Raising the priority of preventing chronic diseases: a political process

Geneau, Robert; Stuckler, David; Stachenko, Sylvie; Ebrahim, Shah; Basu, Sanjay; Chockalingham, Arun; Mwatsama, Modi; Jamal, Rozmin; Alwan, Ala; Beaglehole, Robert

doi:10.1016/s0140-6736(10)61414-6

Cited by 230 publications

(182 citation statements)

References 54 publications

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“…5 The World Health Organization (WHO) has identified diabetes as a major health problem in Asia and, in this context, prevention of diabetes has become a high priority of health policies. 6,7 The root of the problem is the current lifestyle causing visceral obesity; the long-term solution may be due to major changes in lifestyle. 8,9 Besides causing premature mortality and morbidity and lowering the quality of life, it is a disease which imposes huge economic burden not only on the patients and their families but also in general on the health care system and society too.…”

Section: Introductionmentioning

confidence: 99%

Prolonged elevated postprandial sugar augments severity in kidney disease: a North Indian hospital-based study

Singh

Das

et al. 2013

Renal Failure

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Aim: Diabetes plays a major role in progression of renal failure. The risk-factor profile changes during the progression of chronic kidney disease (CKD) from mild/moderate to end-stage renal disease. The relationship between glycemic indices, blood pressure, body mass index (BMI) and age at diagnosis in Indians has been less investigated. We assessed association of these risk factors with CKD stages in Indian population. Methods: This study was carried out on patients (n ¼ 162) who were diagnosed with CKD and normal control group (n ¼ 155). For BMI, National Institutes for Health criteria were used to categorize the patients. Result: The mean age of CKD patients were significantly increased with the advancement of stage. BMI, systolic blood pressure (SBP), postprandial sugar level (PP), urea and creatinine were also significantly higher with elevated stages, whereas no differences were observed in diastolic blood pressure (DBP) and fasting blood sugar (FBS). The logistic regression study gave a significant result (p ¼ 0.000) when we compared the group of CKD patients with established/prolonged postprandial blood sugar. It was independently associated with mild CKD [odds ratio (OR) ¼ 5.213, 95% confidence interval (CI) ¼ 2.06-13.21, p ¼ 0.000], moderate CKD (OR ¼ 7.724, 95% CI ¼ 4.05-14.74, p ¼ 0.000) and severe CKD (OR ¼ 7.610, 95% CI ¼ 4.03-14.36, p ¼ 0.000). Conclusion: SBP and PP were the best predictors of prevalent nephropathy in this population, while DBP and FBS were found to be less effective. This may have implication for kidney disease risk stratification and protection.

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Section: Introductionmentioning

confidence: 99%

Prolonged elevated postprandial sugar augments severity in kidney disease: a North Indian hospital-based study

Singh

Das

et al. 2013

Renal Failure

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“…The poor are more likely to die prematurely from NCDs because of more limited access to treatments and medicines but also because of ineffective or nonexistent NCD prevention policies [78,79]. Death or disability among men of working age can be devastating for household welfare and the livelihoods of women prematurely widowed [80].…”

Section: The Rise Of Ncds and Risk Commodity Consumption Patterns In mentioning

confidence: 99%

“…Fundamentally, however, strengthening policy and governance responses to address NCDs will require directly challenging the power of these commercial actors. Globalization enhances the power of TRCCs to influence international and national policy agendas because nation states must increasingly compete with one another to attract and retain the investments and jobs they provide [79,[87][88][89], especially when such companies are among the largest operating in LMICs [20]. This creates a difficult paradox for government regulators who must balance the opportunities for economic development these companies provide and the public health and welfare implications of those investments [20].…”

Section: The Trans-pacific Partnership Agreementmentioning

confidence: 99%

Trade and investment liberalization and Asia¿s noncommunicable disease epidemic: a synthesis of data and existing literature

Baker

Kay

Walls

2014

Globalization and Health

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Background: Trade and investment liberalization (trade liberalization) can promote or harm health. Undoubtedly it has contributed, although unevenly, to Asia's social and economic development over recent decades with resultant gains in life expectancy and living standards. In the absence of public health protections, however, it is also a significant upstream driver of non-communicable diseases (NCDs) including cardiovascular disease, cancer and diabetes through facilitating increased consumption of the 'risk commodities' tobacco, alcohol and ultra-processed foods, and by constraining access to NCD medicines. In this paper we describe the NCD burden in Asian countries, trends in risk commodity consumption and the processes by which trade liberalization has occurred in the region and contributed to these trends. We further establish pressing questions for future research on strengthening regulatory capacity to address trade liberalization impacts on risk commodity consumption and health. Methods: A semi-structured search of scholarly databases, institutional websites and internet sources for academic and grey literature. Data for descriptive statistics were sourced from Euromonitor International, the World Bank, the World Health Organization, and the World Trade Organization.

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“…This strategic approach would align with what might be considered the NCD 'global health rhetoric' with its focus on common risk factors that offer the prospect of 'leveraged' prevention [11]. Increasingly, and in low-and middle-income countries in particular, there is a move away from fragmented 'vertical' condition-specific disease programmes (e.g.…”

Section: Musculoskeletal Pain Burden Of Disease Health Policymentioning

confidence: 99%

Musculoskeletal pain on the global stage: what next?

Blyth

Hoy

March

2011

Behav. Med. Pract. Policy Res.

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In this essay, we describe two recent developments in global public health efforts in the chronic pain field and use the example of musculoskeletal pain to explore some of the implications arising from these developments. The first is the recognition of chronic pain as a condition in its own right, which has been the impetus for several national and one recent international pain summits that have translated that into a call for recognition, rights and resources for people with pain. The other development is the first comprehensive attempt to measure the global burden of musculoskeletal conditions in the current round of the Global Burden of Diseases, Injuries and Risk Factors Study (GBD 2010). In essence, the task here has been to translate epidemiological data from all countries where data are available into standardised measures of the overall burden of musculoskeletal conditions to allow comparison of the burden relative to other conditions, and to identify the proportion of the burden that is attributable to a set of common risk factors. Past rounds of the GBD have been influential in priority setting and allocation of health funding by the World Health Organisation and national governments. The current GBD 2010 Study is occurring in the context of changes in thinking about how to fund health care in a global context. These changes are away from diseasespecific programmes to more 'integrated' approaches, and thus represent a potential challenge to the calls to consider pain-focussed funding. We explore the strategic implications of both of these developments for translating our better understanding of the problem of musculoskeletal pain into effective policy action. KEYWORDS

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Raising the priority of preventing chronic diseases: a political process

Cited by 230 publications

References 54 publications

Prolonged elevated postprandial sugar augments severity in kidney disease: a North Indian hospital-based study

Prolonged elevated postprandial sugar augments severity in kidney disease: a North Indian hospital-based study

Trade and investment liberalization and Asia¿s noncommunicable disease epidemic: a synthesis of data and existing literature

Musculoskeletal pain on the global stage: what next?

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