Prashant Mathur1, Vaitheeswaran Kulothungan1, Sravya Leburu1, Anand Krishnan2, Himanshu Kumar Chaturvedi3, Harshal Ramesh Salve2, Ritvik Amarchand2, Baridalyne Nongkynrih2, P Ganesh Kumar4, Vinay Urs K S1, Lakshmy Ramakrishnan5, A Laxmaiah6, Manjit Boruah7, Sanjeev Kumar8, Binod Kumar Patro9, Pankaja Ravi Raghav10, Prabu Rajkumar4, P Sankara Sarma11, Rinku Sharma12, Muralidhar Tambe13, K R Thankappan14, N Arlappa6, Tulika Goswami Mahanta15, Rajnish P Joshi8, Neeti Rustagi10, Sonia Gupta12, Binod Kumar Behera9, Sangita Chandrakant Shelke13, Abhiruchi Galhotra16, Pranab Jyoti Bhuyan17, Abhijit P Pakhare8, Dewesh Kumar18, Roshan K Topno19, Manoj Kumar Gupta10, Atulkumar V Trivedi20, Suneela Garg21. 1. Indian Council Medical Research-National Centre for Disease Informatics and Research, Bengaluru, Karnataka, India. 2. Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India. 3. Indian Council Medical Research-National Institute of Medical Statistics, New Delhi, India. 4. Indian Council Medical Research-National Institute of Epidemiology, Chennai, Tamil Nadu, India. 5. Department of Cardiac Biochemistry, All India Institute of Medical Sciences, New Delhi, India. 6. Division of Community Studies, Indian Council Medical Research-National Institute of Nutrition, Hyderabad, Telangana, India. 7. Department of Community Medicine, Assam Medical College, Dibrugarh, Assam, India. 8. Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India. 9. Department of Community and Family Medicine, All India Institute of Medical Sciences, Bhubaneshwar, Odisha, India. 10. Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India. 11. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India. 12. Centre for Noncommunicable Diseases, National Centre for Disease Control, Directorate General of Health Services, New Delhi, India. 13. Department of Community Medicine, B J Govt. Medical College, Pune, Maharashtra, India. 14. Department of Public Health and Community Medicine, Central University Kerala, Kasaragod, Kerala, India. 15. Department of Community Medicine/Prevention & Social Medicine, Tezpur Medical College, Tezpur, Assam, India. 16. Department of Community and Family Medicine, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India. 17. Regional Director Office, Ministry of Health and Family Welfare, Guwahati, Assam, India. 18. Department of Preventive and Social Medicine, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India. 19. Department of Epidemiology, Indian Council Medical Research-Rajendra Memorial Research Institute of Medical Sciences, Patna, Bihar, India. 20. Department of Community Medicine, Government Medical College, Bhavnagar, Gujarat, India. 21. Department of Community Medicine, Maulana Azad Medical College and Associated Hospitals, New Delhi, India.
Abstract
BACKGROUND: The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18-69 years). MATERIALS AND METHODS: NNMS was a national level cross-sectional survey conducted during 2017-18. The estimated sample size was 12,000 households from 600 primary sampling units. One adult (18-69 years) per household was selected using the World Health Organization-KISH grid. The study tools were adapted from WHO-STEPwise approach to NCD risk factor surveillance, IDSP-NCD risk factor survey and WHO-Global adult tobacco survey. Total of 8/10 indicators of adult NCD risk factors according to national NCD disease monitoring framework was studied. This survey for the first time estimated dietary intake of salt intake of population at a national level from spot urine samples. RESULTS: Total of 11139 households and 10659 adults completed the survey. Prevalence of tobacco and alcohol use was 32.8% (95% CI: 30.8-35.0) and 15.9% (95% CI: 14.2-17.7) respectively. More than one-third adults were physically inactive [41.3% (95% CI: 39.4-43.3)], majority [98.4% (95% CI: 97.8-98.8)] consumed less than 5 servings of fruits and / or vegetables per day and mean salt intake was 8 g/day (95% CI: 7.8-8.2). Proportion with raised blood pressure and raised blood glucose were 28.5% (95% CI: 27.0-30.1) and 9.3% (95% CI: 8.3-10.5) respectively. 12.8% (95% CI: 11.2-14.5) of adults (40-69 years) had ten-year CVD risk of ≥30% or with existing CVD. CONCLUSION: NNMS was the first comprehensive national survey providing relevant data to assess India's progress towards targets in National NCD monitoring framework and NCD Action Plan. Established methodology and findings from survey would contribute to plan future state-based surveys and also frame policies for prevention and control of NCDs.
BACKGROUND: The primary objective of National NCD monitoring survey (NNMS) was to generate national-level estimates of key NCD indicators identified in the national NCD monitoring framework. This paper describes survey study protocol and prevalence of risk factors among adults (18-69 years). MATERIALS AND METHODS: NNMS was a national level cross-sectional survey conducted during 2017-18. The estimated sample size was 12,000 households from 600 primary sampling units. One adult (18-69 years) per household was selected using the World Health Organization-KISH grid. The study tools were adapted from WHO-STEPwise approach to NCD risk factor surveillance, IDSP-NCD risk factor survey and WHO-Global adult tobacco survey. Total of 8/10 indicators of adult NCD risk factors according to national NCD disease monitoring framework was studied. This survey for the first time estimated dietary intake of salt intake of population at a national level from spot urine samples. RESULTS: Total of 11139 households and 10659 adults completed the survey. Prevalence of tobacco and alcohol use was 32.8% (95% CI: 30.8-35.0) and 15.9% (95% CI: 14.2-17.7) respectively. More than one-third adults were physically inactive [41.3% (95% CI: 39.4-43.3)], majority [98.4% (95% CI: 97.8-98.8)] consumed less than 5 servings of fruits and / or vegetables per day and mean salt intake was 8 g/day (95% CI: 7.8-8.2). Proportion with raised blood pressure and raised blood glucose were 28.5% (95% CI: 27.0-30.1) and 9.3% (95% CI: 8.3-10.5) respectively. 12.8% (95% CI: 11.2-14.5) of adults (40-69 years) had ten-year CVD risk of ≥30% or with existing CVD. CONCLUSION: NNMS was the first comprehensive national survey providing relevant data to assess India's progress towards targets in National NCD monitoring framework and NCD Action Plan. Established methodology and findings from survey would contribute to plan future state-based surveys and also frame policies for prevention and control of NCDs.