Garg Ankur, Anand Tanu, Sharma Urvi, Kishore Jugal, Chakraborty Mantosh, Ray Prakash Chandra, Ingle Gopal Krishna
Department of Community Medicine, Maulana Azad Medical College and Associated L. N, Guru Nanank Eye Centre and G.B. Pant Hospitals, New Delhi, India.
Department of Biochemistry, Maulana Azad Medical College and Associated L. N, Guru Nanank Eye Centre and G.B. Pant Hospitals, New Delhi, India.
J Family Med Prim Care. 2014 Apr;3(2):112-8. doi: 10.4103/2249-4863.137617.
The burden of non-communicable diseases (NCDs) is increasing worldwide largely due to prevalence of various risk factors, which can be controlled. Therefore, the present study was undertaken to measure the prevalence of major preventable risk factors for chronic non-communicable diseases in an urban resettlement colony of Delhi, using STEPS approach.
A cross-sectional study, that included a random sample of 200 adults, was conducted. A study tool based on the WHO STEPS questionnaire for assessing non-communicable diseases and their risk factors was used. Fasting venous blood sample was collected to assess the lipid profile and fasting blood sugar. Anthropometric measurements of the participants were also taken. Data was analyzed using SPSS version 17.
Out of the 200 participants, 26% (n = 52) were consuming alcohol and 17% (n = 34) were smoking. Majority (77.5%) had a raised waist circumference, and more than two-thirds were either overweight or obese. Fasting blood sugar levels were found to be raised in 18% of the study population. More than third participants had raised systolic and diastolic blood pressures and abnormal lipid profiles. More males were found to be overweight in comparison to females (P < 0.01), but in contrast, obesity (P < 0.05) and raised waist circumference (P < 0.001) were more common in females. Tobacco use was more common in lower class (P < 0.05), whereas obesity was commoner in the upper socio-economic class (P < 0.05).
Study showed a high burden of risk factors for NCDs in the study population, pointing towards changing disease epidemiology of non-communicable diseases in India.
由于各种可控制的风险因素普遍存在,非传染性疾病(NCDs)在全球范围内的负担正在增加。因此,本研究采用STEPS方法,对德里一个城市安置区慢性非传染性疾病的主要可预防风险因素的患病率进行了测量。
进行了一项横断面研究,纳入了200名成年人的随机样本。使用了基于世界卫生组织STEPS问卷的研究工具来评估非传染性疾病及其风险因素。采集空腹静脉血样本以评估血脂谱和空腹血糖。还对参与者进行了人体测量。使用SPSS 17版对数据进行分析。
在200名参与者中,26%(n = 52)饮酒,17%(n = 34)吸烟。大多数(77.5%)腰围增加,超过三分之二的人体重超重或肥胖。研究人群中18%的人空腹血糖水平升高。超过三分之一的参与者收缩压和舒张压升高以及血脂谱异常。与女性相比,发现男性超重的比例更高(P < 0.01),但相反,肥胖(P < 0.05)和腰围增加(P < 0.001)在女性中更为常见。烟草使用在较低阶层更为普遍(P < 0.05),而肥胖在社会经济较高阶层更为常见(P < 0.05)。
研究表明研究人群中非传染性疾病的风险因素负担较高,这表明印度非传染性疾病的疾病流行病学正在发生变化。