scholarly journals Risk Factors for Non-communicable Diseases among Adults of 25-65 Years at Kakamega County General Hospital, Kenya

2018 ◽  
Vol 7 (4) ◽  
pp. 274
Author(s):  
Monicah Njambi Kibe ◽  
Gordon Nguka ◽  
Silvenus Konyole

In Kenya the growing number of premature deaths with half of all hospital admissions and 33% of all deaths are associated with Non-communicable diseases. The study determined the physical measurements and lipid parameters of adults 25-65 years at Kakamega County General Hospital. Data was collected using the WHO STEPs Instrument: Physical measurements assessed were Mid Upper Arm Circumference, Waist Hip measurements, Body mass Index and blood pressure. The study significance level was 0.05.  Data was analyzed using SPSS version 20. Descriptive statistics was used. χ<sup>2</sup> test of independence was used to find out the relationship between anthropometric measurements and lipid parameters. Data was presented in form of tables, figures and texts. There was a significant relationship between BMI and Triglycerideχ<sup>2</sup> (12, N=60)= 25.752 P=0.012, BMI and LDLχ<sup>2</sup>(8,N=60)=19.312 p=0.013, BMI and Total Cholesterol χ<sup>2</sup>(8, N=60)=18.694 p=0.017, MUAC and HDL χ<sup>2</sup>(4, N=60) =14.446 p=0.006, WHR and Total Cholesterol χ<sup>2</sup>(2, N=60)=17.985 p=0.000, WHR and LDL χ<sup>2</sup>(2, N=60)=15.246p=0.000. The study advocated for policies to reduce the incidences of risk factors for NCDs which will assist in achievement of Sustainable Development Goals. Kenyan population are in need of screening for risks associated with NCDs.

2018 ◽  
Vol 47 (7) ◽  
pp. 705-712
Author(s):  
Sidsel Graff-Iversen ◽  
Inger Ariansen ◽  
Øyvind Næss ◽  
Randi M. Selmer ◽  
Bjørn Heine Strand

Background: The absolute educational differences in the mortality of Norwegian women and men increased during 1960–2000 and thereafter levelled off in men, but continued to widen in women. Which of the risk factors for non-communicable diseases (NCDs) might explain these trends? Aim: The aim of this study was to investigate trends in gender-specific, absolute educational differences in established risk factors during 1974–2002. Methods: We used cross-sectional data from 40–45-year-old women and men who participated in one of three health surveys in two counties, from the years 1974–1978, 1985–1988 and 2001–2002. To account for increasing educational attainment through the period we used a regression-based index of inequality (Slope Index of Inequality) to assess the educational gradients over time. Results: From 1974 to 2002, the mean levels of serum total cholesterol and blood pressure decreased and body mass index (BMI) increased in all subgroups by education in both sexes. In men, the educational gradient tended to diminish toward the null for serum total cholesterol and narrowed for systolic blood pressure, but increased for BMI. In women, the educational gradient increased to the double for smoking and increased for triglycerides. Conclusions: In two Norwegian counties, the NCD risk factors showed dynamic patterns during 1974–2002. For blood pressure and serum total cholesterol, the levels showed consistent beneficial changes in all educational subgroups, with a narrowing tendency for educational gradients in men. In women, the educational gradient for smoking increased markedly. Knowledge on midlife trends in the educational gradients of risk factors may help to explain recent and future NCD mortality.


Author(s):  
Mahesh B. Tondare ◽  
Naveenkumar G. Havale ◽  
Rahul C. Bedre ◽  
Pallavi Kesari

Background: The World Health Organization (WHO) global status report on NCDs in 2010 showed that NCDs are the highest leading cause of death over the developed and developing countries. More than 36 million people died from NCDs in 2008 from cardiovascular diseases (48%), cancers (21%), chronic respiratory diseases (12%), and diabetes (3%). Methods: The present study carried out among 2957 rural population in rural field practice area of department of community medicine. Using the WHO STEPS approach, information on risk factors of non-communicable diseases (NCD) like socio demographic, behavioural, physiological and physical measurements were obtained through standardized protocol. Results: Among the 2957 people studied 48.6% were in age group of 15–35 years. 68.1% were having education below secondary/higher secondary. 47.2% belonged to lower middle and 39.6% belonged to lower socioeconomic class. 44.8% of them were either farmers or labour/ unskilled workers. In the studied population 29.93% were currently using tobacco either in the form of chewing or smoking, among these 98.42% were males. 27.29% were currently consuming alcohol, of these males comprised 97.77%. Among the studied population 13.3% were hypertensive and 3.42% were diabetics. Conclusions: In this study majority belonged to lower middle or lower socioeconomic class, with occupation as either farmer or labour/ unskilled workers. Among those who consumed tobacco and alcohol as risk factors for NCD, majority were males. The prevalence of hypertension was more compared to diabetes. 


2020 ◽  
Vol 7 (2) ◽  
pp. 150-154
Author(s):  
Irma Kania Safitri ◽  
Krispinus Duma ◽  
Rahmat Bakhtiar ◽  
Evi Fitriani

Non-communicable diseases have become a major public health problem in the last decade. In Indonesia, it was more than 36 million people dying from non-communicable diseases related to several risk factors including behavioral, metabolic and social risk factors. Several indicators can be considered to detect the risk factors of non-communicable diseases. They are blood pressure, cholesterol, glucose, uric acid, and body mass index. Efforts to prevent and control non-communicable diseases that are being developed in Indonesia are integrated management posts for non-communicable diseases that provide facilities and guidance to the community to take part in controlling the risk factors for non-communicable diseases. This research is an observational analytic study with the cross-sectional method based on data obtained from the monitoring book of members of the Medical School of Mulawarman University. The sample of this study was all individuals in the population that met the inclusion criteria of the study. Sixty-five samples were obtained to see the posbindu effect on blood pressure and 61 samples saw the effect of posbindu on total cholesterol levels that met the inclusion criteria. The variables observed in this study were posbindu utilization, sample blood pressure, and total cholesterol levels in the sample. The results of the research, there was the effect of using posbindu on sample blood pressure (p = 0.042), and there was no effect on the use of total cholesterol level in the sample (p = 0.590).


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245254
Author(s):  
Parthibane Sivanantham ◽  
Jayaprakash Sahoo ◽  
Subitha Lakshminarayanan ◽  
Zachariah Bobby ◽  
Sitanshu Sekhar Kar

Introduction Rapid urbanization and industrialization drives the rising burden of Non-Communicable Diseases (NCDs) worldwide that are characterized by uptake of unhealthy lifestyle such as tobacco and alcohol use, physical inactivity and unhealthy diet. In India, the prevalence of various NCDs and its risk factors shows wide variations across geographic regions necessitating region-specific evidence for population-based prevention and control of NCDs. Objective To estimate the prevalence of behavioral and biological risk factors of NCDs among adult population (18–69 years) in the Puducherry district located in Southern part of India. Methodology We surveyed adults using the World Health Organization (WHO) prescribed STEPwise approach to NCD surveillance (STEPS) during February 2019 to February 2020. A total of 2560 individuals were selected from urban and rural areas (50 clusters in each) through multi-stage cluster random sampling method. STEPS instrument was used to assess behavioral and physical measurements. Fasting blood sample was collected to estimate biochemical risk factors (Diabetes, Hypercholesterolemia) of NCDs. Results Among men, alcohol use 40.4% (95% CI: 37.4–43.4) was almost twice higher compared to tobacco use 24.4% (95% CI: 21.7–26.9). Nearly half of the population was physically inactive 45.8% (95% CI: 43.8–47.8) and obese 46.1% (95% CI: 44–48.1). Hypertension and diabetes mellitus were present among one-third 33.6% (95% CI: 31.6–35.5) and one-fourth 26.7% (95% CI: 24.1–29.1) of the population which were significantly higher among men (37.1% vs 30.8% and 31.6% vs 23.2% respectively). Physical inactivity and overweight/obesity increased with increasing education levels. Tobacco and alcohol use was more common among men, whereas physical inactivity with obesity and hypercholesterolemia was higher among women. Conclusion We found high prevalence of various NCDs and its risk factors among the adult population of Puducherry district.


Author(s):  
Kanwal Preet Kaur Gill ◽  
Priyanka Devgun ◽  
Shyam Lal Mahajan ◽  
Harpreet Kaur

Background: The burden of chronic non-communicable diseases (NCDs) is rising rapidly all over the world. World Health Organization recommends surveillance of risk factors in different countries so that appropriate intervention is implemented to cut down the morbidity and mortality from NCDs. Hence, the presented study was planned with the objective of assessing the prevalence of common modifiable risk factors for NCDs in district Amritsar of Punjab.Methods: The study was conducted in Urban Health Training Centre of Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar. Sample size of 400 was calculated by adopting WHO Stepwise approach to surveillance guidelines. Behavioural risk factors, physical measurements and biochemical measurements were studied. Data was collected, compiled and analyzed by using SPSS 19.0 for windows evaluation version. Results: Majority of study subjects (98.75%) were taking inadequate vegetable and fruit servings irrespective of their age, gender, place of residence and educational status. The prevalence of physical exercise was also very low with only 86 (21.5%) of study subjects doing minimum recommended physical exercise. Among men, 27% of them were drinking alcohol, but among women, there was only one. Prevalence of smoking was very low (1.5%). Nearly one third (30.7%) of study subjects were overweight, 13.3% were obese, 35.3% were hyperglycemic and 36.7% were hypertensive. The prevalence of all these risk factors was found to be higher in higher age group.Conclusions: Low physical activity coupled with poor fruits and vegetables intake and alcohol consumption along with high prevalence of obesity, diabetes and hypertension is worrisome and needs to be addressed effectively.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Erfan Taherifard ◽  
Mohammad Javad Moradian ◽  
Ehsan Taherifard ◽  
Abdolrasool Hemmati ◽  
Behnaz Rastegarfar ◽  
...  

Abstract Background Refugees are highly vulnerable to many health-related risks. Monitoring non-communicable diseases (NCDs) is of overriding importance in these populations. This study aimed to investigate the prevalence of risk factors for NCDs amongst Afghan refugees in a refugee camp located in southern Iran. Methods This cross-sectional sturdy was conducted in 2018. Risk factors such as inadequate nutrition, physical inactivity, tobacco smoking, obesity and overweight, hypertension (HTN), elevated fasting plasma glucose (FPG), and dyslipidaemia were assessed. Data were gathered with a modified WHO STEPS procedure. Prevalence and age-standardized prevalence and their 95% confidence intervals (CI) were estimated. Results The estimated prevalence were 94% for inadequate fruit/vegetable consumption, 18% for physical inactivity, 9% for tobacco smoking, 3% for FPG, 20% for HTN, 51% for central obesity, 24% for overweight, 19% for obesity, and 69% for dyslipidaemia. Conclusions Except for inadequate fruit and vegetable intake and dyslipidaemia, the prevalence of other NCD risk factors was low among Afghan refugees in Iran. Raising awareness about healthy diet and its importance and the provision of more affordable fruit and vegetables are two effective measures toward improving the health of refugees in Iran.


2021 ◽  
Vol 10 (4) ◽  
pp. 880
Author(s):  
Caterina Caminiti ◽  
Giuseppe Maglietta ◽  
Tiziana Meschi ◽  
Andrea Ticinesi ◽  
Mario Silva ◽  
...  

Background: Concern is growing about the negative consequences that response measures to the COVID-19 epidemic may have on the management of other medical conditions. Methods: A retrospective descriptive case-series study conducted at a large University-hospital in northern Italy, an area severely hit by the epidemic. Results: Between 23 February and 14 May 2020, 4160 (52%) COVID-19 and 3778 (48%) non-COVID-19 patients were hospitalized. COVID-19 admissions peaked in the second half of March, a period characterized by an extremely high mortality rate (27.4%). The number of admissions in 2020 was similar to 2019, but COVID-19 patients gradually occupied all available beds. Comparison between COVID-19 and non-COVID-19 admissions in 2020 revealed significant differences concerning all age classes and gender. Specifically, COVID-19 patients were older, predominantly male, and exhibited more comorbidities. Overall, admissions for non-communicable diseases (NCDs) in 2020 vs. 2019 dropped by approximately one third. Statistically significant reductions were observed for acute myocardial infarction (−78, −33.9%), cerebrovascular disease (−235, −41.5%), and cancer (−368, −31.9%). While the first two appeared equally distributed between COVID-19 and non-COVID-19 patients, chronic NCDs were statistically significantly more frequent in the former, except cancer, which was less frequent in COVID-19 patients. Conclusions: Prevention of collateral damage to patients with other diseases should be an integral part of epidemic response plans. Prospective cohort studies are needed to understand the long-term impact.


Author(s):  
Nam Jeong Jeong ◽  
Eunil Park ◽  
Angel P. del Pobil

Non-communicable diseases (NCDs) are one of the major health threats in the world. Thus, identifying the factors that influence NCDs is crucial to monitor and manage diseases. This study investigates the effects of social-environmental and behavioral risk factors on NCDs as well as the effects of social-environmental factors on behavioral risk factors using an integrated research model. This study used a dataset from the 2017 Korea National Health and Nutrition Examination Survey. After filtering incomplete responses, 5462 valid responses remained. Items including one’s social-environmental factors (household income, education level, and region), behavioral factors (alcohol use, tobacco use, and physical activity), and NCDs histories were used for analyses. To develop a comprehensive index of each factor that allows comparison between different concepts, the researchers assigned scores to indicators of the factors and calculated a ratio of the scores. A series of path analyses were conducted to determine the extent of relationships among NCDs and risk factors. The results showed that social-environmental factors have notable effects on stroke, myocardial infarction, angina, diabetes, and gastric, liver, colon, lung, and thyroid cancers. The results indicate that the effects of social-environmental and behavioral risk factors on NCDs vary across the different types of diseases. The effects of social-environmental factors and behavioral risk factors significantly affected NCDs. However, the effect of social-environmental factors on behavioral risk factors was not supported. Furthermore, social-environmental factors and behavioral risk factors affect NCDs in a similar way. However, the effects of behavioral risk factors were smaller than those of social-environmental factors. The current research suggests taking a comprehensive view of risk factors to further understand the antecedents of NCDs in South Korea.


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