Non-Communicable Diseases

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Questions and Answers

What are some examples of chronic noncommunicable diseases? (Select all that apply)

  • Metabolic disorders (correct)
  • Infectious diseases
  • Cancers (correct)
  • Cardiovascular diseases (correct)

Which factors contribute to the increasing prevalence of chronic diseases globally? (Select all that apply)

  • Nutrition transition
  • Moderate physical activity
  • Demographic transition (correct)
  • Genetic factors

What are some modifiable risk factors for noncommunicable diseases?

Unhealthy diet, Tobacco and alcohol use, Sedentary lifestyle

Noncommunicable diseases can be associated with aging. True or False?

<p>True (A)</p> Signup and view all the answers

Chronic diseases are increasing in prevalence worldwide due to demographic transition and ______ transition.

<p>nutrition</p> Signup and view all the answers

What are the main types of chronic diseases mentioned in the document?

<p>Cardiovascular diseases (A)</p> Signup and view all the answers

Chronic diseases are associated with aging. True or False?

<p>True (A)</p> Signup and view all the answers

What are the behavioral modifiable risk factors mentioned for non-communicable diseases?

<p>Unhealthy diet, tobacco use, alcohol use, sedentary life</p> Signup and view all the answers

___% of Egyptians eat less than five servings of fruits and vegetables per day.

<p>95</p> Signup and view all the answers

Match the following stages of prevention and control of non-communicable diseases with their descriptions:

<p>Primordial = Health education Primary = Health promotion and specific protection Secondary = Early detection and treatment Tertiary = Disability limitation and rehabilitation</p> Signup and view all the answers

What is the estimated percentage of deaths in Egypt attributed to non-communicable diseases?

<p>82% (A)</p> Signup and view all the answers

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Study Notes

Non-Communicable Diseases (NCDs)

  • Chronic diseases of long duration and slow progression
  • Types of chronic diseases:
  • Cardiovascular diseases
  • Cancers
  • Chronic respiratory diseases
  • Metabolic disorders

Epidemiology of NCDs

  • Increasing prevalence worldwide due to:
  • Demographic transition (increased life expectancy and aging population)
  • Epidemiologic transition (decreased mortality from communicable diseases due to immunizations and antibiotics)
  • Nutrition transition (changes in dietary patterns and sedentary lifestyle)
  • Multifactorial nature of risk factors (difficult to determine causes and prevent)
  • Migration of population across different cultures (high risk cultures)
  • International communication (modernization, international business, and new food technologies)
  • Environmental changes (air pollution)
  • Different epidemiology of NCDs across countries (presence of well-developed surveillance systems)
  • Changing epidemiology over time (novel risk factors emerge)
  • Limited use of scientific progress in management of NCDs due to high cost (especially in developing countries)

Risk Factors of NCDs

  • Modifiable factors:
  • Unhealthy diet
  • Tobacco and alcohol use
  • Sedentary life
  • Non-modifiable factors:
  • Age
  • Sex
  • Genetics
  • Ethnicity and personality type
  • Metabolic and psychological factors:
  • Raised blood pressure
  • Overweight and obesity
  • Hyperglycemia
  • Hyperlipidemia

Burden of NCDs in Egypt

  • NCDs morbidity:
  • Two-thirds are overweight
  • One-third are obese
  • 40% are hypertensive
  • 37% have high cholesterol levels
  • Risk factors for NCDs in Egypt:
  • Dietary pattern: 95% eat less than five servings of fruits and vegetables per day
  • Tobacco use: one-quarter are smoking
  • Sedentary life: three-quarters don't engage in vigorous activity or sports, and only one-third of adults perform low-level physical activity
  • Mortality from NCDs:
  • NCDs account for 82% of all deaths in Egypt and 67% of premature deaths (WHO 2022)
  • Risk factors for mortality from NCDs in Egypt:
  • 24% prevalence of smoking and growing use of shisha tobacco
  • One of the most overweight populations in the world (66% of women overweight and 42% obese)
  • Almost three-quarters of the population not involved in vigorous activity
  • 17% prevalence of diabetes
  • 40% prevalence of hypertension
  • Egyptians have an average daily salt intake of 9 grams, nearly double the recommended allowance

Prevention and Control of NCDs

  • Primordial prevention: health education
  • Primary prevention: health promotion and specific protection
  • Secondary prevention: early detection and treatment
  • Tertiary prevention: disability limitation and rehabilitation
  • Quaternary prevention: set of activities to mitigate or avoid the consequences of unnecessary intervention of health system

Egypt Strategies to Mitigate NCDs

  • Establishment of an NCD Unit within the MoHP
  • Raising tobacco taxes and reducing salt and replacing trans fat in the Egyptian diet
  • Integrating NCD prevention, early detection, and management services to the primary health care level

Role of Primary Health Care

  • Health education to improve lifestyle
  • Nutrition education
  • Identify high-risk groups
  • Health screening of risk groups for early detection of NCDs
  • Referral to specialist for treatment
  • Follow-up to ensure compliance

Non-Communicable Diseases (NCDs)

  • Chronic diseases of long duration and slow progression
  • Types of chronic diseases:
  • Cardiovascular diseases
  • Cancers
  • Chronic respiratory diseases
  • Metabolic disorders

Epidemiology of NCDs

  • Increasing prevalence worldwide due to:
  • Demographic transition (increased life expectancy and aging population)
  • Epidemiologic transition (decreased mortality from communicable diseases due to immunizations and antibiotics)
  • Nutrition transition (changes in dietary patterns and sedentary lifestyle)
  • Multifactorial nature of risk factors (difficult to determine causes and prevent)
  • Migration of population across different cultures (high risk cultures)
  • International communication (modernization, international business, and new food technologies)
  • Environmental changes (air pollution)
  • Different epidemiology of NCDs across countries (presence of well-developed surveillance systems)
  • Changing epidemiology over time (novel risk factors emerge)
  • Limited use of scientific progress in management of NCDs due to high cost (especially in developing countries)

Risk Factors of NCDs

  • Modifiable factors:
  • Unhealthy diet
  • Tobacco and alcohol use
  • Sedentary life
  • Non-modifiable factors:
  • Age
  • Sex
  • Genetics
  • Ethnicity and personality type
  • Metabolic and psychological factors:
  • Raised blood pressure
  • Overweight and obesity
  • Hyperglycemia
  • Hyperlipidemia

Burden of NCDs in Egypt

  • NCDs morbidity:
  • Two-thirds are overweight
  • One-third are obese
  • 40% are hypertensive
  • 37% have high cholesterol levels
  • Risk factors for NCDs in Egypt:
  • Dietary pattern: 95% eat less than five servings of fruits and vegetables per day
  • Tobacco use: one-quarter are smoking
  • Sedentary life: three-quarters don't engage in vigorous activity or sports, and only one-third of adults perform low-level physical activity
  • Mortality from NCDs:
  • NCDs account for 82% of all deaths in Egypt and 67% of premature deaths (WHO 2022)
  • Risk factors for mortality from NCDs in Egypt:
  • 24% prevalence of smoking and growing use of shisha tobacco
  • One of the most overweight populations in the world (66% of women overweight and 42% obese)
  • Almost three-quarters of the population not involved in vigorous activity
  • 17% prevalence of diabetes
  • 40% prevalence of hypertension
  • Egyptians have an average daily salt intake of 9 grams, nearly double the recommended allowance

Prevention and Control of NCDs

  • Primordial prevention: health education
  • Primary prevention: health promotion and specific protection
  • Secondary prevention: early detection and treatment
  • Tertiary prevention: disability limitation and rehabilitation
  • Quaternary prevention: set of activities to mitigate or avoid the consequences of unnecessary intervention of health system

Egypt Strategies to Mitigate NCDs

  • Establishment of an NCD Unit within the MoHP
  • Raising tobacco taxes and reducing salt and replacing trans fat in the Egyptian diet
  • Integrating NCD prevention, early detection, and management services to the primary health care level

Role of Primary Health Care

  • Health education to improve lifestyle
  • Nutrition education
  • Identify high-risk groups
  • Health screening of risk groups for early detection of NCDs
  • Referral to specialist for treatment
  • Follow-up to ensure compliance

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