Health  Vol.6 No.19 , November 2014
Chronic Non-Communicable Diseases in College Students in the Brazilian Western Amazon Region
ABSTRACT
The objective of this study was to analyze the prevalence of chronic non-communicable diseases (CNCDs) and associated life factors in college students in Rio Branco, Acre, Brazilian Western Amazon region. A cross-sectional study was conducted in 874 undergraduate students from a public university. The general prevalence of CNCDs was 15.6%. After adjusting for sex and age, the CNCD-associated life factors included the following: sedentary during leisure time (prevalence ratio (PR): 1.67; 95% confidence interval (CI): 1.12 - 2.48), sedentary in locomotion by walking (PR: 1.34; 95% CI: 1.00 - 1.79), current smoker (PR: 1.66; 95% CI: 1.07 - 2.58), unsatisfactory self-rated health status (PR: 2.31; 95% CI: 1.84 - 2.88), overweight (PR: 1.67; 95% CI: 1.14 - 2.46) and obese (PR: 3.30; 95% CI: 2.18 - 5.01). The high prevalence of CNCDs identified in this group of college students highlights the need for swift action to promote healthy life s among youth.

Cite this paper
de Macedo, L. , Dalamaria, T. , de Aquino Cunha, M. , de Abreu, L. and de Souza, O. (2014) Chronic Non-Communicable Diseases in College Students in the Brazilian Western Amazon Region. Health, 6, 2749-2755. doi: 10.4236/health.2014.619314.
References
[1]   Schmidt, M.I., Duncan, B.B., Azevedo e Silva, G., Menezes, A.M., Monteiro, C.A., Barreto, S.M., Chor, D. and Menezes, P.R. (2011) Chronic Non-Communicable Diseases in Brazil: Burden and Current Challenges. The Lancet, 377, 1949-1961.
http://dx.doi.org/10.1016/S0140-6736(11)60135-9

[2]   Boda, P.J. (2013) The Challenge of Combatting Non-Communicable Diseases in Trinidad: Access to Hospital Care. Health, 5, 12-18.
http://dx.doi.org/10.4236/health.2013.511A2003

[3]   Park, J.M. (2014) Chronic Diseases, Health Status and Health Service Utilization among Koreans. Health, 6, 2286-2293.
http://dx.doi.org/10.4236/health.2014.616263

[4]   Ezzati, M. and Riboli, E. (2013) Behavioral and Dietary Risk Factors for Non-Communicable Diseases. New England Journal of Medicine, 369, 954-964.
http://dx.doi.org/10.1056/NEJMra1203528

[5]   Narayan, K.M., Ali, M.K. and Koplan, J.P. (2010) Global Non-communicable Diseases—Where Worlds Meet. New England Journal of Medicine, 23, 1196-1198.
http://dx.doi.org/10.1056/NEJMp1002024

[6]   Barreto, S.M. and Figueiredo, R.C. (2009) Chronic Diseases, Self-Perceived Health Status and Health Risk Behaviors: Gender Differences. Revista de SaúdePública, 43, 38-47.
http://dx.doi.org/10.1590/S0034-89102009000900006

[7]   Ibanez-Gonzalez, D.L. (2014) Perspectives on Healthcare, Chronic Non-Communicable Disease, and in an Urban and Rural Setting. Global Health Action, 7.
http://dx.doi.org/10.3402/gha.v7.25317

[8]   Minh, H. and Tran, B. (2012) Assessing the Household Financial Burden Associated with the Chronic Non-Communicable Diseases in a Rural District of Vietnam. Global Health Action, 5.
http://dx.doi.org/10.3402/gha.v5i0.18892

[9]   Barros, M.B.A., Francisco, P.M.S.B, Zanchetta, L.M. and César, C.L.G. (2011) Trends in Social and Demographic Inequalities in the Prevalence of Chronic Diseases in Brazil. PNAD: 2003-2008. Ciência e SaúdeColetiva, 16, 3755-3768.
http://dx.doi.org/10.1590/S1413-81232011001000012

[10]   (2011) Brazilian Health Ministry. Vigitel Brazil 2010: Protective and Risk Factors for Chronic Diseases by Telephone Survey. MS, Brasília.

[11]   Franca, C. and Colares, V. (2008) Comparative Study of Health Behavior among College Students at the Start and End of Their Courses. Revista de Saúde Pública, 42, 420-427.

[12]   Ramalho, A.A., Dalamaria, T. and Souza, O.F. (2012) Regular Consumption of Fruits and Vegetables by University Students in Rio Branco, Acre State, Brazil: Prevalence and Associated Factors. Cadernos de Saúde Pública, 28, 1405-1413.
http://dx.doi.org/10.1590/S0102-311X2012000700018

[13]   Souza, O.F., Dalamaria, T. and Pinto, W.J. (2014) Socioeconomic Factors Associated with Overweight and Obesity in Young University Students. HealthMED, 8, 609-613.

[14]   World Health Organization (1995) Physical Status: The Use and Interpretation of Anthropometric Indicators of Nutritional Status. WHO, Geneva.

[15]   Haskell, W.L., Lee, I.M., Pate, R.R., Powell, K.E., Blair, S.N., Franklin, B.A., et al. (2007) Physical Activity and Public Health: Updated Recommendation for Adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116, 1081-1093.
http://dx.doi.org/10.1161/CIRCULATIONAHA.107.185649

[16]   Robinson, J.R., Young, T.K., Roos, L.L. and Gelskey, D.E. (1997) Estimating the Burden of Disease. Comparing Administrative Data and Self-Reports. Medical Care, 35, 932-947.

[17]   Martin, L.M., Leff, M., Calonge, N., Garrett, C. and Nelson, D.E. (2000) Validation of Self-Reported Chronic Conditions and Health Services in a Managed Care Population. American Journal of Preventive Medicine, 18, 215-218.
http://dx.doi.org/10.1016/S0749-3797(99)00158-0

[18]   Ratner, P.A., Johnson, J.L. and Jeffery, B. (1998) Examining Emotional, Physical, Social and Spiritual Health as Determinants of Self-Rated Health Status. American Journal of Health Promotion, 12, 275-282.
http://dx.doi.org/10.4278/0890-1171-12.4.275

[19]   Freire, L.M., Dalamaria, T., Cunha, M.A. and Souza, O.F. (2014) Self-Rated Health in University Students from Rio Branco in the Western Brazilian Amazon. Health, 6, 2245-2249.
http://dx.doi.org/10.4236/health.2014.616260

[20]   Zullig, K.J., Ward, R.M. and Horn, T. (2006) The Association between Perceived Spirituality, Religiosity, and Life Satisfaction: The Mediating Role of Self-Rated Health. Social Indicators Research, 79, 255-274.
http://dx.doi.org/10.1007/s11205-005-4127-5

[21]   Franks, P., Gold, M.R. and Fiscella, K. (2003) Sociodemographics, Self-Rated Health and Mortality in US. Social Science and Medicine, 56, 2505-2514.
http://dx.doi.org/10.1016/S0277-9536(02)00281-2

[22]   Peres, M.A., Masiero, A.V., Longo, G.Z., Rocha, G.C., Matos, I.B., Najnie, K., et al. (2010) Auto-avaliacao da saúde em adultos no Sul do Brasil. Revista de Saúde Pública, 44, 901-911.
http://dx.doi.org/10.1590/S0034-89102010000500016

[23]   Lachat, C., Otchere, S., Roberfroid, D., Abdulai, A., Seret, F.M., Milesevic, J., Xuereb, G., Candeias, V. and Kolsteren, P. (2013) Diet and Physical Activity for the Prevention of Noncommunicable Diseases in Low- and Middle-Income Countries: A Systematic Policy Review. PLoS Medicine, 10, e1001465.
http://dx.doi.org/10.1371/journal.pmed.1001465

[24]   Paffenbarger, R.S., Wing, A.L., Hyde, R.T. and Jung, D.L. (1983) Physical Activity and Incidence of Hypertension in College Alumni. American Journal of Epidemiology, 117, 245-257.

[25]   Martinelli, P.M., Lopes, C.M., Muniz, P.T. and Souza, O.F. (2014) Smoking in Adults in the Municipality of Rio Branco, Acre, Brazil: A Population-Based Study. Revista Brasileira de Epidemiologia, 17, 989-1000.
http://dx.doi.org/10.1590/1809-4503201400040016

[26]   Rodrigues, E.S.R., Cheik, N.C. and Mayer, A.F. (2008) Nível de atividade física e tabagismo em universitários. Revista de Saúde Pública, 42, 672-678.
http://dx.doi.org/10.1590/S0034-89102008000400013

[27]   Manson, J.E., Coldizt, G.A., Stampfer, M.J., Willett, W.C., Rosner, B., Monson, R.R., Speizer, F.E. and Hennekens, C.H. (1990) A Prospective Study of Obesity and Risk of Coronary Heart Disease in Women. New England Journal of Medicine, 322, 882-889.
http://dx.doi.org/10.1056/NEJM199003293221303

[28]   Gregg, E.W., Cheng, Y.J., Cadwell, B.L., Imperatore, G., Willians, D.E., Flegal, K.M., et al. (2005) Secular Trends in Cardiovascular Disease Risk Factors According to Body Mass Index in US Adults. JAMA, 293, 1868-1874.
http://dx.doi.org/10.1001/jama.293.15.1868

[29]   Sociedade Brasileira de Hipertensao (2010) Tratamento nao-medicamentoso e abordagem multiprofissional. Revista Brasileira de Hipertensao, 17, 25-30.

[30]   Krauss, R.M., Eckel, R.H., Howard, B., Appel, L.J., Daniels, S.R., Deckelbaum, R.J., et al. (2000) AHA Dietary Guidelines: Revision 2000: A Statement for Healthcare Professionals from the Nutrition Committee of the American Heart Association. Circulation, 102, 2284-2299.
http://dx.doi.org/10.1161/01.CIR.102.18.2284

 
 
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