Common Risk Factors Of Non-communicable Diseases Research Articles

Joining forces to accelerate cancer and NCD prevention in Europe

Abstract JA PreventNCD, a Joint Action to prevent cancer and other non-communicable diseases (NCDs) aims to assist authorities in prioritizing the most effective prevention strategies and policies to reduce the burden of cancer and NCDs, focusing on both personal and societal risk factors. A key objective is to tackle social inequalities by addressing the root causes of NCD risk factors and adopting a life-course approach. Recognizing that health is created by policies in several sectors is key when addressing health determinants, including social and commercial determinants of health. Consolidated efforts across countries will be required to tackle some of these determinants. To achieve the project’s objectives, the JA PreventNCD will build a comprehensive European infrastructure for monitoring risk factors, disease burden, and the impact of policies and interventions. Rigorous evaluation will ensure that the project’s deliverables will have an impact at local, national and EU levels. Three technical work packages address common risk factors for NCDs through actions ranging from policies and structural measures at societal level to interventions targeting individuals. Another set of cross-cutting work packages address monitoring, social inequalities, and health in all policies. More than 100 partners across 25 countries are involved, with almost 100 pilots to be conducted over the course of the project’s four years. One way of ensuring sustainability of the project’s outcomes is the building of a sustainable governance structure through the establishment of an EU Consortium on Cancer Prevention. Furthermore, as a mechanism to ensure high policy relevance of this JA, a Policy Decision Maker’s Forum will be established to engage policymakers and ensure feasibility of the project’s recommended actions. Speakers/Panelists Claudia Habl Austrian National Public Health Institute, Vienna, Austria Ane Fullaondo Biosistemak, Bilbao, Spain Arnfinn Helleve Norwegian Institute of Public Health, Oslo, Norway

Unhealthy Diets among Adult Populations in Sleman Districts, Yogyakarta: Pattern and Related Sociodemographic Determinants, Findings from Sleman HDSS

Background: In Yogyakarta Province, the Sleman Regency has the second-highest life expectancy at birth and a high prevalence of non-communicable diseases (NCDs). One of the common NCD risk factors is an unhealthy diet. Thus, it is important to understand the factors that influence an unhealthy diet.Objective: This study aimed to determine sociodemographic factors associated with an unhealthy diet intake in the Sleman Regency population.Materials and Methods: Cross-sectional data from 4,963 adult respondents of the Sleman Health and Demographic Surveillance System was analyzed. A Descriptive test was done to measure the consumption frequency of sweet food and beverages, salty food, high-fat food, and food with monosodium glutamate (MSG). Generalized logistic regression was used to determine socioeconomic factors (residential area, age, gender, education level, marital status, and household wealth) that were associated with a higher frequency of unhealthy food consumption.Results: The majority of respondents reported frequent consumption of sweet food and beverages (82.4%), food that contains high fat (62%), and MSG (75.5%). About 46% of respondents reported frequent consumption of salty food.Conclusion: Education level, sex, age, household wealth status, and residential area are important determinants of a healthy diet.

The influence of geriatric status on labor activity in women aged 55–64 years old

Aim: to estimate the associations between employment status, functional and cognitive status, physical health, and geriatric syndromes in women aged 55–64. Materials and methods. A cross-sectional study included 250 women aged 55 to 64 years. Sociodemographic factors, functional and cognitive status, health status, risk factors for chronic noncommunicable diseases (NCD), and presence of NCD were analyzed. The prevalence of changes indicative of geriatric syndromes was estimated. Results. The study included 250 women aged 55–64 years (mean age 59.3 ± 2.9 years). Risk factors (RF) for NCD were identified in all subjects. Abdominal obesity and lipid metabolism disorders (increased blood cholesterol levels and LDL cholesterol levels) were the most common RFs for NCD. The incidence of dyslipidemia as RF NCD was 94%. CVD, diseases of the musculoskeletal system, gastrointestinal tract (GIT), varicose veins of the lower extremities, and endocrine pathology prevailed in NCD. In women aged 55–64 years, aging increases the likelihood that a woman will not work by 2.5 times, using ≥two assistive devices — 2 times, the presence of urinary incontinence/ leakage — 2.3 times, probable depression — 2.7 times. Conclusion: geriatric syndromes are primarily associated with a decrease in functional activity in women aged 55-64 years; this association is associated with socio-demographic, economic factors, and health status (the presence of FRs for NCD and NCD themselves).

Delivery of public health services by community health workers (CHWs) in primary health care settings in China: a systematic review (1996\u20132016)

BackgroundCommunity Health Workers (CHWs) have been widely used in response to the shortage of skilled health workers especially in resource limited areas. China has a long history of involving CHWs in public health intervention project. CHWs in China called village doctors who have both treatment and public health responsibilities. This systematic review aimed to identify the types of public health services provided by CHWs and summarized potential barriers and facilitating factors in the delivery of these services.MethodsWe searched studies published in Chinese or English, on Medline, PubMed, Cochrane, Google Scholar, and CNKI for public health services delivered by CHWs in China, during 1996–2016. The role of CHWs, training for CHWs, challenges, and facilitating factors were extracted from reviewed studies.ResultsGuided by National Basic Public Health Service Standards, services provided by CHW covered five major areas of noncommunicable diseases (NCDs) including diabetes and/or hypertension, cancer, mental health, cardiovascular diseases, and common NCD risk factors, as well as general services including reproductive health, tuberculosis, child health, vaccination, and other services. Not many studies investigated the barriers and facilitating factors of their programs, and none reported cost-effectiveness of the intervention. Barriers challenging the sustainability of the CHWs led projects were transportation, nature of official support, quantity and quality of CHWs, training of CHWs, incentives for CHWs, and maintaining a good rapport between CHWs and target population. Facilitating factors included positive official support, integration with the existing health system, financial support, considering CHW’s perspectives, and technology support.ConclusionCHWs appear to frequently engage in implementing diverse public health intervention programs in China. Facilitators and barriers identified are comparable to those identified in high income countries. Future CHWs-led programs should consider incorporating the common barriers and facilitators identified in the current study to maximize the benefits of these programs.

Addressing the Bottle Necks of Global Oral Health to Tackle the Growing Epidemic of Noncommunicable Diseases

Background: Oral health touches every aspect of our lives and still it is been taken for granted. The access and affordability to oral health care services are very limited and expensive especially in developing countries. Objectives: The article highlights the importance of global oral health and how it can tackle the growing noncommunicable diseases (NCDs) epidemic. Dental caries remains a significant problem even among the developed nations affecting 60% to 70 % of the children. Oral cancers, Qat chewing, craniofacial anomalies, and dental trauma contribute significantly to the global burden of diseases. Despite the magnitude of oral illness, there is neglect in global oral health, resulting in lack of combined action and support within the arena. Conclusions: Oral conditions share many common risk factors with NCDs and are also affected by similar social determinants. The Political Declaration of the High-level Meeting on the prevention and control of NCDs recognizes that oral diseases pose a significant burden for many countries and these diseases also share common risk factors of NCDs and can benefit from the multisectoral and multipronged approaches to NCDs. To address the existing inequities and inequalities in oral health care services globally, it is vital to ensure coverage for the poor and disadvantaged populations. Recommendations: There is a great need to develop some measurable oral health goals for global comparison in order to track, reduce oral disease burden, and to promote good oral health thereby advancing global public health.

Diabetes and abnormal glucose regulation in the adult population of Burkina Faso: prevalence and predictors

BackgroundThe prevalence of diabetes mellitus (DM) is reportedly growing fast in sub-Saharan Africa. There is however a scarcity of epidemiologic data on DM in Burkina Faso. We carried out a secondary analysis of the first survey conducted in Burkina Faso on a nationally representative sample following the World Health Organization (WHO) Stepwise approach to risk factors Surveillance (STEPS) for non-communicable diseases (NCDs) with the aims of identifying the prevalence of NCDs and the prevalence of common risk factors for NCDs. We report here on the prevalence of diabetes and overall abnormal glucose regulation (AGR) and their associated risk factors.MethodsIn the primary study 4800 individuals were randomly sampled using a stratified multistage clusters sampling process. We used fasting capillary whole blood glucose level to define three glucose regulation statuses using WHO’s cut-off levels: normal, diabetes and overall abnormal glucose regulation (impaired fasting glucose and diabetes). Appropriate statistical techniques for the analysis of survey data were used to identify the factors associated with diabetes and abnormal glucose regulation fitting a logistic regression model. Analyses were carried out using Stata Version 14 software.ResultsThe prevalence of DM and AGR were respectively 5.8% (95% CI: 5–6.7) and 9% (95% CI: 8–10.1). Significant risk factors for DM include age (OR = 1.9; P = 0.009 for the age group of 55–64), obesity (OR: 2.6; P = 0.001), former smoke (OR:2; P = 0.03), second-hand smoke (OR = 1.7; P = 0.006) and total cholesterol level (OR: 2.1; P = 0.024). The same predictors were also found significantly associated with AGR. In addition, having an history family diabetes was protective against AGR (OR = 0.5; P = 0.032).ConclusionDiabetes is no longer a rare disease in the adult active population of Burkina Faso. Its burden is significant in both rural and urban areas. Health policies that promote healthy life style are needed to give precedence to the prevention in a context of an under-resourced country.

A survey of non-communicable diseases and their risk factors among university employees: a single institutional study.

SummaryBackgroundThe incidence of non-communicable diseases(NCDs) is rising globally, with its attendant morbidity andmortality, especially in developing countries. This study evaluatedthe prevalence of NCDs and their risk factors amongmembers of a university community.MethodsAll employees of the university were invited to the University health clinic for screening, using the World Health Organisation’s STEPwise approach to NCDs.ResultsA total of 883 (521; 59.0% males) employees with a mean age of 44 ± 10 years were studied. The median (IQR) number of NCD risk factors was three (two to three) per participant. The most common NCD risk factors were inadequate intake of fruit and vegetables (94.6%; 95% CI: 92.8–95.9), physical inactivity (77.8%; 95% CI: 74.9–80.5%) and dyslipidaemia (51.8%; 95% CI: 48.4–51.6%). Others included obesity (26.7%; 95% CI: 23.9–29.8%), alcohol use (24.0%; 95% CI: 21.3–27.0%) and cigarette smoking (2.9%; 95% CI: 2.0–4.3). Hypertension was the most common NCD (48.5%; 95% CI: 45.1–51.8%), followed by chronic kidney disease (13.6%; 95% CI: 11.4–16.1) and diabetes mellitus (8.0%; 95% CI: 6.4–10.1). There was no gender-specific difference in the prevalence of NCDs.ConclusionThis study identified that NCDs and their modifiable risk factors are highly prevalent in this community. Workplace policy to support the adoption of healthy living is needed.

Accelerating Non-Communicable Diseases Control in Bhutan: optimism and challenges

Non communicable diseases (NCDs) including cardiovascular disease, stroke, diabetes, cancer, and chronic respiratory disease, are all public health concerns in Bhutan1. NCDs contribute to more than 56% of deaths and 21% of premature mortality2. The burden of type II diabetes doubled between 2009 and 20143, newly diagnosed cancers4 and hospital admissions related to stroke are reported to be on the rise5. Urbanization and motorized transport has increased sedentary behaviors; nearly half of the Bhutanese are not achieving healthful physical activity. The pervasive consumption of excess salt reflects in a third of adults having elevated bloodpressure6. Tobacco and alcohol use – common risk factors for NCDs are highly prevalent1. Sitting on an impending NCD epidemic, the nation’s developmental progress can be impeded if timely actions are not taken.

Prevalence of risk factors for noncommunicable diseases in Jalalabad city, Afghanistan, evaluated using the WHO STEPwise approach

Noncommunicable diseases (NCDs) are a growing public health challenge. This study aimed to estimate the prevalence of common risk factors for NCDs among the adult population an urban setting in the eastern province of Nangarhar, Afghanistan. In a randomized, cluster sample survey of households the WHO STEPwise method was modified and used to collect demographic, behavioural and clinical data from 1200 adults (61% females) in Jalalabad in 2013. Blood samples were collected for biochemical testing. The prevalence of overweight/obesity, diabetes and hypertension were 57.4%, 11.4% and 24.4% respectively. Among respondents, 8.0% reported being current cigarette smokers and 13.7% used mouth snuff; 69.8% and 19.6% had < 3 servings of fruits and of vegetables respectively in a week; and 33.5% and 57.8% reported vigorous and moderate physical activity respectively. Tailored interventions on risk factors of NCDs are needed in urban areas in Afghanistan.

Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya

BackgroundThe four common non-communicable diseases (NCDs) account for 80% of NCD-related deaths worldwide. The four NCDs share four common risk factors. As most of the existing evidence on the common NCD risk factors is based on analysis of a single factor at a time, there is a need to investigate the co-occurrence of the common NCD risk factors, particularly in an urban slum setting in sub-Saharan Africa.ObjectiveTo determine the prevalence of co-occurrence of the four common NCDs risk factors among urban slum dwellers in Nairobi, Kenya.DesignThis analysis was based on the data collected as part of a cross-sectional survey to assess linkages among socio-economic status, perceived personal risk, and risk factors for cardiovascular and NCDs in a population of slum dwellers in Nairobi, Kenya, in 2008–2009. A total of 5,190 study subjects were included in the analysis. After selecting relevant variables for common NCD risk factors, we computed the prevalence of all possible combinations of the four common NCD risk factors. The analysis was disaggregated by relevant background variables.ResultsThe weighted prevalences of unhealthy diet, insufficient physical activity, harmful use of alcohol, and tobacco use were found to be 57.2, 14.4, 10.1, and 12.4%, respectively. Nearly 72% of the study participants had at least one of the four NCD risk factors. About 52% of the study population had any one of the four NCD risk factors. About one-fifth (19.8%) had co-occurrence of NCD risk factors. Close to one in six individuals (17.6%) had two NCD risk factors, while only 2.2% had three or four NCD risk factors.ConclusionsOne out of five of people in the urban slum settings of Nairobi had co-occurrence of NCD risk factors. Both comprehensive and differentiated approaches are needed for effective NCD prevention and control in these settings.

Tracking global funding for the prevention and control of noncommunicable diseases

Tracking global funding for the prevention and control of noncommunicable diseases