Clustering of cardiovascular disease risk factors – Syndemic approach: Is sit a time to shift toward integrated noncommunicable disease clinic?

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dc.contributor.authorSelvaraj, Ken_US
dc.contributor.authorKar, SSen_US
dc.contributor.authorRamaswamy, Gen_US
dc.contributor.authorPremarajan, K Cen_US
dc.contributor.authorSaya, GKen_US
dc.contributor.authorKalidoss, Ven_US
dc.date.accessioned2020-04-10T03:45:42Z
dc.date.available2020-04-10T03:45:42Z
dc.date.issued2019-09
dc.description.abstractBackground: The concurrent occurrence of many noncommunicable disease (NCD) risk factors is common, and it can play a synergistic role in occurrence of NCDs. Objectives: This study aimed to identify the magnitude of clustering of NCD risk factors, patterns of risk factors emerged in clustering, and variations in clustering of risk factors based on socioeconomic factors. Methods: A cross-sectional survey was undertaken in an urban area of Puducherry among 2399 adults during 2014–2015. Sociodemographic and behavioral risk factors were assessed through a validated STEPS survey tool. Individuals with three or more risk factors were classified to have clustering of NCD risk factors. Socioeconomic positions in relation to clustering were identified through Chi-square analysis followed by multiple logistic regression where clustering at family and area was adjusted through multilevel modeling techniques. Results: Of the 2399 adults, 1741 (73%) had clustering of NCD risk factors. Inadequate consumption of fruits and vegetables, high salt intake, and high waist circumference are the three predominant risk factors across all subgroups. Adults belonging to Christian religion (adjusted odds ratio [adjOR]: 2.8, 95% confidence interval [CI]: 1.5–5.2), aged 35 years and over (adjOR: 2.0, 95% CI: 1.4–6.0), and illiterates (adjOR: 1.8, 95% CI: 1.1–5.5) are more likely to have clustered NCD risk factors compared to others. Conclusions: Clustering of NCD risk factors is highly prevalent in this region and mainly driven by dietary practices and obesity measures. There is an urgent need to reorient the health system toward integrated approach with mandated inclusion of nutritionist in NCD health service delivery.en_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, Indiaen_US
dc.identifier.affiliationsAdditional Professor, Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Institute of Medical Research (JIPMER), New Delhi, Indiaen_US
dc.identifier.affiliationsResearch Assistant, Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, Indiaen_US
dc.identifier.affiliationsTutor, Department of Community Medicine, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh, Indiaen_US
dc.identifier.citationSelvaraj K, Kar SS, Ramaswamy G, Premarajan K C, Saya GK, Kalidoss V. Clustering of cardiovascular disease risk factors – Syndemic approach: Is sit a time to shift toward integrated noncommunicable disease clinic?. Indian Journal of Public Health. 2019 Sep; 63(3): 186-193en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/198142
dc.languageenen_US
dc.publisherIndian Public Health Associationen_US
dc.relation.issuenumber3en_US
dc.relation.volume63en_US
dc.source.urihttps://dx.doi.org/10.4103/ijph.IJPH_158_18en_US
dc.subjectCardiovascular diseasesen_US
dc.subjectchronic diseaseen_US
dc.subjectcluster analysisen_US
dc.subjectepidemiologyen_US
dc.subjectrisk factorsen_US
dc.subjectSTEPSen_US
dc.subjectsyndemicen_US
dc.titleClustering of cardiovascular disease risk factors – Syndemic approach: Is sit a time to shift toward integrated noncommunicable disease clinic?en_US
dc.typeJournal Articleen_US
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