Noncommunicable Disease Risk Factors Among Adolescent Boys and Girls in Bangladesh: Evidence From a National Survey

Jahan, Urmy Nushrat; Mokbul, Hossain Md.; Ahmed, Shamim Abu; Ali, Khan Md. Showkat; Hanif, Abu Abdullah Mohammad; Mehedi, Hasan; Akter, Fahmida; Mitra, Dipak Kumar; Hossaine, Moyazzam; Aman, Ullah Mohammad; Kanti, Sarker Samir; Mustafizur, Rahman; Islam, Bulbul Md. Mofijul; Mridha, Malay K

doi:10.24171/j.phrp.2020.11.6.03

Cited by 8 publications

(13 citation statements)

References 42 publications

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“…Adolescents from relatively well-off households tended to have this DP in both studies. This potentially indicates a socio-economic gradient in rural Bangladesh ( 46 ) that allows consumption of a combination of nutrient-rich and empty-calorie foods among adolescents of relatively affluent families. Interestingly, the mean BAZ was about 0.1 SD higher among those with the diverse DP (“most diverse” and High-variety) than those with the traditional DP in both studies.…”

Section: Discussionmentioning

confidence: 99%

Dietary patterns and indicators of cardiometabolic risk among rural adolescents: A cross-sectional study at 15-year follow-up of the MINIMat cohort

et al. 2023

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BackgroundDiet being a modifiable factor, its relationship with cardiometabolic risk is of public health interest. The vast majority of studies on associations of dietary patterns with cardiometabolic risk indicators among adolescents are from high-income countries and urban settings. We sought to describe dietary patterns and examine their associations with selected cardiometabolic risk indicators–waist circumference (WC), systolic blood pressure, fasting lipid profile and insulin resistance–along with its gender stratification among adolescents in a low-income, rural setting.MethodsThis cross-sectional study utilized data from the 15-year follow-up of the Maternal and Infant Nutrition Interventions in Matlab (MINIMat) cohort in southeast Bangladesh. The children who were born as singletons to the mothers randomized in the MINIMat trial and had valid birth anthropometrics were eligible for the follow-up. We employed a single, qualitative 24-hour recall to assess diet. Dietary patterns were derived from simple K-means cluster analysis, and calculation of dietary diversity score (DDS) using a validated instrument. Anthropometric parameters and systolic blood pressure were recorded. Fasting plasma triglyceride, total cholesterol, low- and high-density lipoproteins, insulin and glucose levels were measured. We calculated insulin resistance using the Homeostasis Model Assessment equation (HOMA-IR). Three right-skewed outcome variables were natural log (Ln) transformed: WC, triglyceride and HOMA-IR. Omnibus and gender-specific multiple linear regression models were fitted.ResultsAmong 2,253 adolescents (52.1% girls, 7.1% overweight/obese), we identified four diet clusters: Traditional, Fish-dominant, Meat-dominant, and High-variety. No significant associations were found between the clusters and indicators. On gender-stratification, triglyceride levels were lower among boys in the Fish-dominant (Ln-triglyceride βadjusted: −0.09; 95% confidence interval (CI): −0.15, −0.02) and Meat-dominant (Ln-triglyceride βadjusted: −0.08; 95% CI: −0.15, −0.004) clusters than among boys in the Traditional cluster. Compared to boys in the bottom quartile of DDS, boys in the top quartile had 2.1 mm of Hg (95% CI: 0.5, 3.6) higher systolic blood pressure and 1.9% (95% CI: 0.01–3.8%) higher WC.ConclusionWhile statistically significant, the gender-specific differences in triglyceride, systolic blood pressure, and waist circumference across dietary patterns were small. Associations between dietary patterns and cardiometabolic risk indicators may require a time lag beyond mid-adolescence to manifest in a rural setting. Prospective studies are warranted to delineate the magnitude and direction of those associations.

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Section: Discussionmentioning

confidence: 99%

Dietary patterns and indicators of cardiometabolic risk among rural adolescents: A cross-sectional study at 15-year follow-up of the MINIMat cohort

et al. 2023

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Section: Introductionmentioning

confidence: 99%

“…NCD-related deaths are increasing, especially in low- and middle-income countries (LMICs) [ 6 ] and over half of these deaths are associated with risk that emerge during the adolescence. These include, but not limited to tobacco and alcohol use, poor diet, and insufficient physical activity [ 6 ]. According to the Lancet Commission on Adolescent Health (2016), tobacco use, alcohol consumption, overweight, obesity, and mental health problems were identified as the major health risks for adolescents around the world [ 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

“…Early tobacco use is a major risk factor for NCDs throughout the life. In addition, smoking at a young age also increases the risk of many diseases among adolescents such as respiratory illness, asthma, and reduced pulmonary function [ 6 ]. Alcohol consumption is linked to development of different types of cancers, hypertension, hemorrhagic stroke and other NCDs [ 8 , 10 – 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…A recent study in Bangladesh reported that 18% of the adolescents had three or more risk factors, with males reporting higher prevalence than females [ 4 , 5 ]. Another study by Urmy et al reported that younger age, non-slum urban and slum residence, higher paternal education, and depression were associated with the coexistence of multiple risk factors among the adolescent [ 6 ]. However, no study has been conducted in in Bangladesh which provides comprehensive details on NCD risk factors among adolescents and its policy response.…”

Section: Introductionmentioning

confidence: 99%

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Assuring Bangladesh’s future: non-communicable disease risk factors among the adolescents and the existing policy responses

Biswas

Azzopardi

Anwar

et al. 2022

J Health Popul Nutr

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Background The aim of this study is to assess the current status of non-communicable disease (NCD) risk factors amongst adolescents in Bangladesh. We also critically reviewed the existing policy responses to NCD risk among adolescents in Bangladesh. Methods This study used a mixed method approach. To quantify the NCD risk burden, we used data from the Global School-based Student Health Survey conducted in Bangladesh. To understand policy response, we reviewed NCD-related policy documents introduced by the Government of Bangladesh between 1971 and 2018 using the WHO recommended NCD Action Plan 2013–2020as study framework. Information from the policy documents was extracted using a matrix, mapping each document against the six objectives of the WHO 2013–2020 Action Plan. Results Almost all adolescents in Bangladesh had at least one NCD risk factor, and there was a high prevalence of concurrent multiple NCD risk factors; 14% had one NCD risk factor while 22% had two, 29% had three, 34% had four or more NCD risk factors. Out of 38 policy documents, eight (21.1%) were related to research and/or surveys, eight (21.1%) were on established policies, and eleven (29%) were on legislation acts. Three policy documents (7.9%) were related to NCD guidelines and eight (21.1%) were strategic planning which were introduced by the government and non-government agencies/institutes in Bangladesh. Conclusions The findings emphasize the needs for strengthening NCD risk factors surveillance and introducing appropriate intervention strategies targeted to adolescents. Despite the Government of Bangladesh introducing several NCD-related policies and programs, the government also needs more focus on clear planning, implementation and monitoring and evaluation approaches to preventing NCD risk factors among the adolescents in Bangladesh.

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Lifestyle practices predisposing adolescents to non communicable diseases in Delhi

Borle

Gangadharan

Basu

2022

Dialogues in Health

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Noncommunicable Disease Risk Factors Among Adolescent Boys and Girls in Bangladesh: Evidence From a National Survey

Cited by 8 publications

References 42 publications

Dietary patterns and indicators of cardiometabolic risk among rural adolescents: A cross-sectional study at 15-year follow-up of the MINIMat cohort

Dietary patterns and indicators of cardiometabolic risk among rural adolescents: A cross-sectional study at 15-year follow-up of the MINIMat cohort

Assuring Bangladesh’s future: non-communicable disease risk factors among the adolescents and the existing policy responses

Lifestyle practices predisposing adolescents to non communicable diseases in Delhi

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