Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study

Tuhin Biswas; Nick Townsend; M. Mamun Huda; Joemer Maravilla; Tahmina Begum; Sonia Pervin; Arpita Ghosh; Rashidul Alam Mahumud; Shariful Islam; Novera Anwar; Rukaiya Rifhat; Kerim Munir; Rajat Das Gupta; Andre M.N. Renzaho; Helda Khusun; Luh Ade Ari Wiradnyani; Tim Radel; Janeen Baxter; Lal B. Rawal; David McIntyre; Kjersti Mørkrid; Abdullah Mamun

doi:10.1016/j.eclinm.2022.101591

Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study

Tuhin Biswas, Nick Townsend, M. Mamun Huda, Joemer Maravilla, Tahmina Begum, Sonia Pervin, Arpita Ghosh, Rashidul Alam Mahumud, Shariful Islam, Novera Anwar, Rukaiya Rifhat, Kerim Munir, Rajat Das Gupta, Andre M.N. Renzaho, Helda Khusun, Luh Ade Ari Wiradnyani, Tim Radel, Janeen Baxter, Lal B. Rawal, David McIntyreKjersti Mørkrid, Abdullah Mamun

Rural Health Research Institute

Research output: Contribution to journal › Article › peer-review

26 Citations (Scopus)

23 Downloads (Pure)

Abstract

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.

Original language	English
Article number	101591
Number of pages	9
Journal	eClinicalMedicine
Volume	52
Early online date	Aug 2022
DOIs	https://doi.org/10.1016/j.eclinm.2022.101591
Publication status	Published - Oct 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1016/j.eclinm.2022.101591Licence: CC BY

394613099_published articleFinal published version, 639 KBLicence: CC BY

Cite this

Biswas, T., Townsend, N., Huda, M. M., Maravilla, J., Begum, T., Pervin, S., Ghosh, A., Mahumud, R. A., Islam, S., Anwar, N., Rifhat, R., Munir, K., Gupta, R. D., Renzaho, A. M. N., Khusun, H., Wiradnyani, L. A. A., Radel, T., Baxter, J., Rawal, L. B., ... Mamun, A. (2022). Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study. eClinicalMedicine, 52, Article 101591. https://doi.org/10.1016/j.eclinm.2022.101591

@article{9c025e171eb445da8be20c1e85d53ff1,

title = "Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study",

abstract = "BackgroundModifiable 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.MethodsWe 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.FindingsOver 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.InterpretationOur 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.",

keywords = "Adolescents, Burden, Non-communicable disease, Risk factors",

author = "Tuhin Biswas and Nick Townsend and Huda, {M. Mamun} and Joemer Maravilla and Tahmina Begum and Sonia Pervin and Arpita Ghosh and Mahumud, {Rashidul Alam} and Shariful Islam and Novera Anwar and Rukaiya Rifhat and Kerim Munir and Gupta, {Rajat Das} and Renzaho, {Andre M.N.} and Helda Khusun and Wiradnyani, {Luh Ade Ari} and Tim Radel and Janeen Baxter and Rawal, {Lal B.} and David McIntyre and Kjersti M{\o}rkrid and Abdullah Mamun",

note = "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. 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. Publisher Copyright: {\textcopyright} 2022 The Author(s)",

year = "2022",

month = oct,

doi = "10.1016/j.eclinm.2022.101591",

language = "English",

volume = "52",

journal = "eClinicalMedicine",

issn = "2589-5370",

publisher = "Lancet Publishing Group",

}

Biswas, T, Townsend, N, Huda, MM, Maravilla, J, Begum, T, Pervin, S, Ghosh, A, Mahumud, RA, Islam, S, Anwar, N, Rifhat, R, Munir, K, Gupta, RD, Renzaho, AMN, Khusun, H, Wiradnyani, LAA, Radel, T, Baxter, J, Rawal, LB, McIntyre, D, Mørkrid, K & Mamun, A 2022, 'Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study', eClinicalMedicine, vol. 52, 101591. https://doi.org/10.1016/j.eclinm.2022.101591

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. 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. Publisher Copyright: © 2022 The Author(s)

PY - 2022/10

Y1 - 2022/10

N2 - BackgroundModifiable 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.MethodsWe 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.FindingsOver 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.InterpretationOur 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.

AB - BackgroundModifiable 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.MethodsWe 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.FindingsOver 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.InterpretationOur 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.

KW - Adolescents

KW - Burden

KW - Non-communicable disease

KW - Risk factors

UR - http://www.scopus.com/inward/record.url?scp=85136770719&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85136770719&partnerID=8YFLogxK

U2 - 10.1016/j.eclinm.2022.101591

DO - 10.1016/j.eclinm.2022.101591

M3 - Article

C2 - 36016694

AN - SCOPUS:85136770719

SN - 2589-5370

VL - 52

JO - eClinicalMedicine

JF - eClinicalMedicine

M1 - 101591

ER -

Prevalence of multiple non-communicable diseases risk factors among adolescents in 140 countries: A population-based study

Abstract

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this