Risk Factors For Non-communicable Diseases Research Articles

Non-consumption of Meat and Health Status in Italy: 2013-2016 Snapshot

Background: A large number of individuals around the world consider themselves to be vegetarians for many individual reasons, and the vegetarian diet appears very heterogeneous. The prevalence of vegetarianism varies widely around the world. Objective: This paper examined the variables associated with the non-consumption of meat and valued trends in the plant-based diet among Italian adults in relation to the level of self-perceived health in this category of people in 4 years (2013-2016). Method: Data were drawn from the survey “Aspects of daily life” conducted by the ISTAT (Istituto Nazionale di Statistica). We considered the data of the 2013-2016 editions to evaluate the trend and attitude of the Italian population towards the non-consumption of meat during 4 years and assessed trends in the plant-based diet among Italian adults in relation to the level of self-perceived health. Results: The results showed an increasing trend from 2013 to 2016. In statistical analysis, vegetarian status was associated to under the age of 45, having a high level of education, being mainly separated or divorced, being resident in the North-West regions, and with a poor self-perceived state of health. Furthermore, vegetarians had shown healthier lifestyles and lower risk factors for non-communicable diseases than non-vegetarians. Conclusion: The results suggest that despite perceiving a worse health status, the long-term health of vegetarians is good and may be better than that of comparable non-vegetarians for some conditions and diseases, such as Obesity and IHD. As for all types of diet, well-designed health educational interventions conveying information on correct eating behavior may significantly contribute to increasing the degree of perceived health. conclusion: The results suggest that despite perceiving a worse health status, the long-term health of vegetarians is good, and may be better than that of comparable non-vegetarians for some conditions and diseases such as obesity and IHD. other: As for all types of diet, well-designed health educational interventions conveying information on correct eating behavior may significantly contribute to increasing the degree of perceived health.

The Effects of Physical Activity on Health-Related Quality of Life Among Working Mothers Living in Amman: A Correlational Study.

Jordan has a high prevalence of physical inactivity, a major risk factor for non-communicable diseases. Working mothers are a high-risk group who face significant barriers to physical activity and experience a decline in their quality of life. This study aims to evaluate the potential impact of physical activity adherence on health-related quality of life and physical fitness among a sample of working mothers. A Correlational, retrospective analytical design, was employed among a sample of working mothers (n=120), from Amman and was divided into two comparison groups. Data collection included a self-reported questionnaire using a demographic questionnaire, a health perception scale, the International Physical Activity Questionnaire short form, the International Fitness Scale, and the Quality of Life Brief questionnaire. The statistical analysis was independent t-test analysis, analysis of variance (One-way ANOVA), Pearson r correlation and regression used to estimate the prediction of dependent variables based on independent variables. The results found a significant positive relationship between physical activity and overall quality of life and its domains (physical, psychological, and environmental); however, there was no statistically significant difference in the social domain. Adherence to physical activity was a significant positive predictor of quality of life. Moreover, the health perception level was a significant positive predictor. A t-test revealed a statistically significant difference between the physically active group and a sedentary group of working mothers regarding changes in Health-Related Quality of Life; physically active mothers are more likely to have better physical (p < 0.024), psychological (p < 0.001), and overall quality of life (p < 0.011). Furthermore, Physical fitness significantly predicted physical activity in the study results. This study confirms the existence of positive correlations between physical activity and working women's quality of life and physical fitness. Mothers with higher levels of physical activity are more likely to have better physical, psychological, and environmental domains of quality of life and better physical fitness.

Prevalence and factors associated with overweight in children under 5 years in West African countries.

Overweight is a risk factor for non-communicable diseases and is affecting an increasing number of children worldwide. The objective of this study was to measure the prevalence and related factors to overweight among children under 5 years in five West African countries. This study was a secondary analysis of nationally representative cross-sectional data. These data were drawn from Demographic and Health Surveys (DHS) from five countries in the West African region (Benin, Guinea, Mali, Nigeria, and Togo) from 2015 to 2018.Continuous quantitative data were categorized and all analyses were weighted according to the probability that each participant was selected in the sample. Children under 5 years of age were the study population. Multilevel logistic regression was used with Stata 16.0 software. The total sample size for the analysis was 38,657 children. The pooled prevalence of overweight among children under 5 years of age in the five countries was 3%. Guinea had the highest prevalence (6%) compared to the other countries, which had a prevalence of 2%. The likelihood of being overweight was higher among children aged 0-6 months (adjusted odds ratio [AOR] = 3.09; 95% confidence interval [CI] [2.41-3.95]), who had a high birth height (AOR = 1.64; 95% CI [1.29-2.09]), whose mothers were overweight (AOR = 1.35; 95% CI [1.09-1.68]), who lived in households with fewer than five members (AOR = 1.19; 95% CI [1.00-1.46]), or who lived in Guinea (AOR = 2.79; 95% CI [1.62-4.79]). This study showed that overweight concerns few children under 5 years of age in West Africa. However, it does exist, and its prevalence could likely increase if its modifiable factors (maternal overweight, household size, and height at birth) are not taken into account in nutritional interventions.

Prevalence and gender disparities of type 2 diabetes mellitus and obesity in Esmeraldas, Ecuador: a population-based survey in a hard-to-reach setting

BackgroundType 2 Diabetes (T2DM) prevalence is increasing in low- and middle-income countries along with high levels of obesity which vary according to socioeconomic and contextual characteristics. We aim to estimate the prevalence of T2DM and obesity in men and women in a hard-to-reach rural area in northern Ecuador considering socio-demographic characteristics.MethodsCross-sectional descriptive study based on a population-based survey in the Eloy Alfaro health district of Esmeraldas between October 2020 and January 2022. We collected sociodemographic information and risk factors for non-communicable diseases with an adapted version of the STEPS survey, performed oral glucose tolerance tests, biochemistry and took physical measurements. We estimated the prevalence of T2DM, obesity, and calculated Odds Ratios (OR) with confidence intervals by logistic regression in Stata v.15.ResultsThe overall prevalence of T2DM was 6.8% (CI95%: 4.9–8.7), markedly higher among women compared to men (10.4%, CI95% 7.3–13.4%, compared 2.0%, CI95% 0.4–3.7% respectively). The risk of having T2DM in women was 5 times higher than in men adjusting for age, ethnicity, employment, household earnings and obesity (OR: 5.03; 95%CI: 1.68–15.01). Regarding age, the risk of T2DM increased by 6% per year (adjusted OR: 1.06; 95%CI: 1.03–1.08). Obesity prevalence was 30.8% (CI95%: 27.3–34.3), in women was nearly three times higher than in men (43.2% CI95%: 38.2–48.2, compared to 14.7% prevalence, CI95%: 10.6–18.8). Indigenous women had a lower prevalence of obesity compared with the Afro-Ecuadorian women (OR: 0.05; 95%CI: 0.02–0.18) after adjusting for age, employment status, household earnings and setting.ConclusionWe found alarming differences between the prevalence of T2DM and obesity in women and men that may be explained by gender roles, exacerbated in the rural context. Health promotion measures with a gender perspective should be adapted according to the characteristics of isolated rural contexts.

Distribution of Lifestyle Risk Factors and Biophysical/Biochemical Parameters Related to NCD Prevention Among Nurses in Selected Government Hospitals of Chandigarh, India (2020–2022): A Multicentered Cross-sectional Study

Background Non-communicable diseases (NCDs) have a high prevalence among nurses. Among healthcare professionals, disturbed circadian and long working hours lead to physical and mental exertion resulting in health issues such as hypertension, diabetes mellitus, cancer, cerebrovascular diseases, and other NCDs. It is important to assess awareness, preventive measures, and screening strategies related to NCDs among nurses. Objectives To assess the lifestyle risk factors and biophysical/biochemical parameters related to NCD prevention among nurses working in various units of selected government hospitals of Chandigarh, India. Methods Using a simple random sampling technique, a multicentered cross-sectional study was conducted among 137 nursing officers who consented and worked in various units of three government hospitals of Chandigarh, India. Ethical clearance obtained from IEC of enrolled institutes. Data collection methods included self-report, biophysiological assessment, and previous records. A knowledge questionnaire was used to assess the knowledge, Kompan dietary scale for diet, perceived stress scale for stress, Jenkins sleep questionnaire for sleep, and global physical activity questionnaire (GPAQ) were used for physical activity. Weighing/height scale for BMI and measuring tape for waist–hip ratio, Vernier caliper for triceps skinfold thickness, and sphygmomanometer for BP, and appropriate calibrated tools for biochemical parameters were used. Results Almost half of the participants had average and poor knowledge (41.60% and 43.79%) but few had good knowledge (14.59%). The majority of participants had a good attitude towards NCDs (71.53%). Most of the participants were having low pro-healthy diet index (75.9%) and the majority were having non-healthy diet index (94.1%); this indicates that participants had less intake of non-healthy food but the intake of pro-healthy food was also low. The majority had little sleep disturbances (91.97%) as per Jenkins sleep questionnaire and almost everyone had a moderate stress level (97.08%) as per the perceived stress scale. Maximum nurses were in the pre-obese category according to BMI. Almost half (40%) were on the moderate risk of NCDs as per waist–hip ratio. More than 80% having high triceps skinfold thickness. Maximum nurses were having normal blood pressure measurements. The majority were having borderline biochemical parameters but normal blood sugar levels. Conclusion The majority of participants had average knowledge and a good attitude regarding NCDs. The prevalent risk factors of NCD identified among nurses were less intake of healthy food, lack of sleep, moderate stress level, pre-obese, increased waist–hip ratio, and increased triceps skinfold thickness. Hence, nurses need to take adequate measures to control their risk factors aiming for long-term prevention of NCD.

Workout Logging Through an mHealth App for Weight Reduction Among Different Generations: Secondary Analysis of the MED PSU×ThaiSook Healthier Challenge.

Being overweight or obese presents a major risk factor for noncommunicable diseases (NCDs) such as cardiovascular disease, diabetes, and musculoskeletal disorders. These problems are preventable and solvable via weight reduction and increased physical activity and exercise. The number of adults who are overweight or affected by obesity has tripled in the last 4 decades. Using mobile health (mHealth) apps can help users with health issues, including reducing their weight by restricting their daily calorie intake, which can be recorded along with other parameters, such as physical activity and exercise. These features could further enhance health and prevent NCDs. ThaiSook, a ThaimHealth app developed by the National Science and Technology Development Agency, aims to promote healthy lifestyles and reduce the risk behaviors of NCDs. This study aimed to determine whetherThaiSookusers were successful in 1-month weight reduction and identify which demographic factors or logging functions were associated with significant weight reduction. A secondary data analysis was performed using data collected from the "MEDPSU×ThaiSook Healthier Challenge," a month-long challenge to encourage a healthy lifestyle. We enrolled 376 participants to evaluate the study outcomes. The variables, comprising demographic characteristics (ie, sex, generation, group size, and BMI), were classified into 4 groups: normal (18.5-22.9 kg/m2), overweight (23-24.9 kg/m2), obese I (25-29.9 kg/m2), and obese II (BMI ≥30 kg/m2). Logging functions (ie, water, fruit and vegetables, sleep, workout, step, and run) were classified into 2 groups: consistent (≥80%) and inconsistent (<80%) users. Weight reduction was categorized into 3 groups: no weight reduction, slight weight reduction (0%-3%), and significant weight reduction (>3%). Of 376 participants, most were female (n=346, 92%), had normal BMI (n=178, 47.3%), belonged to Generation Y (n=147, 46.7%), and had a medium group size (6-10 members; n=250, 66.5%). The results showed that 56 (14.9%) participants had 1-month significant weight loss, and the median weight reduction of the group was -3.85% (IQR -3.40% to -4.50%). Most participants (264/376, 70.2%) experienced weight loss, with an overall median weight loss of -1.08% (IQR -2.40% to 0.00%). The factors associated with significant weight reduction were consistently logging workouts (adjusted odds ratio [AOR] 1.69, 95% CI 1.07-2.68), being Generation Z (AOR 3.06, 95% CI 1.01-9.33), and being overweight or being obese compared to those with normal BMI (AOR 2.66, 95% CI 1.41-5.07; AOR 1.76, 95% CI 1.08-2.87, respectively). More than half of the "MEDPSU×ThaiSook Healthier Challenge" participants achieved a slight weight reduction, and 14.9% (56/376) of users lost significant weight. Factors including workout logging, being Generation Z, being overweight, and being obese were associated with significant weight reduction.

English

Risk factors for non-communicable diseases pose a huge burden among adolescents. This study used a qualitative approach to assess the knowledge and factors associated with non-communicable disease risk factors among adolescents in Jos North Local Government Area, Plateau State. Four focus group discussions were conducted, with sixteen (eight males and eight females) in-school and out-of-school adolescents, each selected purposively. Qualitative data were analyzed using thematic content analysis. Most adolescents mentioned peer pressure and habits of parents and siblings as factors associated with smoking and alcohol use. The high cost of fruits and poverty were cited as the reasons for not consuming the required servings of fruits and vegetables. Some respondents cited a lack of awareness of the type of physical activity, and time-wasting effort as reasons for physical inactivity. Reasons for engaging in a lot of screen time included idleness and internet availability. A few respondents cited having family members who were overweight or obese as a reason for being overweight/obese. Some respondents cited overthinking, excess salt consumption, smoking, and alcohol consumption as a factor associated with hypertension. Key words: Non-communicable diseases, risk factors, determinants, adolescents, Nigeria.

Obesity and hypertension in children and adolescents: a narrative review

One of the major public health problems today is overweight. Obesity is already known to be an important risk factor for several chronic noncommunicable diseases, which are allocated among endocrine-metabolic diseases, cardiovascular diseases, and neoplasms¹. The World Health Organization released in its World Obesity Report 2022 a projection in which it estimates that by 2030 the world will go through an obesity epidemic and Brazil will have 7.7 million obese children, and it also estimates that about 23% of children aged 5 to 9 years and 18% of adolescents aged 10 to 19 years will be affected by this disease. Regarding cardiovascular diseases, arterial hypertension also constitutes one of the most important risk factors that induce these conditions. Currently, with the mandatory measurement of BP starting at three years of age or even earlier in the presence of risk factors for children, there is an increase in blood pressure levels in the pediatric age group, raising a warning sign for global health, since it can be a marker of the onset of target organ damage. Overweight is a significant predictor of high BP in this population, besides obesity being a known important risk factor for the acquisition of cardiovascular diseases.

The MILLET MISSION: The potential to combat non-communicable diseases and future research opportunities in India

NCD Burden and the role of nutritionChronic diseases, often known as non-communicable diseases (NCDs), pose a significant threat to worldwide public health. As per World Health Organisation (WHO), NCDs account for 74% of all fatalities worldwide, with cardiovascular disease, cancer, respiratory disease, and diabetes being the leading causes.[1] Inadequate nutrition, including diets heavy in sugar, salt, saturated and trans fats, and deficient in fruits, vegetables, whole grains, and lean protein sources, is a significant risk factor for NCDs. The World Health Organization suggests a diet rich in fruits, vegetables, whole grains, nuts, and seeds and low in processed foods, sugar, saturated and trans fats.[2]

Effect of Yoga and Naturopathy Treatments on Psychological Burden in Obesity: A Single Case Report

Obesity is defined as abnormal or excessive fat accumulation in the body and is a major risk factor for various noncommunicable diseases (NCDs), such as diabetes mellitus, cardiovascular diseases, hypertension, and hyperlipidemia. According to the World Health Organization, more than 1 billion people worldwide are obese—650 million adults, 340 million adolescents, and 39 million children. The often ignored component of obesity is the psychological burden associated with the condition impacting multiple aspects such as low self-esteem, depression, and anxiety. This case report shows the effect of an integrated yoga and naturopathy-based lifestyle in a patient with morbid obesity, with special reference to his psychological status. A 19-year-old male college student diagnosed with obesity underwent integrated yoga and naturopathy management for a period of 20 days. Outcome measures such as anthropometric measurements, positive and negative affects scale (PANAS), depression, anxiety, and stress scale (DASS), and day-to-day activity scale were taken before and after the 20-day intervention period. Results showed improvements in negative affect, depression, and anxiety levels, along with a reduction in body weight. Further studies with adequate sample sizes and experimental study designs are required to validate our findings.

Trends and regional variations in chronic diseases and their risk factors in China: an observational study based on National Health Service Surveys

BackgroundOver the past 25 years, the spectrum of diseases in China has rapidly changed from infectious to non-communicable diseases (NCDs). This study aimed to identify the prevalence of chronic diseases over the past 25 years in China and estimate the trends and changes in risk factors related to NCDs.MethodsWe conducted a descriptive analysis based on the National Health Service Survey (NHSS) from 1993 to 2018. The survey year (in parentheses) and its respective number of respondents were (1993) 215,163; (1998) 216,101; (2003) 193,689; (2008) 177,501; (2013) 273,688; and (2018) 256,304. In each survey, approximately half the participants were male. In addition, we estimated the trends in the prevalence and risk factors of NCDs from 1993 to 2018 and described their coefficient of variation in the provisions.ResultsThe prevalence of NCDs has risen rapidly, from 17.0% in 1993 to 34.3% 2018. Hypertension and diabetes were the two main NCDs accounting for 53.3% in 2018. Similarly, the prevalence of hypertension and diabetes have also increased rapidly, increasing 15.1 and 27.0 times respectively from 1993 to 2018. Moreover, from 1993 to 2018, the proportion of smoking decreased from 32.0% to 24.7%, and the proportion of drinking and physical activity increased from 18.4% and 8.0% to 27.6% and 49.9%, respectively. The proportion of obesity increased from 5.4% in 2013 to 9.5% in 2018. The prevalence of NCDs in rural areas (35.2%) in 2018 was slightly higher than that in urban areas (33.5%). Changes in the prevalence of NCDs in rural were larger than those in urban. However, from 2013 to 2018, the provincial gaps for these metrics narrowed, except for that of smoking (Coefficient of Variation from 0.14 to 0.16).ConclusionsThe prevalence of NCDs increased rapidly in China and was similar in urban and rural areas in 2018. Two key risk factors (drinking and obesity) increased in prevalence, while the other two (smoking and physical inactivity) decreased. These results indicate that China is facing considerable challenges in curbing chronic diseases to achieve the United Nations Sustainable Development Goals or the Healthy China 2030 goals. The government should take more active measures to change unhealthy lifestyles, improve efficiency in risk factor management, and pay more attention and allocate more health resources to rural areas.

Association of metabolic syndrome and insulin resistance in papulosquamous diseases

Background: Metabolic syndrome (MetS), insulin resistance (IR) and papulosquamous diseases with shared pathophysiology leads to conglomeration of risk factors of non-communicable diseases like cardiovascular disease (CVD) and type 2 diabetes (T2D) causing high mortality worldwide. The objective is to study the association of MetS and IR in papulosquamous diseases. Methods: It is a hospital-based case-control study conducted on 200 age-sex matched cases and controls with consent. Subjects were administered a pre-validated questionnaire, diagnosis of papulosquamous diseases was based on clinical examination and skin biopsy. MetS was diagnosed based on national cholesterol education program's- adult treatment plan iii with Asian modification for abdominal circumference criteria. Fasting serum insulin levels (FI) was used as a surrogate marker of IR. Results: Mean serum HDL- C level was low and statistically significant (p=0.017). Mean fasting plasma glucose level was significantly higher in patients (p=0.008). Mean FI level was significant between cases and controls (p=0.013). IR was found in 76% of cases which was significantly higher than in controls (p&lt;0.05). IR was highest in psoriasis 29% followed by LP 22%, PRP 19%, and LS 6% which was statistically significant (p&lt;0.05). MetS was mostly found in psoriasis (17%), LP (9%) and least in PRP, LS. Conclusions: This study intends clinicians to do periodic MetS and IR evaluation in papulosquamous diseases. Thus, subclinical cases of non-communicable diseases can be detected and potential co-morbidities can be prevented.

Mediterranean diet and psychological well-being intervention to reverse metabolic syndrome in Chile (CHILEMED trial)

Psychosocial status and lifestyle are key risk factors of non-communicable diseases (NCDs), which, in turn, are main drivers of healthcare costs and morbimortality worldwide, including Chile. Mediterranean diet (MedDiet) is one of the healthiest dietary patterns under study. However, its impact on high-risk conditions, such as metabolic syndrome (MetS), and NCDs outside the Mediterranean Basin remains mostly unexplored. Even though Central Chile has an environment, food production, and culinary traditions comparable to those present in Mediterranean countries, few studies -some with significant methodological limitations- have evaluated the effect of MedDiet on health and/or disease in Chilean subjects. Importantly, a Mediterranean lifestyle is a modus vivendi that integrates physical health with mental and social well-being. Psychological well-being (PWB) is associated with healthy behaviors, positive health outcomes, and longevity, thereby emerging as a novel healthcare goal. We report here an ongoing randomized controlled clinical trial in Chilean patients with MetS seeking to test whether (1) a PWB theory-based intervention facilitates induction to and increases long-term adherence to a locally adapted MedDiet, and (2) a MedDiet intervention -implemented alone or combined with well-being promotion- is more effective at reversing MetS compared to individuals following a low-fat diet without psychological support. The CHILEan MEDiterranean (CHILEMED) diet intervention study is a 1-year trial including patients with MetS living in Chile. Participants will be assigned randomly by a computer-generated random number sequence to one of the three intervention arms: a) low-fat diet as control group, b) MedDiet alone, and c) MedDiet plus well-being support. Patients will be followed-up by individual and/or group online nutritional sessions or phone cal as well as 6- and 12-month in-person re-assessment of medical history, medication use, food intake, PWB, anthropometrics/physical exam, and blood collection for laboratory analysis. The primary outcome of the trial will be the effect of the MedDiet -with or without PWB intervention- on overall reversal of MetS compared to low-fat diet alone. Based on a statistical superiority trial, expected impact, and patient loss, the estimated study sample is 339 subjects (113 individuals per arm in 3 equal-sized groups). Currently, we have enrolled 179 patients, predominantly women, evenly distributed by age (group means ranging from 45.7 to 48,9 years-old), 3/4 are obese with almost all of them showing abdominal obesity, 70% are hypertensive, whereas <10% exhibit diabetes. If findings turn out as expected (e.g., MedDiet -with or without PWB intervention- is better than the low-fat diet for reversion of MetS at 1-year follow-up), CHILEMED will provide further beneficial evidence of the MedDiet on NCD risk conditions beyond the Mediterranean region.

Secular trend of non-communicable chronic disease prevalence throughout the life span who endured Chinese Great Famine (1959–1961)

BackgroundFamine is a risk factor for non-communicable chronic diseases (NCDs), which account for over 80% of deaths in China. The effect of famine on the prevalence of NCDs in terms of various age groups, time periods and cohorts is currently poorly understood.ObjectiveThis study aims to explore long-term trends in the impact of China’s Great Famine (1959–1961) on NCDs in China.MethodsThis study used data from the 2010–2020 China Family Panel Longitudinal Survey across 25 provinces in China. The subjects were aged 18–85 years, and the total number of subjects was 174,894. The prevalence of NCDs was derived from the China Family Panel Studies database (CFPS). An age-period-cohort (APC) model was used to estimate the age, period and cohort effects of NCDs in 2010–2020 and the effect of famine on the risk of NCDs in terms of cohort effects.ResultsThe prevalence of NCDs increased with age. Additionally, the prevalence did not clearly decrease over the survey period. Regarding the cohort effect, people born in the years adjacent to the famine period had a higher risk of NCDs; additionally, females, those born in rural areas, and those who lived in provinces with severe famine and post-famine had a higher likelihood of NCDs.ConclusionsExperiencing famine at an early age or the experience of famine in a close relative’s generation (births after the onset of famine) are associated with an increased risk of NCDs. Additionally, more severe famine is associated with a higher risk of NCDs.

The Analysis of the Content of Tobacco Control Policymaking and Legislation in Iran and Providing Policy Solutions

Background. Tobacco use is the fifth risk factor for non-communicable diseases in Iran. This study aimed to analyze the policies and measures of tobacco control in Iran in the last four decades (1983-2021). Methods. The present study is a retrospective policy analysis that used a case study plan based on the Walt and Gilson triangle policy analysis framework to examine the content of tobacco control policies in Iran. Data were collected using tobacco use policies and legal documents and analyzed using documentary analysis. MAXQDA 11 software was used to categorize and analyze the findings. Results. The policies include setting prices and taxes on tobacco to reduce demand; protecting the public from second-hand smoke; controlling the composition of tobacco products; setting regulations on the disclosure of information about tobacco packaging and labeling; educating the public about the dangers of tobacco use; advertising, promotion, and financial support of tobacco; setting measures to encourage smoking cessation and reduce the demand and dependence on tobacco; banning illegal tobacco product trading; banning youngsters from tobacco trading; financially supporting the practical alternatives such as economic activities and research; setting monitoring and evaluation systems; and enhancing the exchange of information. Conclusion. Strengthening the government's tobacco control capacity and formulating a clear and coherent national tobacco control strategy and roadmap, including a mechanism for practical cross-sectoral cooperation between different actors, can reduce conflicts of interest between the actors involved and determine the country's current and future tobacco control policies.

Major Risk Factors for noncommunicable Diseases During Covid 19 Lock down: A Systematic Review.

Major Risk Factors for noncommunicable Diseases During Covid 19 Lock down: A Systematic Review.

TRAINING FOR HEALTH CADRES IN CONTROLLING RISK FACTORS FOR NON-COMMUNICABLE DISEASES AS AN EFFORT TO REALIZE A HEALTHY PRODUCTIVE AGE

The significant increase in the incidence of Non-Communicable Diseases and progressive diseases makes the burden increase for the community and the government, as a result, the handling of the disease takes a long time, and the cost of treatment is large, causing individuals to become unproductive or less productive and the highest cause of death. Non-communicable diseases can be prevented by controlling risk factors. This service activity has the aim of increasing the knowledge and skills of health cadres in controlling non-communicable disease risk factors in an effort to realize a healthy productive age. Community service activities are carried out in the area of RW 05, Wonokromo Village, Surabaya City. The method of carrying out activities uses a participatory approach by way of lectures, discussions, brainstorming, and direct demonstrations to increase the knowledge of cadres in non-pharmacological therapy in the prevention of PTM. This activity was held in June-July 2022 and was attended by 15 cadres. The results of the evaluation of the training activities obtained an increase in knowledge and skills as indicated by the pretest results of 60% increasing to 80% posttest results and an increase in good cracks where cadres can check blood pressure, temperature measurement, height measurement, weight measurement, abdominal circumference, check blood sugar, uric acid, and check cholesterol independently and in accordance with standard operating procedures and most of the cadres are able to provide counseling to residents, so that it is hoped that this will reduce the incidence of non-communicable diseases and maintain the health status of residents in their target areas.

Trends in food supply, diet, and the risk of non-communicable diseases in three Small Island Developing States: implications for policy and research

IntroductionSmall island developing states (SIDS) are a diverse group of coastal and tropical island countries primarily located in the Caribbean and Pacific. SIDS share unique social, economic, and environmental vulnerabilities, high dependency on food imports, and susceptibility to inadequate, unhealthy diets, with high burdens of two or more types of malnutrition. Our objective was to examine trends in food availability, imports, local production, and risks of non-communicable diseases (NCDs) in three SIDS: Haiti, Saint Vincent and the Grenadines (SVG) and Fiji.MethodsData on food availability, imports, exports, and production was extracted from the Food and Agriculture Organization Database (FAOSTAT), and on overweight, obesity and diabetes prevalence from the NCD Risk Factor Collaboration database (NCD-RisC) from 1980 to 2018. Data were collated, graphed, and used to calculate import dependency ratios (IDRs) using Excel and R software.ResultsBetween 1980 and 2018, the availability of calories per capita per day has risen in Fiji and SVG by over 500, to around 3000. In Haiti, the increase is around 200, to a level of 2,200 in 2018, and in all three settings, &amp;gt; 10% of calories in 2018 came from sugar. In Fiji and Haiti, the availability of fruit and vegetables is &amp;lt;400 g per person per day (the minimum intake recommended by WHO). Between 1980 and 2010, both Fiji and SVG experienced high IDRs: around 80% (Fiji) and 65% (SVG). In Haiti, IDR has more than doubled since 1980, to around 30%. The prevalence of obesity (BMI &amp;gt; 30 Kg/m2) has increased since 1980 (by 126% to 800%) and is substantially higher in women. In the most recent data for Fiji, an estimated 35% of women are obese (24% men); in SVG, 30% women (15% men); and in Haiti, 26% women (15% men).ConclusionThe increase in per capita availability of calories, which has taken place since 1980, is concurrent with an increase in IDR, a loss of local food, and increases in obesity prevalence. These findings highlight the importance of further research to understand the drivers of food supply transformations, and to influence improving nutrition, through production, availability, and consumption of nutritious local foods.

Prevalence and determinants of non-communicable diseases risk factors among reproductive-aged women: Findings from a nationwide survey in Bangladesh.

Knowing the risk factors like smoking status, overweight/obesity, and hypertension among women of reproductive age could allow the development of an effective strategy for reducing the burden of non-noncommunicable diseases. We sought to determine the prevalence and determinants of smoking status, overweight/obesity, hypertension, and cluster of these non-noncommunicable diseases risk factors among Bangladeshi women of reproductive age. This study utilized the Bangladesh Demographic and Health Survey (BDHS) data from 2017-2018 and analyzed 5,624 women of reproductive age (age 18-49 years). This nationally representative cross-sectional survey utilized a stratified, two-stage sample of households. Poisson regression models with robust error variance were fitted to find the adjusted prevalence ratio (APR) for smoking, overweight/obesity, hypertension, and for the clustering of non-noncommunicable diseases risk factors across demographic variables. The average age of 5,624 participants was 31 years (SD = 9.1). The prevalence of smoking, overweight/obesity, and hypertension was 9.6%, 31.6%, and 20.3%, respectively. More than one-third of the participants (34.6%) had one non-noncommunicable diseases risk factor, and 12.5% of participants had two non-noncommunicable diseases risk factors. Age, education, wealth index, and geographic location were significantly associated with smoking status, overweight/obesity, and hypertension. Women between 40-49 years had more non-noncommunicable diseases risk factors than 18-29 years aged women (APR: 2.44; 95% CI: 2.22-2.68). Women with no education (APR: 1.15; 95% CI: 1.00-1.33), married (APR: 2.32; 95% CI: 1.78-3.04), and widowed/divorced (APR: 2.14; 95% CI: 1.59-2.89) were more likely to experience multiple non-noncommunicable diseases risk factors. Individuals in the Barishal division, a coastal region (APR: 1.44; 95% CI: 1.28-1.63) were living with a higher number of risk factors for non-noncommunicable diseases than those in the Dhaka division, the capital of the country. Women who belonged to the richest wealth quintile (APR: 1.82; 95% CI: 1.60-2.07) were more likely to have the risk factors of non-noncommunicable diseases. The study showed that non-noncommunicable diseases risk factors are more prevalent among women from older age group, currently married and widowed/divorced group, and the wealthiest socio-economic group. Women with higher levels of education were more likely to engage in healthy behaviors and found to have less non-noncommunicable diseases risk factors. Overall, the prevalence and determinants of non-noncommunicable diseases risk factors among reproductive women in Bangladesh highlight the need for targeted public health interventions to increase opportunities for physical activity and reduce the use of tobacco, especially the need for immediate interventions in the coastal region.

The EAT-Lancet Commission's Planetary Health Diet Compared With the Institute for Health Metrics and Evaluation Global Burden of Disease Ecological Data Analysis.

Background This article aimed to compare the EAT-Lancet Commission's "Planetary Health Diet" (PHD) with the Institute for Health Metrics and Evaluation (IHME) Global Burden of Disease Study 1990-2017 (GBD2017) dietary and other risk factor data. In the PHD/GBD comparison, we also intended to show the relevance of a new multiple regression analysis methodology with dietary and non-dietary risk factors (independent variables) for noncommunicable disease (NCD) deaths/100000/year in males and females 15-69 years old from 1990 to 2017 (NCDs, dependent variable). Methods We formatted worldwide GBD2017 dietary risk factors and NCDdata on 1120 worldwide cohorts to obtain 7846 population-weighted cohorts. Each cohort represented about one million people, totaling about 7.8 billion people from 195 countries. With an empirically derived methodology, we compared the PHD animal- and plant-sourced food recommended ranges (kilocalories/day=KC/d) with optimal dietary ranges (KC/d) from GBD cohort data. Using GBD data subsets with low and high animal food consumption cohorts, our new GBD multiple regression formula derivation methodology equated risk factor formula coefficients to their population-attributable risk percents (PAR%s). Results We contrasted PHD recommendations for the available 14 dietary risk factors (KC/dmeans and ranges) with our GBD analysis methodology's optimal ranges for each dietary variable (KC/dmean and range): PHD beef, lamb, and pork mean: 30 KC/d(range: 0-60 KC/d)/GBD processed meat: 8.86 (1.69-16.03)+GBD red meat: 44.52 (20.37-68.68), PHD fish: 40 (0-143)/GBD: 19.68 (3.45-35.90), PHD whole milk or equivalents: 153 (0-306)/GBD: 40.00 (18.89-61.11), PHD poultry: 62 (0-124)/GBD: 56.10 (24.13-88.07), PHD eggs: 19 (0-37)/GBD: 19.42 (9.99-28.86), PHD: saturated oils 96 (0-96)/GBD added saturated fatty acids (SFA): 116.55 (104.04-129.07), PHD all added sugars: 120 (0-120)/GBD sugary beverages: 286.37 (256.99-315.76), PHD tubers or starchy vegetables: 39 (0-78)/GBD potatoes: 84.16 (75.75-92.58)+GBD sweet potatoes: 9.21 (4.05-14.37), PHD fruits: 126 (63-189)/GBD: 63.03 (21.61-113.71), PHD vegetables: 78.32 (9.48-196.14)/GBD: 85.05 (66.75-103.36), PHD nuts: 291 (0-437)/GBD nuts and seeds: 10.97 (5.95-15.98), PHD whole grains: 811 (811/811)/GBD: 56.14 (50.53-61.76), PHD legumes: 284 (0-379)/GBD: 59.93 (45.43-74.43), and total animal foodPHD: (0/400)/GBD: 329.84 (212.49-447.19). Multiple regression low and high animal foodsubsets' (animal foods mean=147.09 KC/d versus animal foods mean=482.00 KC/d) formulas each with 28dietary and non-dietary risk factors (independent variables) accounted for 52.53% and 28.83% of their respective total formula PAR%s with NCDs (dependent variable). Conclusions GBD data modeling supported many but not all the PHD dietary recommendations. GBD data suggested that the amount of consumption of animal foods was the dominant determinate of NCDs of countries globally. Adding to the univariate associations, multiple regression risk factor formulas with risk factor coefficients equated to their PAR%s further elucidated dietary influences on NCDs. This paper and the soon-to-be-released IHME GBD2021 (1990-2021) data should help inform the EAT-Lancet 2.0 Commission's work.