Cargando…

Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey

BACKGROUND: This study describes regional differences and determinants on key noncommunicable disease (NCD) risk factors in adults from the National NCD Monitoring Survey (NNMS) across six geographic regions of India. METHODS: The NNMS was a cross-sectional multistage cluster survey conducted in 201...

Descripción completa

Detalles Bibliográficos
Autores principales: Ramamoorthy, Thilagavathi, Leburu, Sravya, Kulothungan, Vaitheeswaran, Mathur, Prashant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150326/
https://www.ncbi.nlm.nih.gov/pubmed/35637501
http://dx.doi.org/10.1186/s12889-022-13466-5
_version_ 1784717393223745536
author Ramamoorthy, Thilagavathi
Leburu, Sravya
Kulothungan, Vaitheeswaran
Mathur, Prashant
author_facet Ramamoorthy, Thilagavathi
Leburu, Sravya
Kulothungan, Vaitheeswaran
Mathur, Prashant
author_sort Ramamoorthy, Thilagavathi
collection PubMed
description BACKGROUND: This study describes regional differences and determinants on key noncommunicable disease (NCD) risk factors in adults from the National NCD Monitoring Survey (NNMS) across six geographic regions of India. METHODS: The NNMS was a cross-sectional multistage cluster survey conducted in 2017–18, on a representative sample of 300 urban and 300 rural primary sampling units (PSU) covering 20 households per PSU. One adult aged 18–69 years per household was selected using the KISH grid. Globally standard survey tools were adapted for data collection. To arrive at regional estimates, the country was divided into six regions (south, north, central, west, east and northeast) based on the distribution of a national sample. The results are presented as proportion with 95% confidence intervals (CI). Univariable and multivariable logistic regression analyses were performed to identify NCD risk factor determinants significant in the regions. A p-value < 0.05 was considered for statistical significance. RESULTS: The overall survey response rate was 96.3%. The prevalence of current tobacco (45.7%) and alcohol use (22.3%) was significantly high in the northeast region. The highest proportion of adults from northern India showed low levels of physical activity (49.6%). The prevalence of metabolic risk factors — obesity (12.5%), raised fasting blood glucose (21.2%) and raised blood pressure (35.6%) was highest in south India. The prevalence of raised blood pressure was high in north India (35.2%) similar in proportion to south India. Clustering of ≥3 risk factors (50.1%) and ten-year CVD risk of ≥30% or with existing CVD (18.1%) was highest in south India when compared to other regions. Older age, urban residents, alcohol consumption and overweight/obesity were significantly associated with higher odds of raised blood pressure and raised fasting blood glucose. CONCLUSION: The NNMS presents variations in NCD risk factors within the regions of India. It contributes to robust evidence for strengthening interventions and monitoring the progress in reducing NCDs and their associated risk factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13466-5.
format Online
Article
Text
id pubmed-9150326
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-91503262022-05-31 Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey Ramamoorthy, Thilagavathi Leburu, Sravya Kulothungan, Vaitheeswaran Mathur, Prashant BMC Public Health Research BACKGROUND: This study describes regional differences and determinants on key noncommunicable disease (NCD) risk factors in adults from the National NCD Monitoring Survey (NNMS) across six geographic regions of India. METHODS: The NNMS was a cross-sectional multistage cluster survey conducted in 2017–18, on a representative sample of 300 urban and 300 rural primary sampling units (PSU) covering 20 households per PSU. One adult aged 18–69 years per household was selected using the KISH grid. Globally standard survey tools were adapted for data collection. To arrive at regional estimates, the country was divided into six regions (south, north, central, west, east and northeast) based on the distribution of a national sample. The results are presented as proportion with 95% confidence intervals (CI). Univariable and multivariable logistic regression analyses were performed to identify NCD risk factor determinants significant in the regions. A p-value < 0.05 was considered for statistical significance. RESULTS: The overall survey response rate was 96.3%. The prevalence of current tobacco (45.7%) and alcohol use (22.3%) was significantly high in the northeast region. The highest proportion of adults from northern India showed low levels of physical activity (49.6%). The prevalence of metabolic risk factors — obesity (12.5%), raised fasting blood glucose (21.2%) and raised blood pressure (35.6%) was highest in south India. The prevalence of raised blood pressure was high in north India (35.2%) similar in proportion to south India. Clustering of ≥3 risk factors (50.1%) and ten-year CVD risk of ≥30% or with existing CVD (18.1%) was highest in south India when compared to other regions. Older age, urban residents, alcohol consumption and overweight/obesity were significantly associated with higher odds of raised blood pressure and raised fasting blood glucose. CONCLUSION: The NNMS presents variations in NCD risk factors within the regions of India. It contributes to robust evidence for strengthening interventions and monitoring the progress in reducing NCDs and their associated risk factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-13466-5. BioMed Central 2022-05-30 /pmc/articles/PMC9150326/ /pubmed/35637501 http://dx.doi.org/10.1186/s12889-022-13466-5 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ramamoorthy, Thilagavathi
Leburu, Sravya
Kulothungan, Vaitheeswaran
Mathur, Prashant
Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title_full Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title_fullStr Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title_full_unstemmed Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title_short Regional estimates of noncommunicable diseases associated risk factors among adults in India: results from National Noncommunicable Disease Monitoring Survey
title_sort regional estimates of noncommunicable diseases associated risk factors among adults in india: results from national noncommunicable disease monitoring survey
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9150326/
https://www.ncbi.nlm.nih.gov/pubmed/35637501
http://dx.doi.org/10.1186/s12889-022-13466-5
work_keys_str_mv AT ramamoorthythilagavathi regionalestimatesofnoncommunicablediseasesassociatedriskfactorsamongadultsinindiaresultsfromnationalnoncommunicablediseasemonitoringsurvey
AT leburusravya regionalestimatesofnoncommunicablediseasesassociatedriskfactorsamongadultsinindiaresultsfromnationalnoncommunicablediseasemonitoringsurvey
AT kulothunganvaitheeswaran regionalestimatesofnoncommunicablediseasesassociatedriskfactorsamongadultsinindiaresultsfromnationalnoncommunicablediseasemonitoringsurvey
AT mathurprashant regionalestimatesofnoncommunicablediseasesassociatedriskfactorsamongadultsinindiaresultsfromnationalnoncommunicablediseasemonitoringsurvey