TY - JOUR
T1 - Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries
T2 - A population-based study
AU - Biswas, Tuhin
AU - Townsend, Nick
AU - Huda, M. Mamun
AU - Maravilla, Joemer
AU - Begum, Tahmina
AU - Pervin, Sonia
AU - Ghosh, Arpita
AU - Mahumud, Rashidul Alam
AU - Islam, Shariful
AU - Anwar, Novera
AU - Rifhat, Rukaiya
AU - Munir, Kerim
AU - Gupta, Rajat Das
AU - Renzaho, Andre M.N.
AU - Khusun, Helda
AU - Wiradnyani, Luh Ade Ari
AU - Radel, Tim
AU - Baxter, Janeen
AU - Rawal, Lal B.
AU - McIntyre, David
AU - Mørkrid, Kjersti
AU - Mamun, Abdullah
N1 - Funding Information:
We thank the US Centers for Disease Control and WHO for making Global School-based Student Health Survey (GSHS), HBSC and LSAC data publicly available for analysis. This research was supported by the Australian Research Council Centre of Excellence for Children and Families over the Life Course CE200100025.
PY - 2022/10/31
Y1 - 2022/10/31
N2 - Background: Modifiable non-communicable disease (NCD) risk factors are becoming increasingly common among adolescents, with clustering of these risk factors in individuals of particular concern. The aim of this study was to assess global status of clustering of common modifiable NCD risk factors among adolescents. Methods: We used latest available data from nationally representative survey for 140 countries, namely the Global School-based Student Health Survey, the Health Behaviour in School-Aged Children and the longitudinal study of Australian Children. Weighted mean estimates of prevalence with corresponding 95% confidence intervals of nine NCD risk factors - physical inactivity, sedentary behaviour, insufficient fruits and vegetable consumption, carbonated soft drink consumption, fast food consumption, tobacco use, alcohol consumption and overweight/obesity - were calculated by country, region and sex. Findings: Over 487,565 adolescents, aged 11–17 years, were included in this study. According to trend analysis, prevalence of four or more NCD risk factors increased gradually over time. Prevalence of four or more NCD risk factors was 14.8% in 2003–2007 and increased to 44% in 2013–2017, an approximately three-fold increase (44.0%). Similar trends were also observed for three and two risk factors. Large variation between countries in the prevalence of adolescents with four or more risk factors was found in all regions. The country level range was higher in the South-East Asia Region (minimum Sri Lanka = 8%, maximum Myanmar = 84%) than Western Pacific Region (minimum China = 3%, maximum Niue = 72%), European Region (minimum Sweden = 13.9%, maximum Ireland = 66.0%), African Region (minimum Senegal = 0.8%, maximum Uganda = 82.1%) and Eastern Mediterranean Region (minimum Libya = 0.2%, maximum Lebanon = 80.2%). Insufficient vegetable consumption, insufficient fruit consumption and physically inactivity were three of the four most prevalent risk factors in all regions. Interpretation: Our results suggest a high prevalence of four or more NCD risk factors in adolescents globally, although variation was found between countries. Results from our study indicate that efforts to reduce adolescent NCD risk factors and the associated health burden need to be improved. These findings can assist policy makers to target the rollout of country- specific interventions. Funding: None.
AB - Background: Modifiable non-communicable disease (NCD) risk factors are becoming increasingly common among adolescents, with clustering of these risk factors in individuals of particular concern. The aim of this study was to assess global status of clustering of common modifiable NCD risk factors among adolescents. Methods: We used latest available data from nationally representative survey for 140 countries, namely the Global School-based Student Health Survey, the Health Behaviour in School-Aged Children and the longitudinal study of Australian Children. Weighted mean estimates of prevalence with corresponding 95% confidence intervals of nine NCD risk factors - physical inactivity, sedentary behaviour, insufficient fruits and vegetable consumption, carbonated soft drink consumption, fast food consumption, tobacco use, alcohol consumption and overweight/obesity - were calculated by country, region and sex. Findings: Over 487,565 adolescents, aged 11–17 years, were included in this study. According to trend analysis, prevalence of four or more NCD risk factors increased gradually over time. Prevalence of four or more NCD risk factors was 14.8% in 2003–2007 and increased to 44% in 2013–2017, an approximately three-fold increase (44.0%). Similar trends were also observed for three and two risk factors. Large variation between countries in the prevalence of adolescents with four or more risk factors was found in all regions. The country level range was higher in the South-East Asia Region (minimum Sri Lanka = 8%, maximum Myanmar = 84%) than Western Pacific Region (minimum China = 3%, maximum Niue = 72%), European Region (minimum Sweden = 13.9%, maximum Ireland = 66.0%), African Region (minimum Senegal = 0.8%, maximum Uganda = 82.1%) and Eastern Mediterranean Region (minimum Libya = 0.2%, maximum Lebanon = 80.2%). Insufficient vegetable consumption, insufficient fruit consumption and physically inactivity were three of the four most prevalent risk factors in all regions. Interpretation: Our results suggest a high prevalence of four or more NCD risk factors in adolescents globally, although variation was found between countries. Results from our study indicate that efforts to reduce adolescent NCD risk factors and the associated health burden need to be improved. These findings can assist policy makers to target the rollout of country- specific interventions. Funding: None.
KW - Adolescents
KW - Burden
KW - Non-communicable disease
KW - Risk factors
UR - http://www.scopus.com/inward/record.url?scp=85136770719&partnerID=8YFLogxK
U2 - 10.1016/j.eclinm.2022.101591
DO - 10.1016/j.eclinm.2022.101591
M3 - Article
AN - SCOPUS:85136770719
SN - 2589-5370
VL - 52
JO - EClinicalMedicine
JF - EClinicalMedicine
M1 - 101591
ER -