Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.

<h4>Background</h4>The World Health Organization (WHO) recommends ongoing surveillance of non-communicable diseases (NCDs) and their risk factors, using the WHO STEPwise approach to surveillance (STEPS). The aim of this study was to assess the distribution and determinants of NCD risk fa...

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Autores principales:	Bihungum Bista, Meghnath Dhimal, Saroj Bhattarai, Tamanna Neupane, Yvonne Yiru Xu, Achyut Raj Pandey, Nick Townsend, Pradip Gyanwali, Anjani Kumar Jha
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/15e998ddac714c3b862435ff24a6768d
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spelling	oai:doaj.org-article:15e998ddac714c3b862435ff24a6768d2021-12-02T20:08:52ZPrevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.1932-620310.1371/journal.pone.0253605https://doaj.org/article/15e998ddac714c3b862435ff24a6768d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253605https://doaj.org/toc/1932-6203<h4>Background</h4>The World Health Organization (WHO) recommends ongoing surveillance of non-communicable diseases (NCDs) and their risk factors, using the WHO STEPwise approach to surveillance (STEPS). The aim of this study was to assess the distribution and determinants of NCD risk factors in Nepal, a low-income country, in which two-thirds (66%) of annual deaths are attributable to NCDs.<h4>Methods</h4>A nationally representative NCD risk factors STEPS survey (instrument version 3.2), was conducted between February and May 2019, among 6,475 eligible participants of age 15-69 years sampled from all 7 provinces through multistage sampling process. Data collection involved assessment of behavioral and biochemical risk factors. Complex survey analysis was completed in STATA 15, along with Poisson regression modelling to examine associations between covariates and risk factor prevalence.<h4>Results</h4>The most prevalent risk factor was consumption of less than five servings of fruit and vegetables a day (97%; 95% CI: 94.3-98.0). Out of total participants, 17% (95% CI: 15.1-19.1) were current smoker, 6.8% (95% CI: 5.3-8.2) were consuming ≥60g/month alcohol per month and 7.4% (95% CI:5.7-10.1) were having low level of physical activity. Approximately, 24.3% (95% CI: 21.6-27.2) were overweight or obese (BMI≥25kg/m2) while 24.5% (95% CI: 22.4-26.7) and 5.8% (95% CI: 4.3-7.3) had raised blood pressure (BP) and raised blood glucose respectively. Similarly, the prevalence of raised total cholesterol was 11% (95% CI: 9.6-12.6). Sex and education level of participants were statistically associated with smoking, harmful alcohol use and raised BP. Participants of age 30-44 years and 45-69 years were found to have increased risk of overweight, raised BP, raised blood sugar and raised blood cholesterol. Similarly, participants in richest wealth quintile had higher odds of insufficient physical inactivity, overweight and raised blood cholesterol. On average, each participant had 2 NCD related risk factors (2.04, 95% CI: 2.02-2.08).<h4>Conclusion</h4>A large portion of the Nepalese population are living with a variety of NCD risk factors. These surveillance data should be used to support and monitor province specific NCD prevention and control interventions throughout Nepal, supported by a multi-sectoral national coordination mechanism.Bihungum BistaMeghnath DhimalSaroj BhattaraiTamanna NeupaneYvonne Yiru XuAchyut Raj PandeyNick TownsendPradip GyanwaliAnjani Kumar JhaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253605 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Bihungum Bista Meghnath Dhimal Saroj Bhattarai Tamanna Neupane Yvonne Yiru Xu Achyut Raj Pandey Nick Townsend Pradip Gyanwali Anjani Kumar Jha Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
description	<h4>Background</h4>The World Health Organization (WHO) recommends ongoing surveillance of non-communicable diseases (NCDs) and their risk factors, using the WHO STEPwise approach to surveillance (STEPS). The aim of this study was to assess the distribution and determinants of NCD risk factors in Nepal, a low-income country, in which two-thirds (66%) of annual deaths are attributable to NCDs.<h4>Methods</h4>A nationally representative NCD risk factors STEPS survey (instrument version 3.2), was conducted between February and May 2019, among 6,475 eligible participants of age 15-69 years sampled from all 7 provinces through multistage sampling process. Data collection involved assessment of behavioral and biochemical risk factors. Complex survey analysis was completed in STATA 15, along with Poisson regression modelling to examine associations between covariates and risk factor prevalence.<h4>Results</h4>The most prevalent risk factor was consumption of less than five servings of fruit and vegetables a day (97%; 95% CI: 94.3-98.0). Out of total participants, 17% (95% CI: 15.1-19.1) were current smoker, 6.8% (95% CI: 5.3-8.2) were consuming ≥60g/month alcohol per month and 7.4% (95% CI:5.7-10.1) were having low level of physical activity. Approximately, 24.3% (95% CI: 21.6-27.2) were overweight or obese (BMI≥25kg/m2) while 24.5% (95% CI: 22.4-26.7) and 5.8% (95% CI: 4.3-7.3) had raised blood pressure (BP) and raised blood glucose respectively. Similarly, the prevalence of raised total cholesterol was 11% (95% CI: 9.6-12.6). Sex and education level of participants were statistically associated with smoking, harmful alcohol use and raised BP. Participants of age 30-44 years and 45-69 years were found to have increased risk of overweight, raised BP, raised blood sugar and raised blood cholesterol. Similarly, participants in richest wealth quintile had higher odds of insufficient physical inactivity, overweight and raised blood cholesterol. On average, each participant had 2 NCD related risk factors (2.04, 95% CI: 2.02-2.08).<h4>Conclusion</h4>A large portion of the Nepalese population are living with a variety of NCD risk factors. These surveillance data should be used to support and monitor province specific NCD prevention and control interventions throughout Nepal, supported by a multi-sectoral national coordination mechanism.
format	article
author	Bihungum Bista Meghnath Dhimal Saroj Bhattarai Tamanna Neupane Yvonne Yiru Xu Achyut Raj Pandey Nick Townsend Pradip Gyanwali Anjani Kumar Jha
author_facet	Bihungum Bista Meghnath Dhimal Saroj Bhattarai Tamanna Neupane Yvonne Yiru Xu Achyut Raj Pandey Nick Townsend Pradip Gyanwali Anjani Kumar Jha
author_sort	Bihungum Bista
title	Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
title_short	Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
title_full	Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
title_fullStr	Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
title_full_unstemmed	Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.
title_sort	prevalence of non-communicable diseases risk factors and their determinants: results from steps survey 2019, nepal.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/15e998ddac714c3b862435ff24a6768d
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Prevalence of non-communicable diseases risk factors and their determinants: Results from STEPS survey 2019, Nepal.

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