Non-communicable diseases’ risk factors in India: a review of the current situation

Authors

  • Anjana Verma Department of Community Medicine, Geetanjali Medical College, Udaipur, Rajasthan, India
  • Ashish Patyal Neuroanaesthesia, Walton Centre, Liverpool, United Kingdom
  • Medha Mathur Department of Community Medicine, Geetanjali Medical College, Udaipur, Rajasthan, India
  • Navgeet Mathur Department of Medicine, Udaipur, Rajasthan, India
  • Shiv Virmani Geetanjali medical College, Udaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213048

Keywords:

NCD, Risk factors, Burden, India

Abstract

Non-communicable diseases (NCDs) are responsible for considerable morbidity and mortality, leading to a significant burden on the health care systems in developing countries like India. Despite heavy burden, there is no regular system of collection of good quality representative data on NCDs or their risk factors in India. The published review articles show the trends of risk factors, however only for one or few more risk factors, thereby rendering them non comprehensive. This paper examines the updated data and epidemiology of all the NCD risk factors, to provide the summary estimates of their prevalence at national level. A thorough knowledge on current status of risk factors is required to formulate the policies and programmes, so that the rising burden of NCDs can be tackled.

References

Indrayan A. Forecasting vascular disease cases and associated mortality in India. Burden of Disease in India: Background Papers. 2005:197-218. Available at: https://www.academia.edu/3432633/Commision_On_Macroeconomic_And_Health_Forecasting_Vascular_Disease_Cases_And_Associated_Mortality_In_India. Accessed on Apr 12, 2021.

Seigel KR, Patel SA, Ali MK. Non-communicable diseases in South Asia: contemporary perspectives. Br Med Bull. 2014;111:31-44.

World Health Organization. Available at: https://www.who.int/publications/i/item/9789241506236. Accessed on Apr 12, 2021.

World Health Organization. Available at: https://www.who.int/data/gho/data/themes/theme-details/GHO/body-mass-index-(bmi)?introPage=intro_3.html. Accessed on Apr 15, 2021.

Consultation WE. Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet (London, England). 2004;363(9403):157-63.

World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva. 2008;8-11. Available at: https://www.who.int/publications/i/item/9789241501491. Accessed on Apr 3, 2021.

Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766-81.

Stevens GA, Singh GM, Lu Y, Danaei G, Lin JK, Finucane MM et al. National, regional, and global trends in adult overweight and obesity prevalence. Popul Health Metrics. 2012;10(1):22

National Non-communicable Disease Monitoring Survey (NNMS). Available at: https://www.ncdir india.org/NCD.aspx. Accessed on May 12, 2021.

IIPS, National Family Health Survey (NFHS-5), 2019-20: India. Available at: http://rchiips.org/ nfhs/factsheet_NFHS-5.shtml. Accessed on Apr 4, 2021.

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP et al. Prevalence of generalized and abdominal obesity in urban and rural India-the ICMR-INDIAB Study (Phase-I) [ICMR-INDIAB-3]. The Indian j med res. 2015;142(2):139.

Rao KR, Lal N, Giridharan NV. Genetic and epigenetic approach to human obesity. Indian j med res. 2014;140(5):589.

Kshatriya GK, Acharya SK. Triple burden of obesity, undernutrition, and cardiovascular disease risk among Indian tribes. PloS one. 2016;11(1):e0147934.

Mishra D, Naorem K, Saraswathy KN. Angiotensin-converting enzyme gene insertion/deletion polymorphism and cardiometabolic risk factors: a study among Bhil tribal population from two environmental settings. Biochem Genet. 2018:1e20.

Ningombam SS, Chhungi V, Newmei MK, Rajkumari S, Devi NK, Mondal PR et al. Differential distribution and association of FTO rs9939609 gene polymorphism with obesity: a cross-sectional study among two tribal populations of India with East-Asian ancestry. Gene. 2018;647:198-204.

Das M, Bose K. Presence of high rates of overweight and obesity among adult Marwaris of Howrah, West Bengal, India. Coll Antropol. 2006;30(1):81e6.

Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon GR et al. Urban rural differences in prevalence of self-reported diabetes in India the WHO ICMR Indian NCD risk factor surveillance. Diabetes Res Clin Pract. 2008;80(1):159-68.

Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS et al. Health effects of dietary risks in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2019;11;393(10184):1958-72.

IIPS, National Family Health Survey (NFHS-4), 2015-16: India. Available at: http://rchiips.org/ NFHS/factsheet_NFHS-4.shtml. Accessed 10 Feb 2021.

Rapsomaniki E, Timmis A, George J. Blood pressure and incidence of twelve cardiovascular diseases: lifetime risks, healthy life-years lost, and agespecific associations in 1$25 million people. Lancet Lond Engl. 2014;383(9932):1899-911.

Forouzanfar MH, Liu P, Roth GA, Ng M, Biryukov S, Marczak L et al. Global burden of hypertension and systolic blood pressure of at least 110 to 115 mm Hg, 1990-2015. Jama. 2017;317(2):165-82.

Sharma KH, Sahoo S, Shah KH, Patel AK, Jadhav ND, Parmar MM. Are Gujarati Asian Indians ‘older’ for their ‘vascular age’ as compared to their ‘Chronological age’? Quarterly J Med. 2004;108(2):105-12.

Gupta R. Convergence of urban -rural prevalence of hypertension in India. J Hum Hypertens. 2015.

Whelton PK, Carey RM, Aronow WS, Casey DE, Collins KJ, Dennison Himmelfarb C et al. 2017, guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am College Cardiol. 2018;71(19):e127-248.

Ramakrishnan S, Zachariah G, Gupta K, Rao JS, Mohanan PP, Venugopal K et al. Prevalence of hypertension among Indian adults: results from the great India blood pressure survey. Indian heart j. 2019;71(4):309-13.

Muntner P, Carey RM, Gidding S, Jones DW, Taler SJ, Wright Jr JT et al. Potential US population impact of the 2017 American College of Cardiology/American Heart Association high blood pressure guideline. Circulation. 2017.

Danaei G, Lawes CMM, Vander Hoorn S, Murray CJ, Ezzati M. Global and regional mortality from ischaemic heart disease and stroke attributable to higher-than-optimum blood glucose concentration: comparative risk assessment. Lancet 2006;368:1651-9.

Abegunde DO, Mathers CD, Adam T, Ortegon M, Strong K. The burden and costs of chronic diseases in low-income and middle-income countries. Lancet. 2007;370:1929-38.

Atlas D. International diabetes federation. IDF Diabetes Atlas, 7th edn. Brussels, Belgium: International Diabetes Federation. 2015.

American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetes Care. 2010;33(1):S62-9.

Anjana RM, Deepa M, Pradeepa R, Mahanta J, Narain K, Das HK et al. Prevalence of diabetes and prediabetes in 15 states of India: results from the ICMR–INDIAB population-based cross-sectional study. Lancet Diabetes endocrinol. 2017;5(8):585-96.

World Health Organization. Available at: https://www.who.int/ncds/prevention/physical-activity/inactivity-global-health-problem/en/. Accessed on May 13, 2021.

World Health Organization: Global Physical Activity Questionnaire (GPAQ) analysis guide. Available at: http://www.who.int/chp/steps/resources/GPAQ_ Analysis_Guide.pdf. Accessed on 12.11.2013.

World Health Organization: Global strategy on diet, physical activity and health- what is moderate-intensity and vigorous-intensity physical activity? Available at: http://www.who.int/dietphysicala ctivity/physical_activity_intensity/ en/index.html. Accessed on 12.08. 2012.

James I. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III). JAMA. 2001;285(19):2486-97.

Kopin L, Lowenstein CJ. Dyslipidemia. Ann internal med. 2017;167(11):ITC81-96.

Enas EA, Dharmarajan TS, Varkey B. Consensus statement on the management of dyslipidemia in Indian subjects: A different perspective. Indian heart j. 2015;67(2):95.

Bhatnagar D. Anand IS3 Durrington PN3 Patel DJ3 Wander GS3 Mackness MI, Creed F3 Tomenson B3 Chandrashekhar Y3 Winterbotham M3 Britt RP3 Keil JE3 Sutton GC. Coronary risk factors in people from the Indian subcontinent living in West London and their siblings in India. Lancet. 1995;345:405-9.

Gupta R, Guptha S, Agrawal A, Kaul V, Gaur K, Gupta VP. Secular trends in cholesterol lipoproteins and triglycerides and prevalence of dyslipidemias in an urban Indian population. Lipids Health Disease. 2008;7(1):1-3.

Gupta R, Rao RS, Misra A, Sharma SK. Recent trends in epidemiology of dyslipidemias in India. Indian heart j. 2017;69(3):382-92.

Joshi SR, Anjana RM, Deepa M, Pradeepa R, Bhansali A, Dhandania VK, Joshi PP, Unnikrishnan R, Nirmal E, Subashini R, Madhu SV. Prevalence of dyslipidemia in urban and rural India: the ICMR-INDIAB study. PloS one. 2014;9(5):e96808.

WHO. Tobacco or health: a global status report. Geneva: World Health Organization, 1997. Available at: https://apps.who.int/iris/handle/10665/41922. Accessed on May 2, 2021.

Global adult tobacco survey. GATS. Available at: http://www.cancerindia.org.in/wp-content/uploads/ 2018/09/GATS__2_India-Report.pdf. Accessed on May 3, 2021.

World Health Organization (WHO) Global Status Report on Alcohol and Health. 2014. Available at: http://www.who.int/substance_abuse/publications/global_ alcohol report/msb_gsr_2014_1.pdf?ua=1. Accessed on 2021 May 21.

Griswold MG, Fullman N, Hawley C, Arian N, Zimsen SR, Tymeson HD et al. Alcohol use and burden for 195 countries and territories, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2018;392(10152):1015-35.

National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS). Available at: https://www.nhp.gov.in/national-programme-for-prevention-and-control-of-c_pg. Accessed on April 19, 2021.

Registrar General of India, Ministry of Home Affairs, Government of India. Census-Primary Census Abstracts. New Delhi, India. 2011.

Thakur JS, Jeet G, Nangia R, Singh D, Grover S, Lyngdoh T et al. non-communicable diseases risk factors and their determinants: A cross-sectional state-wide STEPS survey, Haryana, North India. PloS one. 2019;14(11):e0208872.

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Published

2021-07-27

How to Cite

Verma, A., Patyal, A., Mathur, M., Mathur, N., & Virmani, S. (2021). Non-communicable diseases’ risk factors in India: a review of the current situation. International Journal Of Community Medicine And Public Health, 8(8), 4094–4101. https://doi.org/10.18203/2394-6040.ijcmph20213048

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Section

Review Articles