scholarly journals Prevention of non-communicable diseases under the COVID-19 pandemic

2021 ◽  
Vol 99 (2) ◽  
pp. 4-14
Author(s):  
O.T. Yelizarova ◽  
◽  
S.V. Hozak ◽  
N.S. Polka ◽  
A.M. Parats ◽  
...  

Background: The growing prevalence of non-communicable diseases (NCD), which cause the high mortality and disability, necessitates the research to prevent them and improves early diagnosis. Currently, the relevance of the NCD prevention is of particular importance because the NCD patients have an increased risk of the severe course of the COVID-19. Taking into account the processes of urbanization, the study of the features of epidemiology of risk factors for the development of the NCD should be conducted separately for urban and rural populations. Objective: We aimed to systematize the risk factors of non-communicable diseases in the urban population of Ukraine. Materials and methods: We used the bibliosemantic method and method of structural and logical analysis. A contextual search was conducted in such databases as the State Statistics Service of Ukraine, the World Health Data Platform, the IHME Global Burden of Disease, as well as in the available publications in the system of PubMed, Cochrane Library. Results: Demographic trends in Ukraine are characterized by a predominance of mortality over birth rate, and since 1990, the population has decreased by 19.2%. Non-communicable diseases are the leading cause of death in the Ukrainians and risk factors that contribute to NCD are common in the population. The increase in mortality is due to both the effect of risk factors and the late diagnosis of the NCD. More than a half of the population aged over 18 years is overweight and obese. In large cities over the past 5 years there has been a sharp increase in the proportion of obese people. Hypodynamia and irrational nutrition are also characteristic features of urban residents. Atmospheric pollution is an additional NCD risk factor. Conclusions: The urban population of Ukraine is characterized by such risk factors of the NCD as population aging, hypokinesia, irrational nutrition, atmospheric pollution, hypodiagnosis of the NCD. All these threats in the combination with a low socio-economic level of the population form a need in more active implementation of the preventive measures.

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0253605
Author(s):  
Bihungum Bista ◽  
Meghnath Dhimal ◽  
Saroj Bhattarai ◽  
Tamanna Neupane ◽  
Yvonne Yiru Xu ◽  
...  

Background The World Health Organization (WHO) recommends ongoing surveillance of non-communicable diseases (NCDs) and their risk factors, using the WHO STEPwise approach to surveillance (STEPS). The aim of this study was to assess the distribution and determinants of NCD risk factors in Nepal, a low-income country, in which two-thirds (66%) of annual deaths are attributable to NCDs. Methods A nationally representative NCD risk factors STEPS survey (instrument version 3.2), was conducted between February and May 2019, among 6,475 eligible participants of age 15–69 years sampled from all 7 provinces through multistage sampling process. Data collection involved assessment of behavioral and biochemical risk factors. Complex survey analysis was completed in STATA 15, along with Poisson regression modelling to examine associations between covariates and risk factor prevalence. Results The most prevalent risk factor was consumption of less than five servings of fruit and vegetables a day (97%; 95% CI: 94.3–98.0). Out of total participants, 17% (95% CI: 15.1–19.1) were current smoker, 6.8% (95% CI: 5.3–8.2) were consuming ≥60g/month alcohol per month and 7.4% (95% CI:5.7–10.1) were having low level of physical activity. Approximately, 24.3% (95% CI: 21.6–27.2) were overweight or obese (BMI≥25kg/m2) while 24.5% (95% CI: 22.4–26.7) and 5.8% (95% CI: 4.3–7.3) had raised blood pressure (BP) and raised blood glucose respectively. Similarly, the prevalence of raised total cholesterol was 11% (95% CI: 9.6–12.6). Sex and education level of participants were statistically associated with smoking, harmful alcohol use and raised BP. Participants of age 30–44 years and 45–69 years were found to have increased risk of overweight, raised BP, raised blood sugar and raised blood cholesterol. Similarly, participants in richest wealth quintile had higher odds of insufficient physical inactivity, overweight and raised blood cholesterol. On average, each participant had 2 NCD related risk factors (2.04, 95% CI: 2.02–2.08). Conclusion A large portion of the Nepalese population are living with a variety of NCD risk factors. These surveillance data should be used to support and monitor province specific NCD prevention and control interventions throughout Nepal, supported by a multi-sectoral national coordination mechanism.


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.


BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e032611
Author(s):  
Gursimer Jeet ◽  
J S Thakur ◽  
Shankar Prinja ◽  
Meenu Singh ◽  
Ria Nangia ◽  
...  

IntroductionTimely interventions are required in order to change unhealthy lifestyles because if continued for a prolonged period of time, these become risk factors for non-communicable diseases (NCDs). Education through mass media is an important factor in bringing out the behavioural change which may get missed in community-based interventions due to their limited reach. Many countries engage in mass media interventions, however, the nature of interventions and their effectiveness differs. We, therefore, describe the protocol of a systematic review to evaluate the effectiveness of the mass media interventions to reduce the risk of NCDs in the general population and compare the differences in effectiveness estimates across low/middle-income countries and developed countries.Methods and analysisWe will search The Cochrane Library, Database of Abstracts of Reviews of Effectiveness, PubMed, Excerpta Medica Database limited to publications since 2000 to October 2019. Specific terms for the search strategy will be piloted as database-controlled vocabulary in the databases searched. The searches will include variations of the following terms: mass media, mass communication, campaign, publicity and terms for types of media, that is, print media, mobile, digital media, social media and broadcast. Study designs to be included will be systematic reviews followed by grey literature and other good quality reviews identified. The primary outcome of effectiveness will be the percentage change in population having different behavioural risk factors. In addition, mean overall change in levels of several physical or biochemical parameters will be studied as secondary outcomes.Ethics and disseminationThe review is being done under the doctoral research which has been approved by the Institute Ethics Committee of the Post Graduate Institute of Medical Education and Research Dissemination will be done by submitting scientific articles to academic peer-reviewed journals. We will present the results at relevant conferences and meetings.PROSPERO registration numberCRD42016048013


Author(s):  
Kiran Prakash K. ◽  
Venkata Suresh Anga

Background: Chronic non-communicable diseases (CNCDs) are the leading cause of death in the world. Accounting for around 60% of all deaths and 44% of premature deaths worldwide. The objective of the study was to assess the prevalence of risk factors for non-communicable diseases among allopathic doctors in Vijayawada.Methods: A cross-sectional survey was conducted on allopathic practicing doctors who were working in the various Hospitals, clinics, Nursing Homes within the corporation limits of Vijayawada city.Results: Out of the 720 study subjects, 498 doctors (69.2%) were males and 222 doctors (30.8%) were females. majority of the doctors 515 (71.5%) were with educational qualification of master degrees (MS/MD/MDS). Doctors in clinical specialty are more 565 (78.5%) compared with non-clinical 133 (18.4%) and dental 22 (3.1%). With regarding working sector, nearly one third of doctors were working in private sector 532 (73.9%).Conclusions: Because of more exposure to unhealthy life styles like smoking, alcohol, unhealthy dietary habits like high intake of salt, inadequate use of fruits and vegetables, oil fries and by leading a sedentary life and high risk factors like overweight/obesity, hypertension and diabetes a large number of the doctor’s population were at increased risk for chronic non-communicable diseases. 


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. 


2021 ◽  
pp. 143-150
Author(s):  
O.V. Mitrokhin ◽  
◽  
N.A. Ermakova ◽  
E.V. Belova ◽  
◽  
...  

Billions of people had to face self-isolation for several months due to COVID-19 pandemic; given that, it seems quite vital to provide theoretical grounds for sanitary-hygienic health risk assessment. Our research objects were people who had to self-isolate during CIVID-19 pandemic. In our research we provided theoretical substantiation for priority health risk factors determined by hypodynamia, hypoxia, improper nutrition, distorted work and leisure regime, and psychoemotional strain. These factors can result in growing morbidity with non-communicable diseases among population. Our research goal was to give theoretical grounds for sanitary-hygienic assessment of health risk factors caused by self-isolation, to reveal priority health risk factors causing morbidity with non-communicable diseases, and to give recommendations on how to prevent it. We applied analytical, information, and statistical procedures in our research. Data were obtained from regulatory and legal documents on sanitary-hygienic standardization in the Russian Federation, specifically, data on nutrition hygiene, occupational hygiene, children and teenagers hygiene, etc.; we also revised scientific works published by Russian and foreign authors and analyzed documents issued by the World Health Organization as well as by public healthcare authorities in different countries during COVID-19 pandemic. When developing theoretical grounds for sanitary-hygienic assessment of health risk factors causing morbidity with non-communicable diseases due to self-isolation, we determined priority risk factors and suggested certain hygienic criteria for assessing self-isolation. We provided theoretical substantiation for a suggested hygienic self-isolation index and its score estimate. The existing system for sanitary-hygienic standardization in the RF fixes requirements for nutrition, work, and leisure regime as well as people’s physical activity; it was applied for performing hygienic assessment of self-isolation and self-isolation index score estimates. We suggested certain activities aimed at minimizing health risks under self-isolation; these activities were based on sanitary-hygienic standards. Since hypodynamia and hypoxia are primary sanitary-hygienic health risk factors, we suggest sticking to adequate nutrition with optimal energy capacity, proper physical activity, as well as proper work and leisure regimes.


2020 ◽  
Vol 11 (1) ◽  
pp. 44-53
Author(s):  
Vesna Lazić ◽  
Biljana Mijović ◽  
Miloš Maksimović

Chronic non-communicable diseases are diseases that arise as a response of the human body to a number of factors, the most important of which are ecological and socio-economic factors. According to the World Health Organization, their classification is based on mortality and morbidity statistics. The top four leading causes of death are as follows: cardiovascular diseases, malignancies, chronic respiratory diseases and diabetes. Non-communicable diseases (NCDs) present a global public health problem, leading to over 40 million deaths a year, whereby the population aged 30 to 69 years account for one third of the total number of deaths. Risk factors for the development of chronic NCDs can be divided into metabolic and environmental ones. Metabolic risk factors include hypertension, hyperglycemia, hyperlipidemia and obesity. Environmental risk factors include: alcohol and tobacco consumption, followed by physical inactivity and unhealthy diet. Unhealthy diet, apart from posing a risk for the development of NCDs, is also the cause of metabolic risk factor development, namely hypertension and obesity. The world nutritional authorities are focused on making dietary recommendations to prevent the rising trend and subsequently reduce morbidity from NCDs.


2002 ◽  
Vol 55 (11-12) ◽  
pp. 470-474 ◽  
Author(s):  
Jaroslava Hovan-Somborac

Chronic non-communicable diseases are caused by interaction between numerous environmental and socio-economic factors and biological response of the human body. They are gaining importance due to the fact that they largely depend on common risk factors, of which more than 70% can be prevented. In 1996, an integrated health prevention program for chronic non-communicable disease based on the Aims of the World Health Organization ?Health for all in the 21st century? was designed in the Republic of Serbia. This program concerns the whole population and measures for its implementation. For its successful realization it is necessary to define standard procedures: uniform terminology, diagnostics, therapy and rehabilitation, its risk factors. The aim of this study was to establish data from basic medical documentation of the primary health care and propose a more efficient and effective evidence, as well as to establish a program for surveillance, prevention and control of mass non-communicable diseases within the existing medical documentation. The data were gathered from medical records of the general practice and occupational health services. A special questionnaire was designed to register data from medical records. Medical records of general practice and occupational health service in Kikinda have been analyzed. The existing medical documentation is insufficient regarding data necessary for evidence, surveillance and analysis of risk factors for chronic non-communicable diseases. A follow-up model for surveillance and evidence of risk factors in basic medical documentation, which should be incorporated in routine statistical reports, would actively include medical professionals - doctors and medical staff in prevention and detection of risk factors.


2020 ◽  
Vol 3 (38) ◽  
pp. 10-16
Author(s):  
Gulzhan Mukhanova ◽  
◽  
Nurlan Imambayev ◽  
Marina Bakirova ◽  
Laura Sakhanova ◽  
...  

Abstract According to the world health organization, the prevalence of chronic non-communicable diseases has reached epidemic proportions. In today’s world there is a significant increase in the number of patients with arterial hypertension annually. The reasons for the development of this disease, in addition to adverse environmental conditions, are a number of factors related to the lifestyle of a person, as well as behavioral risk factors (bad habits) that provoke violations of the body’s functions and, as a result, the development of the disease. The most significant of them are: overweight, excessive salt consumption, smoking and alcohol abuse, and sedentary lifestyle. These factors are manageable, because as a result of corrective measures, it is possible to reduce their negative impact on the body or to eliminate it completely. In this regard, raising public awareness and actively combating manageable risk factors at the state level is crucial for arterial hypertension prevention. Key words: non-communicable diseases, arterial hypertension, arterial pressure, cardiovascular diseases, risk factors.


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