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IHD, stroke increased by 50 pc, diabetes cases doubled in India between 1990-2016: Study

Press Trust of India  |  New Delhi 

Prevalence of (IHD) and has increased by over 50 per cent between 1990 and 2016 in India, leading to doubling of deaths caused by them, according to a global study.

The 1990-2016, published Wednesday, noted that prevalence in has more than doubled in the period.

has been ranked at the top for the burden of IHDs, followed by Tamil Nadu, and vice-versa for

was at the top position for the burden of stroke, followed by Odisha, according to the comprehensive analysis of (NCDs).

It was conducted by the (ICMR), Public Foundation of (PHFI), and Institute for Metrics and Evaluation (IHME) in collaboration with the Ministry of

The analysis stated the number of cases in has increased from 28 million to 55 million from 1990 to 2016, and death rate among these cases is twice as high in the less developed states than in the more developed states.

The proportional contribution of to the total health loss in India has doubled from 1990 to 2016, but the incidence of different types of varies widely between the states.

was ranked at the top for the burden of cancer, followed by

According to the study, contribution of air pollution to (COPD) and disability-adjusted life years (DALYs) was found to be higher than that of smoking in India.

"Smoking is decreasing in India and even the household air pollution is decreasing, but ambient (outdoor) air pollution is increasing in most parts of India," it stated.

Commenting on the findings, of ICMR stated that one striking finding is that the age-standardised increase in the prevalence of and diabetes, as well as their DALYs, has generally been highest in the less developed states of India, where the burden of another major NCD, (COPD), and is already high.

Among the major risk factors for ischaemic heart disease, stroke, and diabetes, the prevalence of high blood pressure, high cholesterol, high fasting plasma glucose, and overweight has increased in all parts of India.

The study showed increase in the prevalence of all the major risk factors in all state groups, except smoking.

The high exposure to ambient and household air pollution in the less developed northern states is contributing to the high burden of in these states, in which the case-fatality rate of is twice as high as in the more developed states.

Also, overweight, the major risk factor for doubled in every state of India from 1990 to 2016.

India had 38 adults with diabetes for every 100 overweight adults versus a global average of 19 in 2016. Increase in overweight, unhealthy diet, and physical inactivity contributing to high burden of diabetes in India, the paper on diabetes pointed.

Additionally, ageing of the population is adding to the increasing burden of

"These findings emphasise the need for the prevention and management of major to receive as much policy attention in these states as the reduction of the still high burden of communicable and childhood diseases," Bhargava said.

Bhargava said the government's plans of establishing 1,50,000 health and wellness centres across India to provide comprehensive primary would help deal with and injuries along with communicable diseases, as part of the ambitious Ayushman Bharat.

The ICMR stressed on the need to invest in to monitor the changing trends in NCDs and injuries, and their related risk factors, across the country.

On the release of these new estimates, member Vinod Paul said the insights provided by these findings are very timely for the planning of Ayushman Bharat, the announced recently by the

The findings in these papers demonstrate that major NCDs or suicide do not necessarily follow the same trend in the less developed states, or in the more developed states, indicating the importance of planning health improvements based on specific evidence for each state.

"The detailed analysis of the changes in the major NCDs and their risk factors reported in these papers are therefore quite useful for titrating the Ayushman Bharat effort according to the need of each state," Paul said.

(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

First Published: Wed, September 12 2018. 16:40 IST