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Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study

OBJECTIVE: To estimate the prevalence of non-communicable disease (NCD) risk factors in Kerala. DESIGN: A community-based, cross-sectional survey. PARTICIPANTS: In 2016–2017 a multistage, cluster sample of 12 012 (aged 18–69 years) participants from all 14 districts of Kerala were studied. MAIN OUTC...

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Autores principales: Sarma, P S, Sadanandan, Rajeev, Thulaseedharan, Jissa Vinoda, Soman, Biju, Srinivasan, Kannan, Varma, R P, Nair, Manju R, Pradeepkumar, A S, Jeemon, Panniyammakal, Thankappan, K R, Kutty, Raman V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858196/
https://www.ncbi.nlm.nih.gov/pubmed/31712329
http://dx.doi.org/10.1136/bmjopen-2018-027880
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author Sarma, P S
Sadanandan, Rajeev
Thulaseedharan, Jissa Vinoda
Soman, Biju
Srinivasan, Kannan
Varma, R P
Nair, Manju R
Pradeepkumar, A S
Jeemon, Panniyammakal
Thankappan, K R
Kutty, Raman V
author_facet Sarma, P S
Sadanandan, Rajeev
Thulaseedharan, Jissa Vinoda
Soman, Biju
Srinivasan, Kannan
Varma, R P
Nair, Manju R
Pradeepkumar, A S
Jeemon, Panniyammakal
Thankappan, K R
Kutty, Raman V
author_sort Sarma, P S
collection PubMed
description OBJECTIVE: To estimate the prevalence of non-communicable disease (NCD) risk factors in Kerala. DESIGN: A community-based, cross-sectional survey. PARTICIPANTS: In 2016–2017 a multistage, cluster sample of 12 012 (aged 18–69 years) participants from all 14 districts of Kerala were studied. MAIN OUTCOME MEASURES: NCD risk factors as stipulated in the WHO’s approach to NCD risk factors surveillance were studied. Parameters that were studied included physical activity score, anthropometry, blood pressure (BP), and fasting blood glucose (FBG) and morning urine sample to estimate dietary intake of salt. RESULTS: The mean age was 42.5 years (SD=14.8). Abdominal obesity was higher in women (72.6%; 95% CI 70.7 to 74.5) compared with men (39.1%; 95% CI 36.6 to 41.7), and also higher among urban (67.4%; 95% CI 65.0 to 69.7) compared with rural (58.6%; 95% CI 56.6 to 60.5) residents. Current use of tobacco and alcohol in men was 20.3% (95% CI 18.6 to 22.1) and 28.9% (95% CI 26.5 to 31.4), respectively. The estimated daily salt intake was 6.7 g/day. The overall prevalence of raised BP was 30.4% (95% CI 29.1 to 31.7) and raised FBG was 19.2% (95% CI 18.1 to 20.3). Raised BP was higher in men (34.6%; 95% CI 32.6 to 36.7) compared with women (28%; 95% CI 26.4 to 29.4), but was not different between urban (33.1%; 95% CI 31.3 to 34.9) and rural (29.8%; 95% CI 28.3 to 31.3) residents. Only 12.4% of individuals with hypertension and 15.3% of individuals with diabetes were found to have these conditions under control. Only 13.8% of urban and 18.4% of rural residents did not have any of the seven NCD risk factors studied. CONCLUSION: Majority of the participants had more than one NCD risk factor. There was no rural–urban difference in terms of raised BP or raised FBG prevalence in Kerala. The higher rates of NCD risk factors and lower rates of hypertension and diabetes control call for concerted primary and secondary prevention strategies to address the future burden of NCDs.
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spelling pubmed-68581962019-12-03 Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study Sarma, P S Sadanandan, Rajeev Thulaseedharan, Jissa Vinoda Soman, Biju Srinivasan, Kannan Varma, R P Nair, Manju R Pradeepkumar, A S Jeemon, Panniyammakal Thankappan, K R Kutty, Raman V BMJ Open Public Health OBJECTIVE: To estimate the prevalence of non-communicable disease (NCD) risk factors in Kerala. DESIGN: A community-based, cross-sectional survey. PARTICIPANTS: In 2016–2017 a multistage, cluster sample of 12 012 (aged 18–69 years) participants from all 14 districts of Kerala were studied. MAIN OUTCOME MEASURES: NCD risk factors as stipulated in the WHO’s approach to NCD risk factors surveillance were studied. Parameters that were studied included physical activity score, anthropometry, blood pressure (BP), and fasting blood glucose (FBG) and morning urine sample to estimate dietary intake of salt. RESULTS: The mean age was 42.5 years (SD=14.8). Abdominal obesity was higher in women (72.6%; 95% CI 70.7 to 74.5) compared with men (39.1%; 95% CI 36.6 to 41.7), and also higher among urban (67.4%; 95% CI 65.0 to 69.7) compared with rural (58.6%; 95% CI 56.6 to 60.5) residents. Current use of tobacco and alcohol in men was 20.3% (95% CI 18.6 to 22.1) and 28.9% (95% CI 26.5 to 31.4), respectively. The estimated daily salt intake was 6.7 g/day. The overall prevalence of raised BP was 30.4% (95% CI 29.1 to 31.7) and raised FBG was 19.2% (95% CI 18.1 to 20.3). Raised BP was higher in men (34.6%; 95% CI 32.6 to 36.7) compared with women (28%; 95% CI 26.4 to 29.4), but was not different between urban (33.1%; 95% CI 31.3 to 34.9) and rural (29.8%; 95% CI 28.3 to 31.3) residents. Only 12.4% of individuals with hypertension and 15.3% of individuals with diabetes were found to have these conditions under control. Only 13.8% of urban and 18.4% of rural residents did not have any of the seven NCD risk factors studied. CONCLUSION: Majority of the participants had more than one NCD risk factor. There was no rural–urban difference in terms of raised BP or raised FBG prevalence in Kerala. The higher rates of NCD risk factors and lower rates of hypertension and diabetes control call for concerted primary and secondary prevention strategies to address the future burden of NCDs. BMJ Publishing Group 2019-11-10 /pmc/articles/PMC6858196/ /pubmed/31712329 http://dx.doi.org/10.1136/bmjopen-2018-027880 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Public Health
Sarma, P S
Sadanandan, Rajeev
Thulaseedharan, Jissa Vinoda
Soman, Biju
Srinivasan, Kannan
Varma, R P
Nair, Manju R
Pradeepkumar, A S
Jeemon, Panniyammakal
Thankappan, K R
Kutty, Raman V
Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title_full Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title_fullStr Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title_full_unstemmed Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title_short Prevalence of risk factors of non-communicable diseases in Kerala, India: results of a cross-sectional study
title_sort prevalence of risk factors of non-communicable diseases in kerala, india: results of a cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6858196/
https://www.ncbi.nlm.nih.gov/pubmed/31712329
http://dx.doi.org/10.1136/bmjopen-2018-027880
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