Non-communicable diseases risk factors and their determinants: A cross-sectional state-wide STEPS survey, Haryana, North India

Thakur, JS; Jeet, Gursimer; Nangia, Ria; Singh, Divya; Grover, Sandeep; Lyngdoh, Tanica; Verma, Ramesh; Aggarwal, Ramnika; Khan, Mohammad Zafar; Saran, Rajiv; Jain, Sanjay; Gupta, K. L.; Kumar, Vivek

doi:10.1371/journal.pone.0208872

Cited by 40 publications

(55 citation statements)

References 30 publications

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“…16 Nurses with appropriate training and with requisite knowledge and skills can play crucial role in the prevention, screening and management of NCDs even in the low and middle income countries. 17 However the role of nurses in population based screening for common NCDs is not much explored. Thus, the need for nurse-led screening and intervention for common NCDs was felt and the present study was undertaken Pre-experimental research design was used to conduct study.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of nurse led screening and intervention for common non communicable diseases in a peri urban community of Chandigarh

Paul

Kavita

Thakur

et al. 2020

Int J Community Med Public Health

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Background: Globally the non-communicable diseases (NCDs) are accountable for most of mortality and disability. The Lack of skilled human resources for health is one of the contributing factors for low screening coverage. Nurses plays a vital role, in the early detection and prevention of common NCDs. Objective of the study was to assess the effectiveness of nurse-led screening and intervention for common NCDs on risk factor modifications.Methods: Pre-experimental design was used in the present study. The study was done in slum area Indra colony Chandigarh. A total of 500 individuals aged ≥30 years were enrolled from 2,700 households. All the subjects were screened for hypertension, diabetes mellitus and oral cancer. However in female participants addition screening of breast, and cervical cancer was also done. WHO STEPS survey was used to assess the risk factor of common NCDs. The interventional package on risk factor modifications for prevention of common NCDs was developed and was delivered to all subjects during home visits. The follow up to assess risk factor modifications was done after one month. The primary outcome of the study was risk factor modifications and prevalence of common NCDs.Results: There was significant mean change in systolic blood pressure (0.65±6.31 mmHg), diastolic blood pressure (1.19±3.7 mmHg), body mass index (0.95±0.85 kg/m2), and waist circumference (1.5±1.46 cm) among subjects after one month of intervention (p value <0.05).Conclusions: The Nurse-led screening and intervention for common NCDs was effective in risk factor modification among studied subjects.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of nurse led screening and intervention for common non communicable diseases in a peri urban community of Chandigarh

Paul

Kavita

Thakur

et al. 2020

Int J Community Med Public Health

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“…A systematic review of all large NCD risk factor surveys conducted either nationally or intra-state identified three national surveys, two surveys with representation from multiple states, and two state wide surveys from Punjab and Kerala [19]. Subsequently a third State-wide survey was reported from Haryana [13]. All the previous state-wide surveys are from high or high-middle ETL consumption is found to be 16.9%, i.e.…”

Section: Discussionmentioning

confidence: 99%

“…When comparing the State wide surveys from Punjab (PB) [12], Haryana (HR) [13], and Kerala (KL) [14], it can be seen that the prevalence of smoking tobacco is highest in Haryana Manuscript to be reviewed Various local surveys have also been reported in restricted population subsets from India in previous five years between and 2019 (Table 5). These surveys often focus on population subsets that may be more vulnerable to risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…Given that there is a high chance of a wide heterogeneity in estimates from these local surveys, need for State-wide surveys and even a national survey was felt. State wide surveys from Indian states of Punjab, Kerala and Haryana have been reported in last few years [12][13][14]. A national NCD survey was completed in year 2018-19, and its results are currently awaited.…”

Section: Title-descriptive Profile Of Risk Factors For Cardiovascularmentioning

confidence: 99%

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Peer Review #2 of "Descriptive profile of risk factors for cardiovascular diseases using WHO STEP wise approach in Madhya Pradesh (v0.1)"

2020

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Background: Periodic information on risk factor distribution is critical for public health response for reduction in non-communicable disease (NCDs). For this purpose, the WHO has developed STEPs wise approach. State representative population-based STEPS survey was last conducted in 2007-08 in seven states of In India. Since then no such work has been reported from low ETL states. This survey was carried out to assess the prevalence of risk factors associated with NCDs and the prevalence of NCDs in the low ETL state of Madhya Pradesh using the WHO STEPs approach. Methods: A total of 5680 persons aged 18-69 years were selected from the state of Madhya Pradesh using multi-stage cluster random sampling. Using the WHO STEPs approach, details were collected on demographics, STEP 1 variables (tobacco consumption, alcohol consumption, physical activity, diet), STEP 2 variables (weight, height, waist circumference, blood pressure) and STEP 3 variables (fasting blood glucose, blood cholesterol). Results: We found that 9.4% individuals smoked tobacco, 15.3% were overweight/obese, 22.3% had hypertension, and 6.8% have diabetes mellitus. As compared to women, men were less likely to be overweight or obese, but more likely to smoke tobacco, and have diabetes mellitus. Hypertension was also more common in men. Overall, about a fourth of all adults had three or more risk factors for cardiovascular disease. Conclusion: The survey shows that a large section of the population from Madhya Pradesh is either suffering from NCDs or have risk factors which predispose them to acquire NCDs. This state representative survey provides benchmarking information for behavioural and biological risk factor distribution for recently scaled up National Programme for the Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS).

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“…Given that there is a high chance of a wide heterogeneity in estimates from these local surveys, need for State-wide surveys and even a national survey was felt. State wide surveys from Indian states of Punjab, Kerala and Haryana have been reported in last few years ( Thakur et al., 2016 ; Thakur et al., 2019 ; Sarma et al., 2019 ). A national NCD survey was completed in year 2018–19, and its results are currently awaited.…”

Section: Introductionmentioning

confidence: 99%

Descriptive profile of risk factors for cardiovascular diseases using WHO STEP wise approach in Madhya Pradesh

Kokane

Joshi

Kotnis

et al. 2020

PeerJ

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Background Periodic information on risk factor distribution is critical for public health response for reduction in non-communicable disease (NCDs). For this purpose, the WHO has developed STEPs wise approach. State representative population-based STEPS survey was last conducted in 2007–08 in seven states of In India. Since then no such work has been reported from low ETL states. This survey was carried out to assess the prevalence of risk factors associated with NCDs and the prevalence of NCDs in the low ETL state of Madhya Pradesh using the WHO STEPs approach. Methods A total of 5680 persons aged 18–69 years were selected from the state of Madhya Pradesh using multi-stage cluster random sampling. Using the WHO STEPs approach, details were collected on demographics, STEP 1 variables (tobacco consumption, alcohol consumption, physical activity, diet), STEP 2 variables (weight, height, waist circumference, blood pressure) and STEP 3 variables (fasting blood glucose, blood cholesterol). Results We found that 9.4% individuals smoked tobacco, 15.3% were overweight/obese, 22.3% had hypertension, and 6.8% have diabetes mellitus. As compared to women, men were less likely to be overweight or obese, but more likely to smoke tobacco, and have diabetes mellitus. Hypertension was also more common in men. Overall, about a fourth of all adults had three or more risk factors for cardiovascular disease. Conclusion The survey shows that a large section of the population from Madhya Pradesh is either suffering from NCDs or have risk factors which predispose them to acquire NCDs. This state representative survey provides benchmarking information for behavioural and biological risk factor distribution for recently scaled up National Programme for the Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke (NPCDCS).

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Non-communicable diseases risk factors and their determinants: A cross-sectional state-wide STEPS survey, Haryana, North India

Cited by 40 publications

References 30 publications

Effectiveness of nurse led screening and intervention for common non communicable diseases in a peri urban community of Chandigarh

Effectiveness of nurse led screening and intervention for common non communicable diseases in a peri urban community of Chandigarh

Peer Review #2 of "Descriptive profile of risk factors for cardiovascular diseases using WHO STEP wise approach in Madhya Pradesh (v0.1)"

Descriptive profile of risk factors for cardiovascular diseases using WHO STEP wise approach in Madhya Pradesh

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