scholarly journals Chronic non-communicable diseases in the epidemic (COVID-19): Investigation of risk factors, control and care

2020 ◽  
pp. 449-456

INTRODUCTION. Chronic non-communicable diseases (NCDs), global health problem and it is a threat to health and the development of countries. Currently, the number of people with COVID-19 as well as the resulting death toll is rising sharply worldwide. People with underlying diseases may be at greater risk. AIM. The purpose of the present study was to investigate the chronic non-communicable diseases in the epidemic (COVID-19): Investigation of risk factors, control and care. METERIALS AND METHODS. To access the articles, including international databases Scopus, PubMed, Web of Science, Embase were searched using the keywords of chronic non-communicable diseases (NCDs), chronic, risk factors, prevention and control, self-efficacy and self-care and their various combinations using AND/OR operators. No language restrictions were applied to the search process. RESULTS. Based on the evidence, NCDs, exacerbate the negative consequences of COVID-19. according to the results of this study, Among the patients admitted with COVID-19, The most common underlying diseases, were in these people, include, cardiovascular disease, hypertension, chronic obstructive pulmonary disease (COPD), smoking, malignancy, chronic kidney disease, and diabetes mellitus. Obesity may be considered as a potential COVID-19 risk factor. CONCLUSIONS. Although lifestyle, nutrition, and medical interventions are important for the early prevention of NCDs, having the tools and resources to use information more effectively is more important One of the determining and effective factors in maintaining health and preventing the aggravation of signs and symptoms of the disease COVID-19, especially in chronic diseases, is to perform self-care behaviors.

2020 ◽  
Vol 66 (5) ◽  
pp. 1-1
Author(s):  
O.S. Kobyakova ◽  
◽  
E.A. Starovoitova ◽  
I.V. Tolmachev ◽  
K.S. Brazovsky ◽  
...  

Increased prevalence of chronic non-communicable diseases (NCD) and increased related mortality stimulate development of effective methods of their prevention. To date, there are little data on the combined effect of various risk factors on the development of a particular chronic disease, and how much the risk of developing chronic non-communicable diseases increases or decreases with a different combination of risk factors. Purpose. To assess contribution of the combined effect of risk factors into the development of chronic NCD using the method of neural network. Material and methods. Data on 9505 visitors seeking care at the Tomsk health centers were analyzed. To build a multidimensional decision-making model, the authors used the multi-layer perceptron algorithm implemented on the IBM Watson platform. Results. The highest accuracy of disease recognition in the test sample added up to 95.8% for diabetes mellitus. Chronic obstructive pulmonary disease (84.5%) and coronary heart disease (80.4%) rank second. Lower accuracy was registered for such diseases as asthma (73.6%) and arterial hypertension (73.3%). For the development of diabetes mellitus, such factors as patient’s age, level of systolic and diastolic blood pressure, and body mass index (BMI) are equally important. Smoking and gender are identified as the most significant factors for the development of chronic obstructive pulmonary disease. The most significant contribution to the development of arterial hypertension is made by body mass index only. Age and BMI turned out to be most significant for coronary heart disease and arterial hypertension. Conclusion. Use of the neural network method makes it possible to determine contribution of risk factors to the development of chronic ICD, to predict the risk of developing a disease depending on the combination of risk factors and to carry out preventive measures in a personalized manner, taking into account clinical situation of every person. Scope of application. The results of the study can be used by managers of medical organizations to optimize approaches to preventive activities. Keywords: risk factors; chronic non-communicable diseases; neural networks


Author(s):  
Eric Monterrubio-Flores ◽  
María D Ramírez-Villalobos ◽  
Juan Espinosa-Montero ◽  
Bernardo Hernandez ◽  
Simón Barquera ◽  
...  

Abstract Background People with a previous diagnosis of non-communicable diseases (NCDs) are more likely to develop serious forms of COVID-19 or die. Mexico is the country with the fourth highest fatality rate from SARS-Cov-2, with high mortality in younger adults. Objectives To describe and characterize the association of NCDs with the case-fatality rate (CFR) adjusted by age and sex in Mexican adults with a positive diagnosis for SARS-Cov-2. Methods We studied Mexican adults aged ≥20 years who tested positive for SARS-Cov-2 during the period from 28 February to 31 July 2020. The CFR was calculated and associations with history of NCDs (number of diseases and combinations), severity indicators and type of institution that treated the patient were explored. The relative risk (RR) of death was estimated using Poisson models and CFR was adjusted using logistic models. Results We analysed 406 966 SARS-Cov-2-positive adults. The CFR was 11.2% (13.7% in men and 8.4% in women). The CFR was positively associated with age and number of NCDs (p trend <0.001). The number of NCDs increased the risk of death in younger adults when they presented three or more NCDs compared with those who did not have any NCDs [RR, 46.6; 95% confidence interval (CI), 28.2, 76.9 for women; RR, 16.5; 95% CI, 9.9, 27.3 for men]. Lastly, there was great heterogeneity in the CFR by institution, from 4.6% in private institutions to 18.9% in public institutions. Conclusion In younger adults, higher CFRs were associated with the total number of NCDs and some combinations of type 2 diabetes, chronic kidney disease, chronic obstructive pulmonary disease and cardiovascular disease.


Author(s):  
Anneroos Sinnige ◽  
Maik Sliepen ◽  
Marc R. Scheltinga ◽  
Joep A.W. Teijink

Non-communicable diseases (NCDs) are a major cause of disability and mortality worldwide. Physical inactivity is an important contributor to the development of NCDs. Increasing physical activity through supervised exercise therapy (SET) is proven to be effective, and is a key component in both the prevention and treatment of most NCDs. However, only a minority of patients with NCDs receive this treatment, mainly due to an insufficient number and poor accessibility of specialized physical therapists. The aim of this article is to describe a solution that, if indicated, enables all patients with NCDs in the Netherlands to receive SET by a specialized physical therapist: Chronic CareNet. Chronic CareNet is a nationwide network of specialized physical therapists, providing high quality SET and lifestyle counselling to patients with NCDs, initially focusing on peripheral arterial disease, chronic obstructive pulmonary disease and coronary heart disease. The network evolved from ClaudicatioNet. In order to monitor quality of care, therapists enroll in a continuous educational program, and process and outcome indicators are collected by all therapists, which can be compared with a nationwide benchmark (quality system). A robust infrastructure of information and communication technology provides an online care finder and referral system to locate and refer to nearby therapists. All elements of Chronic CareNet are essential, to ensure that all patients in the Netherlands have access to a nearby specialized therapist.


2021 ◽  
Vol 17 (1) ◽  
Author(s):  
David Musoke ◽  
Edwinah Atusingwize ◽  
Deborah Ikhile ◽  
Sarah Nalinya ◽  
Charles Ssemugabo ◽  
...  

Abstract Background Community health workers (CHWs) are an important cadre of the global health workforce as they are involved in providing health services at the community level. However, evidence on the role of CHWs in delivering interventions for non-communicable diseases (NCDs) in Uganda is limited. This study, therefore, assessed the involvement of CHWs in the prevention and control of NCDs in Wakiso District, Uganda with a focus on their knowledge, attitudes and practices, as well as community perceptions. Methods A cross-sectional study using mixed methods was conducted which involved a structured questionnaire among 485 CHWs, and 6 focus group discussions (FGDs) among community members. The study assessed knowledge, perceptions including the importance of the various risk factors, and the current involvement of CHWs in NCDs, including the challenges they faced. Quantitative data were analysed in STATA version 13.0 while thematic analysis was used for the qualitative data. Results The majority of CHWs (75.3%) correctly defined what NCDs are. Among CHWs who knew examples of NCDs (87.4%), the majority mentioned high blood pressure (77.1%), diabetes (73.4%) and cancer (63.0%). Many CHWs said that healthy diet (86.2%), physical activity (77.7%), avoiding smoking/tobacco use (70.9%), and limiting alcohol consumption (63.7%) were very important to prevent NCDs. Although more than half of the CHWs (63.1%) reported being involved in NCDs activities, only 20.9 and 20.6% had participated in community mobilisation and referral of patients respectively. The majority of CHWs (80.1%) who were involved in NCDs prevention and control reported challenges including inadequate knowledge (58.4%), lack of training (37.6%), and negative community perception towards NCDs (35.1%). From the FGDs, community members were concerned that CHWs did not have enough training on NCDs hence lacked enough information. Therefore, the community did not have much confidence in them regarding NCDs, hence rarely consulted them concerning these diseases. Conclusions Despite CHWs having some knowledge on NCDs and their risk factors, their involvement in the prevention and control of the diseases was low. Through enhanced training and community engagement, CHWs can contribute to the prevention and control of NCDs, including health education and community mobilisation.


2021 ◽  
Vol 2 (8) ◽  
pp. 1295-1308
Author(s):  
Lathifah Dzakiyyah Zulfa ◽  
Dessyani Salim ◽  
Abigail Tirza Melia Silalahi ◽  
Sharon Levita Hutapea ◽  
Margaretha Maria Odilia Natasha

Non-communicable diseases such as ischemic heart disease, stroke, chronic obstructive pulmonary disease, lung cancer, Alzheimer, diabetes melitus, and kidney disease are leading causes of death in the world. There are many risk factors which can contribute to non-communicable diseases such as dietary. Vegetable consumption such as tomato may lower risk factors to non-communicable diseases because of its active ingredient, lycopene, retinol, alpha tomatine, and tomatidine. In this study, authors aim to explain the mechanism of tomato’s active compound in lowering risk factors of non-communicable disease based on biomarker found on each disease collected from recent epidemiological, in silico, in vitro, and in vivo researches. Lycopene and retinol have proven in reducing ischemic heart disease and stroke because of its anti-atherogenic properties and anti-inflammatory effect. Anti-oxidative and anti-inflammatory effect of lycopene also proven in lowering risk factors of chronic obstructive pulmonary diseases by modulate reverse cholesterol transport, so cholesterol homeostasis is created. In lung cancer, lycopene and other bioactive compound such as α-tomatine and tomatidine also have an anti-proliferative effect by interacting with Epidermal growth factor receptor (EGFR). Its ability to reduce the final product of lipid peroxidation level makes lycopene lower Alzheimer risk factor. There is much more function of tomato’s active coumpound although pure tomato has contradictive effect on some disease.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Malay Mridha ◽  
Mehedi Hasan ◽  
Showkat Khan ◽  
Mokbul Hossain ◽  
Ipsita Sutradhar

Abstract Objectives In Bangladesh, the burden of non-communicable diseases (NCD) and their risk factors is increasing. We wanted to assess the vulnerability of women by analyzing the differences in risk factors by gender. Methods Between February to May 2018, we carried out a cross-sectional survey to determine the baseline status of the NCD risk factors and prevalence of hypertension and diabetes among >30 years old men and women in selected intervention and control sites in the rural and urban areas of an NCD project in Bangladesh. We interviewed 2464 men (1268 in rural and 1196 in urban areas) and 2466 women (1273 in rural and 1193 in urban areas) and administered blood pressure and anthropometric assessment using the World Health Organization STEPS questionnaire and standard operating procedures. We carried out descriptive analysis using STATA 13.0. Results Ninety seven % of men were married at the time of interview but 22% of women were widowed. Prevalence of inadequate fruits and vegetable consumption (77% vs 65%), lack of physical activity (78% vs 59%), overweight and obesity (37% vs 18%), high waist circumference (31% vs 5%), hypertension (28% vs 24%), uncontrolled hypertension after medication (44% vs 63%), self-reported diabetes (11% vs 9%) was higher among women than men. Treatment seeking from a doctor for hypertension (76% vs 73%), intake of anti-diabetic drugs (94% vs 89%) was lower among women than men. Conclusions In Bangladesh, the prevalence of selected behavioral and clinical risk factors was higher among women than men. Treatment seeking behavior is slightly better among men than the women. The government should take the vulnerability of women into account while designing and implementing programs to prevent and control NCD in Bangladesh. Funding Sources Japan International Cooperation Agency (JICA).


2020 ◽  
Vol 20 (2) ◽  
pp. 67-74
Author(s):  
Sri Siswati

Abstract— Disease is an uncertainty or something that is uncertain when it comes, therefore public health services Non-Communicable Diseases (PTMs need to be prevented. This study presents descriptive PTMs examined in the Bukit Gado-Gado Gunung Padang area. Research aimed at 1) presents PTM risk factors public health who will exercise early in the morning at Bukit Gado-Gado. 2) to measure the risk factors experienced by the community in PTM 3) Providing public health counseling The research procedure was carried out by looking at a picture of community health risk factors, analyzing the achievement of healthy families from several sources and providing solutions to the community by using digital equipment regularly .. The results show the highest risk factor for hypertension is 60%. Counseling to the community to always carry out health checks, get rid of cigarette smoke, diligent physical activity, balanced diet, adequate rest and control of stress. Analysis shows that the family approach can prevent risk factors for Non-Communicable Diseas(NCD), because it is closest to the community. Therefore, it can be concluded that the family approach model wherever located can prevent risk factors for NCD.. Key word : Non-Communicable Diseases, Counseling, Family Approach


Author(s):  
Abdussattar . ◽  
Malik Itrat

Background: Increasing burden of non-communicable diseases (NCDs) across the globe is largely due to the rise in prevalence of various risk factors. These risk factors are measurable and largely modifiable. Quantifying the present levels of risk factors exposure in a community is helpful in predicting the future risk and driving the public health policy for prevention and control of NCDs. Keeping this in mind, present study was planned to estimate the prevalence of NCDs risk factors in an urban settlement of Bangalore.Methods: A community based cross-sectional survey was done with 600 individuals aged 15-64 years in Hegganahalli locality of Bangalore city from April to October 2017. Systematic random sampling technique was applied to obtain the desired sample size. Information on NCD risk factors was collected by using STEPS questionnaire.Results: Tobacco and alcohol consumption was observed in 27.2% and 11.8% of respondents respectively. Low level of physical activity was recorded among 14.8% and inadequate consumption of fruit and vegetable was observed among all the respondents. Prevalence of general and central obesity in the study population was found to be 30.7% and 12.8% respectively. Hypertension was prevalent among 35.5% respondents.Conclusions: High prevalence of NCD risk factors was observed among the study population that needs to be addressed through a comprehensive approach with due emphasis on preventive care in order to make ‘healthy living’ a social norm.


2021 ◽  
Vol p5 (03) ◽  
pp. 2826-2829
Author(s):  
Falguni Joshi ◽  
Ravi Sharma ◽  
Mahesh Dixit

Chronic Obstructive Pulmonary Disease (COPD) which includes chronic bronchitis and emphysema, is the third leading cause of death and over the last 20 years, its prevalence has gradually increased. The key explanation may be rapid socio-economic growth, resulting in a transition from traditional to modern lifestyles. From Ayurveda point of view, COPD can be compared with Pranavaha Srotas disease, as the etiological factors and clinical characteris- tics mentioned in Ayurvedic classics for Pranavaha Srotodushti are almost identical to those for COPD and usually occur in Tamaka Shwasa. Risk factors include exposure to air pollution, second-hand smoke and occupational dusts and chemicals, smoking, cold weather etc. which are also mentioned in Ayurvedic classics “Rajasa Dhoomvatabhyam Shitathanambusevanam Rukshanna Vishmashana”. Identification, reduction, and control of risk factors to prevent the onset of COPD are important steps towards developing strategies for prevention of COPD. References regarding lifestyle modification along with treatment principle & formulations mentioned in Ayurveda can be adopted for the prevention and management of COPD. Keywords: COPD, Yogic procedures, Tamaka Shwasa, Pranavaha Srotasa


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