International Journal of Community Medicine and Public Health | August 2021 | Vol 8 | Issue 8 Page 4094
International Journal of Community Medicine and Public Health
Verma A et al. Int J Community Med Public Health. 2021 Aug;8(8):4094-4101
http://www.ijcmph.com
pISSN 2394-6032 | eISSN 2394-6040
Review Article
Non-communicable diseases’ risk factors in India: a review of
the current situation
Anjana Verma
1
*, Ashish Patyal
2
, Medha Mathur
1
, Navgeet Mathur
3
, Shiv Virmani
4
INTRODUCTION
Noncommunicable diseases (NCDs) mainly heart disease,
cancer, diabetes, stroke and chronic lung disease are
responsible for almost 70% of all deaths worldwide.
About three fourth of all NCD related deaths, and
majority (82%) of the people who die prematurely, or
before reaching 70 years of age, occur in the developing
countries.
1
The age of onset for NCDs is generally more
than 55 years, however in India, they present almost a
decade earlier.
2
Another concern is the late diagnosis, due
to lack of awareness and health care access. Moreover,
patients usually present with complications or multiple
chronic conditions, which further exacerbates the
problem. India is still fighting the menace of infectious
diseases, with various diseases like tuberculosis and
measles yet to be eliminated. Hence dealing with the dual
burden of communicable and NCD pose considerable
challenges to the public health system of country. India’s
commitment to the sustainable development goals is
reflected in adopting World Health Organization’s
(WHO’s) global action plan for the prevention and
control of NCDs (2013-2020). India is also the first
country to develop specific national targets and indicators
aimed at reducing the number of premature deaths from
NCDs by 2025.
3
The rising burden of NCDs necessitates
the availability of data on burden and risk factors for
research purpose and policy making. For conducting this
review, we searched the PubMed, Scopus, and Google
Scholar databases for the following keywords: NCD; risk
factor; prevention; India; and epidemiology, through all
types of articles, without a language and time restriction.
REVIEW OF THE MAJOR RISK FACTORS
Obesity
Obesity is a considerable public health problem, and its
increasing prevalence in many developing and developed
nations has led to a global challenge. Obesity and
ABSTRACT
Non-communicable diseases (NCDs) are responsible for considerable morbidity and mortality, leading to a significant
burden on the health care systems in developing countries like India. Despite heavy burden, there is no regular system
of collection of good quality representative data on NCDs or their risk factors in India. The published review articles
show the trends of risk factors, however only for one or few more risk factors, thereby rendering them non
comprehensive. This paper examines the updated data and epidemiology of all the NCD risk factors, to provide the
summary estimates of their prevalence at national level. A thorough knowledge on current status of risk factors is
required to formulate the policies and programmes, so that the rising burden of NCDs can be tackled.
Keywords: NCD, Risk factors, Burden, India
1
Department of Community Medicine, Geetanjali Medical College, Udaipur, Rajasthan, India
2
Neuroanaesthesia, Walton Centre, Liverpool, United Kingdom
3
Department of Medicine,
4
Geetanjali medical College, Udaipur, Rajasthan, India
Received: 15 June 2021
Accepted: 17 July 2021
*Correspondence:
Dr. Anjana Verma,
E-mail: anjanaverma504@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20213048