm for men (S: 53%, E: 58%).ConclusionsNC and WC have moderate discrimination capacities for diagnosing OSA. The cut-off values suggest differences between Latin- and North American as well as Asian populations.

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