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Non-communicable diseases in the Asia-Pacific region: Prevalence, risk factors and community-based prevention

  • Wah-Yun Low
  • Yew-Kong Lee
  • Alexander Lourdes Samy
Review Paper

Abstract

Non-communicable diseases (NCDs) lead to substantial mortality and morbidity worldwide. The most common NCDs are cardiovascular diseases (CVD), diabetes, cancer and chronic respiratory diseases. With the rapid increase in NCD-related deaths in Asia Pacific countries, NCDs are now the major cause of deaths and disease burden in the region. NCDs hamper achievement of the Millennium Development Goals (MDG). People in the low socio-economic group are most affected by NCDs as they have poor access to policies, legislations, regulations and healthcare services meant to combat NCDs. This results in loss of productivity by a decreasing labor force with implications at the macroeconomic level. The 3 major NCDs in the Asia Pacific region are CVDs, cancer and diabetes due to the increasing loss of disability adjusted life years (DALYs). The 4 major behavioral risk factors for NCDs are: tobacco use, alcohol consumption, inadequate physical activity and unhealthy diet. The underlying risk factors are urbanization, globalization, sedentary lifestyle, obesity and hypertension. Strategies to combat NCDs in the Asia Pacific region are as follows: population-based dietary salt reduction, health education, psychological interventions, i.e., cognitive behavioral therapy and motivational-interviewing, taxation and bans on tobacco-related advertisements, implementing smoke-free zones and surveillance by the World Health Organization. Control measures must focus on prevention and strengthening inter-sectorial collaboration.

Key words

Non-communicable diseases (NCDs) Urbanization Hypertension Obesity Community-based prevention Inter-sectorial collaboration 

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References

  1. 1.
    World Health Organization. Action plan for the prevention and control of noncommunicable diseases in South-East Asia, 2013–2020. New Delhi: World Health Organization Regional Office for South-East Asia; 2013.Google Scholar
  2. 2.
    World Health Organization. Noncommunicable diseases in the Western Pacific Region. Manila: World Health Organization Office of the Western Pacific Region; 2012.Google Scholar
  3. 3.
    World Health Organization. Noncommunicable diseases in the South-East Asia Region: Situation and response 2011. New Delhi: World Health Organization Regional Office for South-East Asia; 2011.Google Scholar
  4. 4.
    Beaglehole R, Bonita R, Horton R, Adams C, Alleyne G, Asaria P, et al. Priority actions for the non-communicable disease crisis. Lancet. 2011;377:1438–1447, http://dx.doi.org/ 10.1016/S0140-6736(11)60393-0.PubMedCrossRefGoogle Scholar
  5. 5.
    Hunter DJ, Reddy KS. Noncommunicable diseases. N Engl J Med. 2013;369(14):1336–1343, http://dx.doi.org/ 10.1056/NEJMra1109345.PubMedCrossRefGoogle Scholar
  6. 6.
    World Health Organization. Priority noncommunicable diseases and conditions. World Health Organization Office for Western Pacific Region; 2008 [cited 2014 Feb 28]. Available from: http://www.wpro.who.int/health_research/documents/dhs_hr_health_in_asia_and_the_pacific_13_chapter_8_priority_noncommunicable_diseases_and_disorders.pdf.Google Scholar
  7. 7.
    International Diabetes Federation. Diabetes Atlas. 3rd ed. Brussels: IDF; 2006.Google Scholar
  8. 8.
    Ling T, Bao CX, Yun CH. The control of fasting plasma glucose and HbA1c multifactor analysis for medical cost in patients with type 2 diabetes mellitus. Chin J Diabet. 2004;3:205–208.Google Scholar
  9. 9.
    Chuang L-M, Tsai ST, Huang BY, Tai TY. The status of diabetes control in Asia — A cross-sectional survey of 24 317 patients with diabetes mellitus in 1998. Diabet Med. 2002;19(12): 978–985, http://dx.doi.org/ 10.1046/j.1464-5491.2002.00833.x.PubMedCrossRefGoogle Scholar
  10. 10.
    Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55(2):74–108, http://dx.doi.org/ 10.3322/canjclin.55.2.74.PubMedCrossRefGoogle Scholar
  11. 11.
    World Health Organization. Global health observatory data repository. WHO; 2013 [cited 2014 Mar 28]. Available from: http://apps.who.int/gho/data/node.main.A865?lang=en.Google Scholar
  12. 12.
    World Health Organization. Global status report on non-communicable diseases 2010. Geneva: WHO; 2011.Google Scholar
  13. 13.
    World Health Organization. Preventing chronic diseases: A vital investment. WHO global report. 2005. Geneva: WHO; 2005.Google Scholar
  14. 14.
    Zuo H, Shi Z, Hussain A. Prevalence, trends and risk factors for the diabetes epidemic in China: A systematic review and meta-analysis. Diabetes Res Clin Pract. 2014;104(1):63–72, http://dx.doi.org/ 10.1016/j.diabres.2014.01.002.PubMedCrossRefGoogle Scholar
  15. 15.
    Anderson I. Tobacco as a development issue: Latest estimates from WHO. 2012 [cited 2014 Apr 5]. Available from: http://devpolicy.org/tobacco-as-a-development-issue-latest-estimates-from-who20120430.Google Scholar
  16. 16.
    World Health Organization. Global health risk: Mortality and burden of disease attributable to selected major risks. Geneva: WHO; 2009.Google Scholar
  17. 17.
    Otani T, Iwasaki M, Yamamoto S, Sobue T, Hanaoka T, Inoue M, et al. Alcohol consumption, smoking, and subsequent risk of colorectal cancer in middle-aged and elderly Japanese men and women Japan public health center-based prospective study. Cancer Epidemiol Biomarkers Prev. 2003;12(12):1492–1500.PubMedGoogle Scholar
  18. 18.
    World Health Organization. Global recommendation on physical activity for health. Geneva: WHO; 2010.Google Scholar
  19. 19.
    Ng N, Hakimi M, van Minh H, Juvekar S, Razzaque A, Ashraf A, et al. Prevalence of physical inactivity in nine rural INDEPTH health and demographic surveillance systems in five Asian countries. Glob Health Action. 2009;2:44–53.Google Scholar
  20. 20.
    Shetty P. Nutrition transition and its health outcomes. Indian J Pediatr. 2013;80(1):21–27, http://dx.doi.org/ 10.1007/s12098-013-0971-5.CrossRefGoogle Scholar
  21. 21.
    Moore MA. Diverse influences of dietary factors on cancer in Asia. Asian Pac J Cancer Prev. 2009;10(6):981–986.PubMedGoogle Scholar
  22. 22.
    Haby MM, Markwick A, Peeters A, Shaw J, Vos T. Future predictions of body mass index and overweight prevalence in Australia, 2005–2025. Health Promot Int. 2012;27(2): 250–260, http://dx.doi.org/ 10.1093/heapro/dar036.CrossRefGoogle Scholar
  23. 23.
    World Health Organization. Obesity. WHO; 2012 [cited 2014 Mar 20]. Available from: http://www.wpro.who.int/mediacentre/factsheets/obesity/en.Google Scholar
  24. 24.
    Aboobakur M, Latheef A, Mohamed AJ, Moosa S, Pandey RM, Krishnan A, et al. Surveillance for non-communicable disease risk factors in Maldives: Results from the first STEPS survey in Male. Int J Public Health. 2010;55(5): 489–496, http://dx.doi.org/ 10.1007/s00038-009-0114-y.PubMedCrossRefGoogle Scholar
  25. 25.
    Lawes CM, Hoorn SV, Rodgers A. Global burden of blood-pressure-related disease, 2001. Lancet. 2008;371(9623): 1513–1518, http://dx.doi.org/ 10.1016/S0140-6736(08)60655-8.PubMedCrossRefGoogle Scholar
  26. 26.
    Arima H, Murakami Y, Lam TH, Kim HC, Ueshima H, Woo J, et al. Effects of prehypertension and hypertension subtype on cardiovascular disease in the Asia-Pacific Region. Hypertension. 2012;59(6):1118–1123, http://dx.doi.org/ 10.1161/HYPERTENSIONAHA.111.187252.PubMedCrossRefGoogle Scholar
  27. 27.
    Takahashi Y, Sasaki S, Okubo S, Hayashi M, Tsugane S. Blood pressure change in a free-living population-based dietary modification study in Japan. J Hypertens. 2006;24(3):451–458, http://dx.doi.org/ 10.1097/01.hjh.0000209980.36359.16.PubMedCrossRefGoogle Scholar
  28. 28.
    Feigin VL, Krishnamurthi R. Stroke prevention in the developing world. Stroke. 2011;42(12):3655–3658, http://dx.doi. org/ 10.1161/STROKEAHA.110.596858.PubMedCrossRefGoogle Scholar
  29. 29.
    Shah P, Misra A, Gupta N, Hazra DK, Gupta R, Seth P, et al. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: Findings from the ‘Medical education for children/Adolescents for Realistic prevention of obesity and diabetes and for healthy aGeing’ (MARG) intervention study. Br J Nutr. 2010;104(03):427–436, http://dx.doi.org/ 10.1017/S0007114510000681.PubMedCrossRefGoogle Scholar
  30. 30.
    Eriksen M, Mackay J, Ross H. The Tobacco Atlas. Atlanta, GA: World Lung Foundation; 2012.Google Scholar
  31. 31.
    World Health Organization. WHO report on the global tobacco epidemic, 2013: Enforcing bans on tobacco advertising, promotion and sponsorship. Geneva: WHO; 2013.Google Scholar
  32. 32.
    Xu Y, Wu Q, Xu S, Xu J, Wan X, Guo Y. Environmental secondhand smoke exposure and policy assessment at five venues in Zhejiang Province, China. Asia Pac J Public Health. 2013;25(1):1–9.Google Scholar
  33. 33.
    Abidin EZ, Hashim Z, Semple S. Secondhand smoke in public spaces: How effective has partial smoke-free legislation been in Malaysia? Asian Pac J Cancer Prev. 2013;14(11): 6845–6850, http://dx.doi.org/ 10.7314/APJCP.2013.14.11.6845.PubMedCrossRefGoogle Scholar
  34. 34.
    Lim SH, Tai BC, Yuan J-M, Mimi CY, Koh W-P. Smoking cessation and mortality among middle-aged and elderly Chinese in Singapore: The Singapore Chinese health study. Tob Control. 2013;22(4):235–2340, http://dx.doi.org/ 10.1136/tobaccocontrol-2011-050106.PubMedCrossRefGoogle Scholar
  35. 35.
    World Health Organization. Noncommunicable disease surveillance. Geneva: WHO; 2014 [cited 2014 Apr 1]. Available from: http://www.who.int/ncd_surveillance/en.Google Scholar
  36. 36.
    World Health Organization. STEPwise approach to chronic disease risk factor surveillance (STEPS). Geneva: WHO; 2014 [cited 2014 Mar 20]. Available from: http://www.who.int/chp/steps/riskfactor/en.Google Scholar
  37. 37.
    World Health Organization. The STEPS instrument and support materials. Geneva: WHO; 2014 [cited 2014 Mar 6]. Available from: http://www.who.int/chp/steps/instrument/en.Google Scholar
  38. 38.
    World Health Organization. STEPwise approach to surveillance (STEPS). Geneva: WHO; 2014 [cited 2014 Mar 12]. Available from: http://www.who.int/chp/steps/en.Google Scholar
  39. 39.
    World Health Organization. Intersectoral action on health: A path for policy-makers to implement effective and sustainable intersectoral action on health. First global ministerial conference on healthy lifestyles and noncommunicable disease control. Moscow: WHO; 2011.Google Scholar
  40. 40.
    World Health Organization. Strategy for the prevention and control of noncommunicable diseases. 28th Pan American Sanitary Conference; 2012 Sep 17–21; Washington, D.C., United States of America. Pan American Health Organization: WHO; 2012.Google Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Wien 2014

Authors and Affiliations

  • Wah-Yun Low
    • 1
  • Yew-Kong Lee
    • 1
  • Alexander Lourdes Samy
    • 1
  1. 1.Faculty of MedicineUniversity of MalayaKuala LumpurMalaysia

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