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Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis

Unhealthy dietary habits and physical inactivity are major risk factors of non-communicable diseases (NCDs) globally. The objective of this paper was to describe the role of dietary practices and physical activity in the interaction of the social determinants of NCDs in Nepal, a developing economy....

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Autores principales: Sharma, Sudesh, Matheson, Anna, Lambrick, Danielle, Faulkner, James, Lounsbury, David W., Vaidya, Abhinav, Page, Rachel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901760/
https://www.ncbi.nlm.nih.gov/pubmed/36745612
http://dx.doi.org/10.1371/journal.pone.0281355
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author Sharma, Sudesh
Matheson, Anna
Lambrick, Danielle
Faulkner, James
Lounsbury, David W.
Vaidya, Abhinav
Page, Rachel
author_facet Sharma, Sudesh
Matheson, Anna
Lambrick, Danielle
Faulkner, James
Lounsbury, David W.
Vaidya, Abhinav
Page, Rachel
author_sort Sharma, Sudesh
collection PubMed
description Unhealthy dietary habits and physical inactivity are major risk factors of non-communicable diseases (NCDs) globally. The objective of this paper was to describe the role of dietary practices and physical activity in the interaction of the social determinants of NCDs in Nepal, a developing economy. The study was a qualitative study design involving two districts in Nepal, whereby data was collected via key informant interviews (n = 63) and focus group discussions (n = 12). Thematic analysis of the qualitative data was performed, and a causal loop diagram was built to illustrate the dynamic interactions of the social determinants of NCDs based on the themes. The study also involved sense-making sessions with policy level and local stakeholders. Four key interacting themes emerged from the study describing current dietary and physical activity practices, influence of junk food, role of health system and socio-economic factors as root causes. While the current dietary and physical activity-related practices within communities were unhealthy, the broader determinants such as socio-economic circumstances and gender further fuelled such practices. The health system has potential to play a more effective role in the prevention of the behavioural and social determinants of NCDs.
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spelling pubmed-99017602023-02-07 Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis Sharma, Sudesh Matheson, Anna Lambrick, Danielle Faulkner, James Lounsbury, David W. Vaidya, Abhinav Page, Rachel PLoS One Research Article Unhealthy dietary habits and physical inactivity are major risk factors of non-communicable diseases (NCDs) globally. The objective of this paper was to describe the role of dietary practices and physical activity in the interaction of the social determinants of NCDs in Nepal, a developing economy. The study was a qualitative study design involving two districts in Nepal, whereby data was collected via key informant interviews (n = 63) and focus group discussions (n = 12). Thematic analysis of the qualitative data was performed, and a causal loop diagram was built to illustrate the dynamic interactions of the social determinants of NCDs based on the themes. The study also involved sense-making sessions with policy level and local stakeholders. Four key interacting themes emerged from the study describing current dietary and physical activity practices, influence of junk food, role of health system and socio-economic factors as root causes. While the current dietary and physical activity-related practices within communities were unhealthy, the broader determinants such as socio-economic circumstances and gender further fuelled such practices. The health system has potential to play a more effective role in the prevention of the behavioural and social determinants of NCDs. Public Library of Science 2023-02-06 /pmc/articles/PMC9901760/ /pubmed/36745612 http://dx.doi.org/10.1371/journal.pone.0281355 Text en © 2023 Sharma et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://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
Sharma, Sudesh
Matheson, Anna
Lambrick, Danielle
Faulkner, James
Lounsbury, David W.
Vaidya, Abhinav
Page, Rachel
Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title_full Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title_fullStr Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title_full_unstemmed Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title_short Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
title_sort dietary practices, physical activity and social determinants of non-communicable diseases in nepal: a systemic analysis
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9901760/
https://www.ncbi.nlm.nih.gov/pubmed/36745612
http://dx.doi.org/10.1371/journal.pone.0281355
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