Pumill CA, et al. - In this large cohort of African Americans, researchers assessed age- and sex-adjusted cumulative incidence of clinical cardiovascular outcomes in relation to neck circumference (NC) by using Cox proportional hazards with stepwise models. Subjects with recorded NC measurements at baseline (2000–2004) in the Jackson Heart Study were examined. By tertiles of NC, baseline features were determined. The different tertiles of baseline NC were ≤37 cm (N = 2,179), 38–40 cm (N = 1,552), and> 40 cm (N = 1,559) and included overall 5,290 participants. After adjustment for age and sex, an increased risk for heart failure (HF) hospitalization was observed in relation to a larger NC. No statistical significance of this link was retained once other clinical variables were adjusted. No independent association of NC with increased risk for cardiovascular events was evident, but NC could be of value in providing prognostic information, especially associated with HF hospitalization.