ArticlePloS one2013
The burden of non-communicable disease in transition communities in an Asian megacity: baseline findings from a cohort study in Karachi, Pakistan.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A comparative systematic review of risk factors, prevalence, and challenges contributing to non-communicable diseases in South Asia, Africa, and Caribbeans.Journal of health, population, and nutrition · 2024Pooled it
- Geographic disparities and health inequality evolution in the disease burden of tracheal, bronchus, and lung cancer in Asia: a 33-year longitudinal analysis and future projections.Annals of medicine · 2026Article
- Evaluating the effect of maternal non-communicable disease on adverse pregnancy outcomes and birthweight in Pakistan, a facility based retrospective cohort study.Scientific reports · 2024Article
- Prevalence and Sociodemographic Factors of Overweight and Obesity among Pakistani Adults.Journal of obesity & metabolic syndrome · 2020Article
- Prevalence and correlates of multimorbidity among adults in Botswana: A cross-sectional study.PloS one · 2020Article
- The Association between Socioeconomic Status, Smoking, and Chronic Disease in Inner Mongolia in Northern China.International journal of environmental research and public health · 2019Article
- Article
- The epidemiology of hepatitis C virus in Pakistan: systematic review and meta-analyses.Royal Society open science · 2018Article
- The burden and high prevalence of hypertension in Pakistani adolescents: a meta-analysis of the published studies.Archives of public health = Archives belges de sante publique · 2018Review
- Prevalence of cardiometabolic risk factors in a nationally representative sample of Iranian children and adolescents: the CASPIAN-V Study.Journal of cardiovascular and thoracic research · 2018Article
- Establishing a cohort in a developing country: Experiences of the diabetes-tuberculosis treatment outcome cohort study.Journal of epidemiology and global health · 2017Article
- Chronic kidney disease in low- and middle-income countries.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2016Article
- Association of major dietary patterns and blood pressure longitudinal change in Bangladesh.Journal of hypertension · 2015Article
- Hypertension prevalence, awareness, treatment, and control, in male South Asian immigrants in the United Arab Emirates: a cross-sectional study.BMC cardiovascular disorders · 2015Article
- Community-based assessment of surgical symptoms in a low-income urban population.World journal of surgery · 2015Article
- The Burden and Determinants of Non Communicable Diseases Risk Factors in Nepal: Findings from a Nationwide STEPS Survey.PloS one · 2015Article
- Prevalence of obesity and overweight, its clinical markers and associated factors in a high risk South-Asian population.BMC obesity · 2015Article
- Article
- Prevalence and risk factors of kidney disease in urban Karachi: baseline findings from a community cohort study.BMC research notes · 2014Article
- Prevalence of Prehypertension and Hypertension in a Nationally Representative Sample of Iranian Children and Adolescents: The CASPIAN-IV Study.International journal of preventive medicine · 2014Article
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13 authors.
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Abstract
backgroundThe demographic transition in South Asia coupled with unplanned urbanization and lifestyle changes are increasing the burden of non-communicable disease (NCD) where infectious diseases are still highly prevalent. The true magnitude and impact of this double burden of disease, although predicted to be immense, is largely unknown due to the absence of recent, population-based longitudinal data. The present study was designed as a unique 'Framingham-like' Pakistan cohort with the objective of measuring the prevalence and risk factors for hypertension, obesity, diabetes, coronary artery disease and hepatitis B and C infection in a multi-ethnic, middle to low income population of Karachi, Pakistan.
methodsWe selected two administrative areas from a private charitable hospital's catchment population for enrolment of a random selection of cohort households in Karachi, Pakistan. A baseline survey measured the prevalence and risk factors for hypertension, obesity, diabetes, coronary artery disease and hepatitis B and C infection.
resultsSix hundred and sixty-seven households were enrolled between March 2010 and August 2011. A majority of households lived in permanent structures (85%) with access to basic utilities (77%) and sanitation facilities (98%) but limited access to clean drinking water (68%). Households had high ownership of communication technologies in the form of cable television (69%) and mobile phones (83%). Risk factors for NCD, such as tobacco use (45%), overweight (20%), abdominal obesity (53%), hypertension (18%), diabetes (8%) and pre-diabetes (40%) were high. At the same time, infectious diseases such as hepatitis B (24%) and hepatitis C (8%) were prevalent in this population.
conclusionOur findings highlight the need to monitor risk factors and disease trends through longitudinal research in high-burden transition communities in the context of rapid urbanization and changing lifestyles. They also demonstrate the urgency of public health intervention programs tailored for these transition communities.
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