Sivanantham Parthibane, Sahoo Jaya Prakash, Lakshminarayanan Subitha, Bobby Zachariah, Anandraj Jeyanthi, Kar Sitanshu Sekhar
Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
Department of Endocrinology, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.
J Diabetes Metab Disord. 2023 Oct 25;23(1):585-592. doi: 10.1007/s40200-023-01318-x. eCollection 2024 Jun.
In an individual, the development and severity of Non-Communicable Diseases (NCDs) are determined by the presence or absence of clustering of NCD risk factors in them. We aimed to determine the prevalence and the factors associated with clustering of risk factors of NCDs in the district of Puducherry in India.
We conducted a community-based cross-sectional survey among the adult population (18-69 years) of Puducherry district (N = 1114) between February 2019 and February 2020. Ten risk factors of NCDs (behavioral, physical measurements and biochemical) were assessed. Individuals having ≥ 3 risk factors were regarded as having clustering of risk factors. Categorical variables are summarized using proportions (95% CI). Adjusted prevalence ratio was estimated using weighted forward stepwise generalized linear modelling.
Clustering of NCD risk factors was present in majority (95.2%, 95% CI: 93.8-96.3) of the population. The presence of clustering was significantly higher among women (97.1%, 95% CI: 95.9-98.3) and the urban population (97.2%, 95% CI: 96.1-98.3). The risk factors that primarily drove the high prevalence of clustering were raised salt intake and inadequate intake for fruits and vegetables in nine out of 10 people in the district. Nearly 1 in 10 (13.3%, 95% CI: 11.3-15.3), 1 in 5 (21.5%, 95% CI: 19.1-23.8) and 1 in 4 (26.8%, 95% CI: 24.1-29.4) participants had three, four and five risk factors, respectively.
We highlight the urgent need for population-based health promotion interventions in the district of Puducherry targeting the highly prevalent NCD risk factors, especially among the women and urban populations.
在个体中，非传染性疾病（NCDs）的发展和严重程度取决于其中是否存在非传染性疾病风险因素的聚集。我们旨在确定印度本地治里地区非传染性疾病风险因素聚集的患病率及其相关因素。
在2019年2月至2020年2月期间，我们对本地治里地区18至69岁的成年人群（N = 1114）进行了一项基于社区的横断面调查。评估了10种非传染性疾病风险因素（行为、身体测量和生化指标）。具有≥3种风险因素的个体被视为具有风险因素聚集。分类变量使用比例（95%CI）进行汇总。使用加权向前逐步广义线性模型估计调整后的患病率比。
大多数（95.2%，95%CI：93.8 - 96.3）人群存在非传染性疾病风险因素聚集。女性（97.1%，95%CI：95.9 - 98.3）和城市人口（97.2%，95%CI：96.1 - 98.3）中聚集现象的发生率显著更高。导致高聚集患病率的主要风险因素是该地区十分之九的人盐摄入量增加和水果及蔬菜摄入量不足。近十分之一（13.3%，95%CI：11.3 - 15.3）、五分之一（21.5%，95%CI：19.1 - 23.8）和四分之一（26.8%，95%CI：24.1 - 29.4）的参与者分别有三种、四种和五种风险因素。
我们强调迫切需要在本地治里地区开展以人群为基础的健康促进干预措施，针对高度普遍的非传染性疾病风险因素，特别是在女性和城市人口中。
