scholarly journals Co-occurrence of behavioral risk factors for chronic non-communicable diseases in adolescents: Prevalence and associated factors

2017 ◽  
Vol 30 (6) ◽  
pp. 747-758 ◽  
Author(s):  
Alessandra Silva Dias de OLIVEIRA ◽  
Naiara Ferraz MOREIRA ◽  
Anelise Bezerra de Vasconcelos de MORAES ◽  
Rosangela Alves PEREIRA ◽  
Glória Valeria de VEIGA

ABSTRACT Objective To examine the prevalence of the behavioral risk factors – both isolated and clustered – for chronic diseases, among adolescents. Additionally, its association with various social and demographic variables was estimated. Methods This was a cross-sectional study conducted on 1,039 high school students, from public and private schools, elected for convenience, in Rio de Janeiro, Brazil. A Chi-square test, Mann-Whitney U test, as well as crude and adjusted ordinal logistic regression were used to assess the association between the variables. Results The most frequently observed risk factors were sedentary behavior (68.8%), alcohol consumption (36.8%), and overweight (26.8%). The clustering of risk factors was observed in 67.5% of the students. Being a girl (OR=1.28; 95%CI=1.01–1.63), Caucasian (OR=1.35; 95%CI=1.06–1.72) or private school student (OR=1.46; 95%CI=1.12–1.88) increased the chance of the clustering of risk factors. The co-occurrence of risk factors was predominantly observed in the case of smoking (OR=4.94; 95%CI=1.46–16.75), alcohol consumption (OR=1.43; 95%CI=1.09–1.88), high consumption of ultra-processed foods (OR=1.57; 95%CI=1.19–2.07), and sedentary behavior (OR=1.40; 95%CI=1.07–1.82). Conclusion The co-occurrence of behavioral risk factors was observed to be higher among girls, Caucasian adolescents, and private school students, as well as, among smokers, alcohol users and adolescents with sedentary habits and a high consumption of ultra-processed foods.

Author(s):  
N.I. Sheina ◽  
Z.A. Ovchinnikova

The prevalence of behavioral risk factors according to the survey of pupils of educational and biomedical classes in Moscow and the Moscow region. Tobacco and alcohol consumption is not common among the studied contingent of high school students. 9–11 % of pupils smoke every day, and 35–47 % have tried alcoholic beverages. No significant differences in the spread of harmful habits among schoolchildren of different types of training has been established.


10.2196/18567 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e18567
Author(s):  
Williams Bell Ngan ◽  
Lawrence Essama Eno Belinga ◽  
Alain Serges Patrick Essam Nlo'o ◽  
Frederic Roche ◽  
Luc Goethals ◽  
...  

Background Noncommunicable diseases (NCDs) are the leading causes of death worldwide. They were responsible for 40 million of the 57 million deaths recorded worldwide in 2016. In Cameroon, epidemiological studies have been devoted to NCDs and their risk factors. However, none provides specific information on their extent or the distribution of their risk factors within the Cameroonian defense forces. Objective The objective of our study was to assess the cardiovascular risk of a Cameroonian military population compared with that of its neighboring civilian population. Methods We conducted a cross-sectional study that involved subjects aged 18 to 58 years, recruited from October 2017 to November 2018 at the Fifth Military Sector Health Center in Ngaoundéré, Cameroon. Data collection and assessment were done according to the World Health Organization (WHO)’s STEPS manual for surveillance of risk factors for chronic NCDs and the Alcohol Use Disorders Identification Test. Five cardiovascular risk factors were assessed: smoking, harmful alcohol consumption, obesity/overweight, hypertension, and diabetes. The risk was considered high in subjects with 3 or more of the factors. Univariate analysis and multivariate logistic regression were carried out according to their indications. Results Our study sample of 566 participants included 295 soldiers and 271 civilians of the same age group (median age 32 years versus 33 years, respectively; P=.57). The military sample consisted of 31 officers and 264 noncommissioned officers (NCOs). Soldiers were more exposed to behavioral risk factors than civilians, with a prevalence of smoking of 13.9% versus 4.4% (P<.001) and excessive alcohol consumption of 61.7% versus 14.8% (P<.001). They also presented with a higher cardiovascular risk than civilians (odds ratio 2.7, 95% CI 1.50-4.81; P<.001), and among the military participants, the cardiovascular risk was higher for officers than for NCOs (51.6% versus 14.0%, respectively; P<.001). Conclusions Cameroonian soldiers are particularly exposed to cardiovascular behavioral risk factors and consequently are at higher risk of NCDs. Trial Registration ClinicalTrials.gov NCT04315441; https://clinicaltrials.gov/ct2/show/NCT04315441


2018 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Rajib Mondal ◽  
Rajib Chandra Sarker ◽  
Palash Chandra Banik

Background and aims: Behavioral risk factors of noncommunicable diseases (NCDs) are established during early age and continued into adulthood. In Bangladesh, the scenario of NCD risk factors among students was inadequately studied. The aim of this study was to assess and compare the prevalence of behavioral risk factors of NCDs between undergraduate medical and nonmedical students. Methods: This cross-sectional study was conducted among 280 undergraduate students (equal number of students from medical and nonmedical backgrounds). Respondents were selected purposively from 5 purposively-selected institutions. Modified WHO STEPS instrument was used for data collection. Respondents were asked about their behavioral risk factors (tobacco use, insufficient fruit and vegetable intake, inadequate physical activity, and alcohol consumption) by face-to-face interviews. Results: Men students were more in both groups. The mean age of the medical and nonmedical students was 22.1±2.0 and 21.8±1.9 years, respectively. Tobacco use was more among nonmedical students than that among the counterpart (22.1% vs. 15.7%). Medical students were more used to take insufficient fruits and vegetables compared to nonmedical students (97.9% vs. 93.6%). Equal proportions (71.4%) of students in both groups were used to perform inadequate physical activity. Alcohol consumption was observed more among nonmedical students (12.9% vs. 8.6%). Conclusion: Behavioral risk factors of NCDs were remarkable among students of both groups, mainly among nonmedical students.


Author(s):  
Poonam Banga ◽  
Tarundeep Singh ◽  
Rajesh Kumar

Background: Habits get established during the transitional age of adolescence making it important to conduct surveillance to detect high risk behaviours at an early age. Feasibility of such a surveillance system was tested for monitoring the risk factors in schools.Methods: A cross sectional survey was conducted in randomly selected schools of Chandigarh in India, by enrolling 226 students of class V to XII. A pretested structured questionnaire on dietary pattern, physical activity, tobacco and alcohol consumption, drug abuse, mental health, sexual behaviour etc., was administered after ensuring privacy and confidentiality.Results: A total of 226 students with a mean age of 14years (range 10 to 19years) participated in the study. The prevalence of tobacco use was 8%, alcohol consumption was 3%, and drug abuse was 4%. About 47% were involved in a physical fight. Around 7% students were overweight. About 50% of the students skipped breakfast during previous week, and 6% had no intake of fruits and vegetables in last one month. Only 53% reported consistent use of seat belts.Conclusions: Several behavioral risk factors were prevalent among school children in Chandigarh. Behaviour surveillance to monitor trends should be conducted at regular intervals.


2018 ◽  
Vol 4 (1) ◽  
pp. 60-66
Author(s):  
Soni Shrestha ◽  
Radha Kumari Paudel ◽  
Nisha Shrestha

Non Communicable Diseases are the biggest cause of death worldwide. There are eight major risk factors, out of which four of them are behavioral risk factors (tobacco use, harmful alcohol consumption, unhealthy diets and physical inactivity) and four of them are biological risk factors. The general objective of this study is to assess prevalence of behavioral risk factors of non-communicable diseases among adolescents. The study was conducted on students of higher secondary schools of Lalitpur. A descriptive cross-sectional study was conducted with the sample size 396. Structured questionnaire developed by STEPS SURVEY Nepal 2013 was used for data collection. Data management, analysis and interpretation were done using SPSS 20 version by calculating frequency and percentage. The prevalence of current tobacco (smoking) consumption was 17.2% and the prevalence of smokeless tobacco consumption was 8.1%. Current alcohol consumption was 14.4%. The prevalence of inadequate vigorous intensity activity was 58.3% and moderate intensity activity was 50.5%. The prevalence of fruit and vegetables consumption was 21.2% and 60.4% respectively. On the basis of findings of study it is concluded that use of tobacco products and alcohol was higher in male than female. All of the students consumed fruits and vegetables at least once a day but none of adolescents follow the consumption of fruits and vegetables as recommended by WHO. The adolescents were active as they involved in both vigorous and moderate intensity activity. The private schools students were less involved in physical activity as compared to public schools.


2020 ◽  
pp. 70-76
Author(s):  
D.P. Tsygankova ◽  
◽  
E.D. Bazdyrev ◽  
A.S. Agienko ◽  
E.V. Indukaeva ◽  
...  

The aim of the research is to assess the prevalence of traditional and behavioral risk factors for cardiovascular diseases (CVD) among urban and rural residents of large industrial Siberian region, depending on education level. Material and methods. The study included 1600 people, aged 35-70, who are permanent residents of Kemerovo City and Kemerovo region. Considering the living conditions, two groups were formed. The first group included 1109 (69.3%) respondents living in the city and 491 (30.7%) respondents from countryside. The study analyzed such traditional and behavioral risk factors for CVD as body mass index (BMI), glucose levels, lipid metabolism (total cholesterol, lipoprotein cholesterol of high and low density (LCLD), triglycerides), blood pressure, tobacco and alcohol consumption, etc. According to education level, the respondents were subdivided into the following categories: people with school education (primary education, secondary education), people with secondary specialized education (vocational school, technical schools, colleges) and people with higher education (higher educational institution). Results. Average BMI values (30.3 (26.1; 34.6) versus 28.4 (24.9; 32.3)) kg / m2, p<0.001), systolic (135 (121.5; 151.0 ) versus 131.5 (119.0; 147.0)) mm Hg, p = 0.005) and diastolic blood pressure (89 (80.5; 97.5) versus 86.5 (78.0; 95, 0)) mm Hg, p<0.001), LCLD (3.7 (2.9; 4.4) versus 3.5 (2.8; 4.2)) mmol / L, p = 0.008) were statistically significantly higher among people living in rural areas than among urban citizens. Higher education was associated with BMI decrease by 1.2 kg / m2 (p = 0.002), systolic blood pressure by 3.2 mm Hg (p = 0.002), and diastolic blood pressure by 2.1 mm Hg (p = 0.001). Moreover, people with such education were characterized by a decreased risk not only of obesity (OR = 0.6, 95% CI [0.5-0.8], p <0.001), but also of arterial hypertension (OR = 0.7 , 95% CI [0.5-1.0], p <0.001), hypertriglyceridemia (OR = 0.72, CI [0.53-0.98], p = 0.037), as well as by an increased risk of developing high level of LDL (OR = 1.36, CI [1.02-1.82], p = 0.038). When conducting a logistic regression analysis, after leveling the influence of gender and age, it was found that smoking was associated with lack of higher education (OR = 0.6, 95% CI: 0.48-0.79, p <0.001). Conclusion. Regardless of place of residence, maximum prevalence of obesity, arterial hypertension and diabetes mellitus was observed among people with secondary vocational education, while alcohol consumption was observed among people with higher education. Higher education was associated with a reduced risk of obesity, arterial hypertension, hypertriglyceridemia, smoking, and an increased risk of developing high levels of low-density lipoprotein


2020 ◽  
Vol 34 (4) ◽  
pp. 295-303 ◽  
Author(s):  
Juntima Nawamawat ◽  
Wipa Prasittichok ◽  
Thansinee Prompradit ◽  
Suwapich Chatchawanteerapong ◽  
Vipaporn Sittisart

PurposeThe purpose of this research aimed to identify the risk factors for non-communicable diseases (NCDs) and determine their prevalence and characteristics in a semi-urban community in Thailand.Design/methodology/approachThe survey was designed to determine the type and prevalence of risk factors for NCDs among populations in semi-urban areas in the Takianleurn subdistrict of Nakhonsawan, Thailand. A stratified random sampling design was used to select 352 subjects, aged over 15 years and living in this region. Data were collected by questionnaire and analyzed to show frequency, percentage, mean, standard deviation, chi-squared, prevalence rate and prevalence rate ratio with significance indicated by p-value < 0.05 and confidence interval 95 percent.Research limitations/implicationsThe implications for the future study are as follows: (1) a comparative study between rural and urban or rural and semi-urban or urban and semi-urban should be studied to understand how risk factors cause NCDs and (2) Participatory action research should be introduced to assess the effectiveness of the decrease in NCDs risk factors management in the community.Practical implications(1) To scale up public health interventions measures to promote and prevent NCDs should be focused on behavioral risk factors of NCDs such as eating habits, physical activity, smoking and alcohol consumption. (2) Health promotion and disease prevention for decrease in NCDs should consist of reducing alcohol consumption and enhancing healthy eating habits and (3) To manage unmodified risk factors such as age, gender, educational level, etc. should be focused on surveillance and physical health examination yearly.FindingsThe results revealed a prevalence of NCDs of 14.8 percent. The main unmodifiable risk factors affecting NCD prevalence were gender, age, low level of education and poverty; behavioral risk factors included not eating enough fruit and vegetables, high alcohol consumption, a high-fat fast-food diet and smoking.Originality/valueThe prevention of NCDs requires more focus on changing the eating behavior of high-risk groups and providing easily accessible health care information and services. The entire family should be involved in the process of maintaining good health and disease prevention for all family members.


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