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National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population

BACKGROUND: The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18–69 years). MATERIA...

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Autores principales: Mathur, Prashant, Kulothungan, Vaitheeswaran, Leburu, Sravya, Krishnan, Anand, Chaturvedi, Himanshu Kumar, Salve, Harshal Ramesh, Amarchand, Ritvik, Nongkynrih, Baridalyne, Kumar, P. Ganesh, K. S., Vinay Urs, Ramakrishnan, Lakshmy, Laxmaiah, A., Boruah, Manjit, Kumar, Sanjeev, Patro, Binod Kumar, Raghav, Pankaja Ravi, Rajkumar, Prabu, Sarma, P. Sankara, Sharma, Rinku, Tambe, Muralidhar, Thankappan, K. R., Arlappa, N., Mahanta, Tulika Goswami, Joshi, Rajnish P., Rustagi, Neeti, Gupta, Sonia, Behera, Binod Kumar, Shelke, Sangita Chandrakant, Galhotra, Abhiruchi, Bhuyan, Pranab Jyoti, Pakhare, Abhijit P., Kumar, Dewesh, Topno, Roshan K., Gupta, Manoj Kumar, Trivedi, Atulkumar V., Garg, Suneela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924800/
https://www.ncbi.nlm.nih.gov/pubmed/33651825
http://dx.doi.org/10.1371/journal.pone.0246712
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author Mathur, Prashant
Kulothungan, Vaitheeswaran
Leburu, Sravya
Krishnan, Anand
Chaturvedi, Himanshu Kumar
Salve, Harshal Ramesh
Amarchand, Ritvik
Nongkynrih, Baridalyne
Kumar, P. Ganesh
K. S., Vinay Urs
Ramakrishnan, Lakshmy
Laxmaiah, A.
Boruah, Manjit
Kumar, Sanjeev
Patro, Binod Kumar
Raghav, Pankaja Ravi
Rajkumar, Prabu
Sarma, P. Sankara
Sharma, Rinku
Tambe, Muralidhar
Thankappan, K. R.
Arlappa, N.
Mahanta, Tulika Goswami
Joshi, Rajnish P.
Rustagi, Neeti
Gupta, Sonia
Behera, Binod Kumar
Shelke, Sangita Chandrakant
Galhotra, Abhiruchi
Bhuyan, Pranab Jyoti
Pakhare, Abhijit P.
Kumar, Dewesh
Topno, Roshan K.
Gupta, Manoj Kumar
Trivedi, Atulkumar V.
Garg, Suneela
author_facet Mathur, Prashant
Kulothungan, Vaitheeswaran
Leburu, Sravya
Krishnan, Anand
Chaturvedi, Himanshu Kumar
Salve, Harshal Ramesh
Amarchand, Ritvik
Nongkynrih, Baridalyne
Kumar, P. Ganesh
K. S., Vinay Urs
Ramakrishnan, Lakshmy
Laxmaiah, A.
Boruah, Manjit
Kumar, Sanjeev
Patro, Binod Kumar
Raghav, Pankaja Ravi
Rajkumar, Prabu
Sarma, P. Sankara
Sharma, Rinku
Tambe, Muralidhar
Thankappan, K. R.
Arlappa, N.
Mahanta, Tulika Goswami
Joshi, Rajnish P.
Rustagi, Neeti
Gupta, Sonia
Behera, Binod Kumar
Shelke, Sangita Chandrakant
Galhotra, Abhiruchi
Bhuyan, Pranab Jyoti
Pakhare, Abhijit P.
Kumar, Dewesh
Topno, Roshan K.
Gupta, Manoj Kumar
Trivedi, Atulkumar V.
Garg, Suneela
author_sort Mathur, Prashant
collection PubMed
description BACKGROUND: The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18–69 years). MATERIALS AND METHODS: NNMS was a national level cross-sectional survey conducted during 2017–18. The estimated sample size was 12,000 households from 600 primary sampling units. One adult (18–69 years) per household was selected using the World Health Organization-KISH grid. The study tools were adapted from WHO-STEPwise approach to NCD risk factor surveillance, IDSP-NCD risk factor survey and WHO-Global adult tobacco survey. Total of 8/10 indicators of adult NCD risk factors according to national NCD disease monitoring framework was studied. This survey for the first time estimated dietary intake of salt intake of population at a national level from spot urine samples. RESULTS: Total of 11139 households and 10659 adults completed the survey. Prevalence of tobacco and alcohol use was 32.8% (95% CI: 30.8–35.0) and 15.9% (95% CI: 14.2–17.7) respectively. More than one-third adults were physically inactive [41.3% (95% CI: 39.4–43.3)], majority [98.4% (95% CI: 97.8–98.8)] consumed less than 5 servings of fruits and / or vegetables per day and mean salt intake was 8 g/day (95% CI: 7.8–8.2). Proportion with raised blood pressure and raised blood glucose were 28.5% (95% CI: 27.0–30.1) and 9.3% (95% CI: 8.3–10.5) respectively. 12.8% (95% CI: 11.2–14.5) of adults (40–69 years) had ten-year CVD risk of ≥30% or with existing CVD. CONCLUSION: NNMS was the first comprehensive national survey providing relevant data to assess India’s progress towards targets in National NCD monitoring framework and NCD Action Plan. Established methodology and findings from survey would contribute to plan future state-based surveys and also frame policies for prevention and control of NCDs.
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spelling pubmed-79248002021-03-10 National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population Mathur, Prashant Kulothungan, Vaitheeswaran Leburu, Sravya Krishnan, Anand Chaturvedi, Himanshu Kumar Salve, Harshal Ramesh Amarchand, Ritvik Nongkynrih, Baridalyne Kumar, P. Ganesh K. S., Vinay Urs Ramakrishnan, Lakshmy Laxmaiah, A. Boruah, Manjit Kumar, Sanjeev Patro, Binod Kumar Raghav, Pankaja Ravi Rajkumar, Prabu Sarma, P. Sankara Sharma, Rinku Tambe, Muralidhar Thankappan, K. R. Arlappa, N. Mahanta, Tulika Goswami Joshi, Rajnish P. Rustagi, Neeti Gupta, Sonia Behera, Binod Kumar Shelke, Sangita Chandrakant Galhotra, Abhiruchi Bhuyan, Pranab Jyoti Pakhare, Abhijit P. Kumar, Dewesh Topno, Roshan K. Gupta, Manoj Kumar Trivedi, Atulkumar V. Garg, Suneela PLoS One Research Article BACKGROUND: The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18–69 years). MATERIALS AND METHODS: NNMS was a national level cross-sectional survey conducted during 2017–18. The estimated sample size was 12,000 households from 600 primary sampling units. One adult (18–69 years) per household was selected using the World Health Organization-KISH grid. The study tools were adapted from WHO-STEPwise approach to NCD risk factor surveillance, IDSP-NCD risk factor survey and WHO-Global adult tobacco survey. Total of 8/10 indicators of adult NCD risk factors according to national NCD disease monitoring framework was studied. This survey for the first time estimated dietary intake of salt intake of population at a national level from spot urine samples. RESULTS: Total of 11139 households and 10659 adults completed the survey. Prevalence of tobacco and alcohol use was 32.8% (95% CI: 30.8–35.0) and 15.9% (95% CI: 14.2–17.7) respectively. More than one-third adults were physically inactive [41.3% (95% CI: 39.4–43.3)], majority [98.4% (95% CI: 97.8–98.8)] consumed less than 5 servings of fruits and / or vegetables per day and mean salt intake was 8 g/day (95% CI: 7.8–8.2). Proportion with raised blood pressure and raised blood glucose were 28.5% (95% CI: 27.0–30.1) and 9.3% (95% CI: 8.3–10.5) respectively. 12.8% (95% CI: 11.2–14.5) of adults (40–69 years) had ten-year CVD risk of ≥30% or with existing CVD. CONCLUSION: NNMS was the first comprehensive national survey providing relevant data to assess India’s progress towards targets in National NCD monitoring framework and NCD Action Plan. Established methodology and findings from survey would contribute to plan future state-based surveys and also frame policies for prevention and control of NCDs. Public Library of Science 2021-03-02 /pmc/articles/PMC7924800/ /pubmed/33651825 http://dx.doi.org/10.1371/journal.pone.0246712 Text en © 2021 Mathur et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Mathur, Prashant
Kulothungan, Vaitheeswaran
Leburu, Sravya
Krishnan, Anand
Chaturvedi, Himanshu Kumar
Salve, Harshal Ramesh
Amarchand, Ritvik
Nongkynrih, Baridalyne
Kumar, P. Ganesh
K. S., Vinay Urs
Ramakrishnan, Lakshmy
Laxmaiah, A.
Boruah, Manjit
Kumar, Sanjeev
Patro, Binod Kumar
Raghav, Pankaja Ravi
Rajkumar, Prabu
Sarma, P. Sankara
Sharma, Rinku
Tambe, Muralidhar
Thankappan, K. R.
Arlappa, N.
Mahanta, Tulika Goswami
Joshi, Rajnish P.
Rustagi, Neeti
Gupta, Sonia
Behera, Binod Kumar
Shelke, Sangita Chandrakant
Galhotra, Abhiruchi
Bhuyan, Pranab Jyoti
Pakhare, Abhijit P.
Kumar, Dewesh
Topno, Roshan K.
Gupta, Manoj Kumar
Trivedi, Atulkumar V.
Garg, Suneela
National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title_full National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title_fullStr National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title_full_unstemmed National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title_short National noncommunicable disease monitoring survey (NNMS) in India: Estimating risk factor prevalence in adult population
title_sort national noncommunicable disease monitoring survey (nnms) in india: estimating risk factor prevalence in adult population
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924800/
https://www.ncbi.nlm.nih.gov/pubmed/33651825
http://dx.doi.org/10.1371/journal.pone.0246712
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