Primary and repeated prophylactic medical examination of certain adult population groups: changes in diet-related risk factors for non-communicable diseases

2019 ◽  
Vol 22 (4) ◽  
pp. 14
Author(s):  
R. A. Eganyan ◽  
A. M. Kalinina ◽  
O. V. Izmailova ◽  
D. V. Kushunina ◽  
A. S. Bunova
BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e025538 ◽  
Author(s):  
Tuhin Biswas ◽  
Nick Townsend ◽  
Md Saimul Islam ◽  
Md Rajibul Islam ◽  
Rajat Das Gupta ◽  
...  

ObjectivesThis study aimed to examine the prevalence and distribution in the comorbidity of non-communicable diseases (NCDs) among the adult population in Bangladesh by measures of socioeconomic status (SES).DesignThis was a cross-sectional study.SettingThis study used Bangladesh Demographic and Health Survey 2011 data.ParticipantsTotal 8763 individuals aged ≥35 years were included.Primary and secondary outcome measuresThe primary outcome measures were diabetes mellitus (DM), hypertension (HTN) and overweight/obesity. The study further assesses factors (in particular SES) associated with these comorbidities (DM, HTN and overweight/obesity).ResultsOf 8763 adults,12% had DM, 27% HTN and 22% were overweight/obese (body mass index ≥23 kg/m2). Just over 1% of the sample had all three conditions, 3% had both DM and HTN, 3% DM and overweight/obesity and 7% HTN and overweight/obesity. DM, HTN and overweight/obesity were more prevalent those who had higher education, were non-manual workers, were in the richer to richest SES and lived in urban settings. Individuals in higher SES groups were also more likely to suffer from comorbidities. In the multivariable analysis, it was found that individual belonging to the richest wealth quintile had the highest odds of having HTN (adjusted OR (AOR) 1.49, 95% CI 1.29 to 1.72), DM (AOR 1.63, 95% CI 1.25 to 2.14) and overweight/obesity (AOR 4.3, 95% CI 3.32 to 5.57).ConclusionsIn contrast to more affluent countries, individuals with NCDs risk factors and comorbidities are more common in higher SES individuals. Public health approaches must consider this social patterning in tackling NCDs in the country.


2019 ◽  
Vol 9 (2) ◽  
pp. 14-18
Author(s):  
Samikshya Parajuli ◽  
Tulsi Ram Bhandari

Introduction: The major Non-communicable diseases (NCDs) are cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases. Among the cardiovascular diseases, myocardial infarction and angina have high morbidity and mortality worldwide. This study assessed the prevalence of risk factors of NCD among adults, screened possible CVDs (myocardial infraction and angina) among adults and related presence of risk factors with possible CVDs (myocardial infarction and angina) Methods: A cross-sectional study was conducted among an adult population of 30 to 50 years in Devchuli Municipality of Nawalpur district, Nepal from June to December 2018. We used WHO STEPS survey questionnaire to assess risk factors and Rose Angina Questionnaire given by WHO to find out the possible myocardial infarction and angina as study tools. We used complete filled 372 questionnaires to analyze and draw the results. Proportionate random sampling was performed to obtain the sample from each ward. Results: The prevalence of the use of any type of tobacco products was 20.7% and consumption of alcoholic products was 19.62%. Prevalence of physically inactive was found at 44.9%. Out of the total participants 25%, 15.3%, and 3.5% reported hypertension, diabetes, and cardiovascular diseases respectively. Prevalence of possible rose angina and the myocardial infarction was found to be 8.06% and 2.7% respectively. Smoking (χ2=9.685, df=1, p=0.02) and alcohol consumption (χ2=4.331, df=1, p=0.037) were found significantly associated with Rose Angina. Conclusions: The prevalence of risk factors of non-communicable diseases was high. Possible angina and the myocardial infarction were also found out in the adult population. Individual and community-based behavior change intervention program would be the way out to overcome the problem.


2016 ◽  
Vol 70 (3) ◽  
pp. 208 ◽  
Author(s):  
Fatjona Kraja ◽  
Bledar Kraja ◽  
Iris Mone ◽  
Ilda Harizi ◽  
Adriana Babameto ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041334
Author(s):  
Baizid Khoorshid Riaz ◽  
Md Ziaul Islam ◽  
A N M Shamsul Islam ◽  
M M Zaman ◽  
Md Akram Hossain ◽  
...  

ObjectivesTo determine the national prevalence of risk factors of non-communicable diseases (NCD) in the adult population of Bangladesh.DesignThe study was a population-based national cross-sectional study.SettingThis study used 496 primary sampling units (PSUs) developed by the Bangladesh Bureau of Statistics. The PSUs were equally allocated to each division and urban and rural stratum within each division.ParticipantsThe participants were adults aged 18 to 69 years, who were usual residents of the households for at least 6 months and stayed the night before the survey. Out of 9900 participants, 8185 (82.7%) completed STEP-1 and STEP-2, and 7208 took part in STEP-3.Primary and secondary outcomeThe prevalence of behavioural, physical and biochemical risk factors of NCD. Data were weighted to generate national estimates.ResultsTobacco use was significantly (p<0.05) higher in the rural (45.2%) than the urban (38.8%) population. Inadequate fruit/vegetable intake was significantly (p<0.05) higher in the urban (92.1%) than in the rural (88.9%) population. The mean salt intake per day was higher in the rural (9.0 g) than urban (8.9 g) population. Among all, 3.0% had no, 70.9% had 1 to 2 and 26.2% had ≥3 NCD risk factors. The urban population was more likely to have insufficient physical activity (adjusted OR (AOR): 1.2, 95% CI: 1.2 to 1.2), obesity (AOR: 1.5, 95% CI: 1.5 to 1.5), hypertension (AOR: 1.3, 95% CI: 1.3 to 1.3), diabetes (AOR: 1.6, 95% CI: 1.6 to 1.6) and hyperglycaemia (AOR: 1.1, 95% CI: 1.1 to 1.1).ConclusionsConsidering the high prevalence of the behavioural, physical and biochemical risk factors, diverse population and high-risk group targeted interventions are essential to combat the rising burden of NCDs.


Author(s):  
Nivedita Karmee ◽  
Sushree Priyadarsini Satapathy ◽  
Radha Madhab Tripathy

Background: Currently, the health scenario is riddled with the burden of non-communicable diseases. Life style related risk factors established during adolescents may extend into adulthood and may increase risk for non-communicable diseases. So this study was undertaken to ascertain the association of life style related risk factors for Non communicable diseases and socio demographic characteristics among adolescents.Methods: A cross-sectional study was conducted in Berhampur, Odisha. A total of 400 school children were included in the study. Data was collected by pre-tested, structured, close-ended, self-administered questionnaires. Data was entered and analysed using SPSS V.17.Descriptive statistics, chi square test and logistic regression analysis test were applied.Results: Out of 400 students included in the study, 69.5% were males. The mean age of the study subject was 15.77 with S.D 2.81. On multiple regression analysis, it was found that male respondents parents job had strong association with unhealthy dietary practices and educational status of respondents had strongest association with passive smoking and addictions habits.Conclusions: The present study showed a poor practice of healthy lifestyle with a high burden of lifestyle‑related risk factors of NCDs among students. Therefore, the schools should emphasize on including topics related to leading of a healthy life style in the curriculum. Frequent campaigns and educational seminars can be conducted for the adoption of healthy lifestyle.


Author(s):  
Khwaja Mir Islam Saeed

Background: Non-Communicable diseases (NCDs) are a major global problem. This study aims to estimate the prevalence of common risk factors for NCDs among the adult population in urban areas of Kabul city, Afghanistan.Methods and Materials: This study was conducted from December 2011 through March 2012 and involved a survey of 1169 respondents, aged 40 years and above. Multistage cluster sampling was used for participant selection, followed by random sampling of the participants. The World Health Organization STEPwise approachfor Surveillance (STEPS) was modified and used for this study. Results: The overall prevalence of smoking was 5.1% (14.7% men versus 0.3% women) and using mouth snuff was 24.4% in men and 1.3% in women. The prevalence of obesity and hypertension were 19.1% and 45.2 % in men and 37.3% and 46.5% in women. Prevalence of diabetes was 16.1% in men and 12% in women. The overall prevalence of obesity, hypertension and diabetes mellitus was 31.2%, 46% and 13.3%, respectively. On average, subjects consumed 3.37 servings of fruit and 2.96 servings of leafy vegetables per week. Mean walking and sitting hours per week (as proxies for physical activity) were 19.4 and 20.5, respectively. A multivariate model demonstrated that age was a significant risk factor for obesity (OR=1.86), diabetes (OR=2/09) and hypertension (OR=4.1). Obesity was significantly associated with sex (OR=1.65). Conclusion: These results highlight the need for interventions to reduce and prevent risk factors of non-communicable diseases in urban areas of Kabul City, Afghanistan.


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