scholarly journals The Role of Nutrition Counseling in Controlling the Non-Communicable Diseases among Nepali Women

2021 ◽  
Vol 4 ◽  
pp. 121-132
Author(s):  
Kabita Maharjan ◽  
Deepak Chaudhary

The general perception of nutrition is that it is just the process of taking food. However, it represents food science that ultimately relates to human health. Unhealthy and imbalanced food and the modern lifestyle are contributing to non-communicable diseases (NCDs) in recent days. Hypertension, diabetes and cancer are some major NCDs across the world that have created challenges for human life. Annually, millions of people die due to the food related problems. The major objective of the study is to analyze the health status of non-communicable diseases among Nepali women. This study emphasizes the counseling and modification of diet that are crucial in controlling non-communicable illness. This study is based on the secondary data and review of literature. All these data were reviewed through journals, research articles, books, and the association’s dietary guidelines. The reports by WHO, Nepal Demographic Health Survey, American Heart Association, American Lung Association and National Institute of Diabetes are also reviewed. The experience of working in this field for a long time has also been utilized in analyzing the data. A number of NCDs is being increased globally and Nepal is no exception. The WHO report of 2018 reveals that NCDs are killing 41 million people yearly, equivalent to 71% of all death globally. Similarly, 15 million people die from it between 30 and 69 age groups, and 85% of these 'premature' deaths in low and middle-income countries. According to NDHS (2016), the prevalence of hypertension in women in Nepal is 17% of those aged 15 and above. Alter food habits, overweight and obesity as well as food practices during pregnancy, after delivery and daily intake of convenience fast food in Tiffin and snacks are some reasons to increase the NCDs. Nutrition counselling and awareness, dietary policy guidelines and an active role of diet specialist (dietician/nutritionist) will be the effective mitigation in controlling the NCDs number.

Author(s):  
Mohammad Rahanur Alam ◽  
Mohammad Asadul Habib ◽  
A. K. Obidul Huq ◽  
Sumaiya Mamun ◽  
Sompa Reza ◽  
...  

Background: The prevalence of non-communicable diseases is rising in Dhaka City, Bangladesh. Obesity is one of the significant risk factors for many non-communicable diseases. This research aimed to investigate the current prevalence of overweight and obesity among children in selected schools in Dhaka City through anthropometric evaluation, as well as to assess the correlation of various environmental determinants such as physical activity, dietary behavior, lifestyle habits, are associated with increased risk of obesity in children.Methods: This school-based cross-sectional study was conducted among 106 participants (50 male and 56 female participants) aged 6-14 years selected by convenience sampling from four randomly selected primary schools of different regions of Dhaka city. A pre-tested questionnaire was used to collect data.Results: The prevalence of overweight and obesity among school-going children 24.5%, 68% respectively. Factors associated with being obese included type of game (χ2=34.036; p=0.001), total playtime (χ2=17.788; p=0.000), TV and computer watch time (χ2=27.321; p=0.007), spend money to buy fast food (χ2=26.451; p=0.002), eating days fast food in a week (χ2=24.825; p=0.003), type of tiffin (χ2=19.757; p=0.072).Conclusions: Less playtime, longer watching TV and computer, and eating more fast food are major risk factors for overweight and obesity among school-going children in Dhaka city. Interventions are needed to increase awareness of child overweight weight and obesity risk factors to decrease the prevalence of overweight and obesity.


Nutrients ◽  
2019 ◽  
Vol 11 (10) ◽  
pp. 2440 ◽  
Author(s):  
Jennifer Hilger-Kolb ◽  
Katharina Diehl

Healthy eating can prevent individuals across all age groups from developing overweight/obesity and non-communicable diseases such as type 2 diabetes and cardiovascular disease. However, unhealthy eating habits (e.g., a high level of fast food consumption) have been found to be widespread among university students. Thus, it seems necessary to develop prevention strategies to improve students’ eating habits. However, to ensure that such strategies are successful, it is important that they fit the needs of the target population. By conducting qualitative interviews with students (n = 20), we aimed to get a deeper understanding of barriers to healthy eating. Students were asked about barriers to healthy eating and to suggest possible ideas that could improve their eating behavior in the future. Our findings revealed that students are especially affected by time-related barriers (e.g., a lack of time due to university commitment) and environmental barriers (e.g., a lack of cheap, tasty, and healthy meal options at the university canteen). Time-related barriers were also related to motivational barriers (e.g., being too lazy to cook after a busy day at university). In addition, knowledge/information-related barriers, social-support-related barriers, and transition-related barriers emerged from our interviews. The variety of barriers addressed and the different views on some of these, indicate that various strategies seem to be needed to improve the eating behavior among university students and to prevent them from gaining weight and developing non-communicable diseases in the future.


2020 ◽  
Vol 8 (2) ◽  
pp. 064-071
Author(s):  
Anushka Marathe ◽  
Shailaja Mane ◽  
Sharad Agarkhedkar

Adolescents, who were once considered to be the healthiest individuals, are now seeing a rise in NCDs amongst them. This is a Short Term Studentship (STS) Indian Council of Medical Research (ICMR) selected research project of undergraduate medical student. It was done after institutional ethical clearance and permission from School Principal, assent from students and consent from their parents. This is a school based, cross- sectional study of total 200 school-going adolescents of 15 to 17 years age (100 students, each from private and government coed schools) in Urban Pune. A predefined, pretested AACCI lifestyle questionnaire was explained and given to the students followed by physical examination. The overweight and obese students were advised for further investigations for metabolic syndrome. In private school, the mean BMI was 21.16 for boys and 21.13 for girls while in government school, it was 19.62 for boys and 19.58 for girls. In private school, 3% students were overweight (Girls: 2.22%, Boys: 3.64%), 11% obese (Girls: 6.67%, Boys: 14.55%) and 4% underweight. In government school, 5% were overweight (Girls: 6.12%, Boys: 3.92%), 3% obese (Boys: 5.88%, no girls) and 17% underweight. In Private School, hypertension was in 5.45% boys and 2.17% girls. In government school, hypertension was in 3.64% boys and 2.17% girls. The prevalence of risk factors like overweight and obesity was higher in adolescents from private school than government school. It was more in boys in both schools. A significant correlation was found between lifestyle habits like eating fast food, sedentary lifestyle and non-communicable diseases in adolescents. This is due to change in lifestyle habits.


Author(s):  
Meriem Bencharif ◽  
Ibrahim Sersar ◽  
Djamila Touati-Mecheri ◽  
Abdelnacer Agli ◽  
Hayet Oulamara

The nutritional and epidemiological transitions have affected the Algerians’ lifestyle primarily in their nutritional status, eating behavior, and health status. Overweight and obesity, being present at all ages of life, includes several factors related to the risk of developing, at an older age, non-communicable diseases such as diabetes and cardiovascular disease. The nutritional situation of children under 5 years remains a concern of low birth weight, low prevalence of exclusive breastfeeding, stunting growth, and underweight. Nutritional deficiencies, mainly in micronutrients, persist in different age groups, especially in pregnant and lactating women reflecting the consequences of a poor diet characterized by low consumption of fruits and vegetables, and higher consumption of fatty products as well as sweet with high-calorie density. The issue of food and nutritional security remains an important issue. Despite the persistent nutritional problems, the level of food security indicators shows that the country is not exposed to food insecurity, but dependency on food imports remains quite high. The living conditions in rural areas must be improved in order to strengthen the agricultural sector which must be able to meet the needs of the population. Updating and analyzing the nutritional situation using existing data will enable the strategies put in place by national and international organizations to be implemented. Keywords: Nutritional status, Non-communicable diseases, Risk factors, Eastern Algeria.


Author(s):  
Meriem Bencharif ◽  
Ibrahim Sersar ◽  
Djamila Touati-Mecheri ◽  
Abdelnacer Agli ◽  
Hayet Oulamara

The nutritional and epidemiological transitions have affected the Algerians’ lifestyle primarily in their nutritional status, eating behavior, and health status. Overweight and obesity, being present at all ages of life, includes several factors related to the risk of developing, at an older age, non-communicable diseases such as diabetes and cardiovascular disease. The nutritional situation of children under 5 years remains a concern of low birth weight, low prevalence of exclusive breastfeeding, stunting growth, and underweight. Nutritional deficiencies, mainly in micronutrients, persist in different age groups, especially in pregnant and lactating women reflecting the consequences of a poor diet characterized by low consumption of fruits and vegetables, and higher consumption of fatty products as well as sweet with high-calorie density. The issue of food and nutritional security remains an important issue. Despite the persistent nutritional problems, the level of food security indicators shows that the country is not exposed to food insecurity, but dependency on food imports remains quite high. The living conditions in rural areas must be improved in order to strengthen the agricultural sector which must be able to meet the needs of the population. Updating and analyzing the nutritional situation using existing data will enable the strategies put in place by national and international organizations to be implemented. Keywords: Nutritional status, Non-communicable diseases, Risk factors, Eastern Algeria.


Author(s):  
Meriem Bencharif ◽  
Ibrahim Sersar ◽  
Djamila Touati-Mecheri ◽  
Abdelnacer Agli ◽  
Hayet Oulamara

The nutritional and epidemiological transitions have affected the Algerians’ lifestyle primarily in their nutritional status, eating behavior, and health status. Overweight and obesity, being present at all ages of life, includes several factors related to the risk of developing, at an older age, non-communicable diseases such as diabetes and cardiovascular disease. The nutritional situation of children under 5 years remains a concern of low birth weight, low prevalence of exclusive breastfeeding, stunting growth, and underweight. Nutritional deficiencies, mainly in micronutrients, persist in different age groups, especially in pregnant and lactating women reflecting the consequences of a poor diet characterized by low consumption of fruits and vegetables, and higher consumption of fatty products as well as sweet with high calorie density. The issue of food and nutritional security remains an important issue. Despite the persistent nutritional problems, the level of food security indicators show that the country is not exposed to food insecurity, but dependency on food imports remains quite high. The living conditions in rural areas must be improved in order to strengthen the agricultural sector which must be able to meet the needs of the population. Updating and analyzing the nutritional situation using existing data will enable the strategies put in place by national and international organizations to be implemented. Keywords: Nutritional status, Non-communicable diseases, Risk factors, Eastern Algeria.


Author(s):  
Wilfred Kok Hoe Mok ◽  
Noran Naqiah Hairi ◽  
Caryn Mei Hsien Chan ◽  
Feisul Idzwan Mustapha ◽  
Thamil Arasu Saminathan ◽  
...  

(1) Background: The prevalence of overweight and obesity among children has increased tremendously in the ASEAN region, including Malaysia. In Malaysia, the National Strategic Plan for Non-Communicable Diseases (2015–2025) provides the overall framework for its response to the non-communicable diseases (NCD) epidemic. Preventing childhood obesity is one of the key strategies for early intervention to prevent NCDs. The objective of this research is to examine the current status of policy interventions in addressing childhood obesity in Malaysia. (2) Methods: A panel of 22 stakeholders and experts from Malaysia, representing the government, industry, academia and non-governmental organizations, were sampled using a modified Delphi technique. Data were collected using a modified NCD scorecard under four domains (governance, risk factors, surveillance and research and health systems response). A heat map was used to measure the success of the four realms of the NCD scorecard. For each domain of the NCD scorecard, the final score was grouped in quintiles. (3) Results: A total of 22 participants responded, comprising of eight (36.4%) males and 14 (63.4%) females. All the domains measured in implementing policies related to childhood obesity were of low progress. Nine governance indicators were reported as 22.5% (low progress), four in the risk factors domain, and two in the surveillance. This shows that timely and accurate monitoring, participatory review and evaluation, and effective remedies are necessary for a country’s surveillance system. (4) Conclusion: Although Malaysia has published several key strategic documents relating to childhood obesity and implemented numerous policy interventions, we have identified several gaps that must be addressed to leverage the whole-of-government and whole-of-society approach in addressing childhood obesity in the country.


Author(s):  
Supa Pengpid ◽  
Karl Peltzer

Abstract Objectives The study assessed the prevalence and associated factors of behavioural risk factors of non-communicable diseases (NCDs) among adolescents in four Caribbean countries. Content In all 9,143 adolescents (15 years = median age) participated in the cross-sectional “2016 Dominican Republic, 2016 Suriname, 2017 Jamaica, and 2017 Trinidad and Tobago Global School-Based Student Health Survey (GSHS)”. Eight behavioural risk factors of NCDs were assessed by a self-administered questionnaire. Summary Prevalence of each behavioural NCD risk factor was physical inactivity (84.2%), inadequate fruit and vegetable intake (82.2%), leisure-time sedentary behaviour (49.6%), daily ≥2 soft drinks intake (46.8%), ever drunk (28.6%), twice or more days a week fast food consumption (27.6%), having overweight/obesity (27.4%), and current tobacco use (13.8%). Students had on average 3.6 (SD=1.4), and 79.0% had 3–8 behavioural NCD risk factors. In multivariable linear regression, psychological distress and older age increased the odds, and attending school and parental support decreased the odds of multiple behavioural NCD risk factors. Outlook A high prevalence and co-occurrence of behavioural risk factors of NCDs was discovered and several factors independently contributing to multiple behavioural NCD risk factors were identified.


2017 ◽  
Vol 32 (11) ◽  
pp. 993-1005 ◽  
Author(s):  
Trudy Voortman ◽  
Jessica C. Kiefte-de Jong ◽  
M. Arfan Ikram ◽  
Bruno H. Stricker ◽  
Frank J. A. van Rooij ◽  
...  

Author(s):  
Bo Burström

This commentary refers to the article by Fisher et al on lessons from Australian primary healthcare (PHC), which highlights the role of PHC to reduce non-communicable diseases (NCDs) and promote health equity. This commentary discusses important elements and features when aiming for health equity, including going beyond the healthcare system and focusing on the social determinants of health in public health policies, in PHC and in the healthcare system as a whole, to reduce NCDs. A wider biopsychosocial view on health is needed, recognizing the importance of social determinants of health, and inequalities in health. Public funding and universal access to care are important prerequisites, but regulation is needed to ensure equitable access in practice. An example of a PHC reform in Sweden indicates that introducing market solutions in a publicly funded PHC system may not benefit those with greater needs and may reduce the impact of PHC on population health.


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