TY - JOUR
T1 - Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: A systemic analysis
AU - Sharma, Sudesh
AU - Matheson, Anna
AU - Lambrick, Danielle
AU - Faulkner, James
AU - Lounsbury, David W
AU - Vaidya, Abhinav
AU - Page, Rachel
N1 - Publisher Copyright:
© 2023 Sharma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2023/2/6
Y1 - 2023/2/6
N2 - Unhealthy dietary habits and physical inactivity are major risk factors of non-communicable diseases (NCDs) globally. The objective of this paper was to describe the role of dietary practices and physical activity in the interaction of the social determinants of NCDs in Nepal, a developing economy. The study was a qualitative study design involving two districts in Nepal, whereby data was collected via key informant interviews (n = 63) and focus group discussions (n = 12). Thematic analysis of the qualitative data was performed, and a causal loop diagram was built to illustrate the dynamic interactions of the social determinants of NCDs based on the themes. The study also involved sense-making sessions with policy level and local stakeholders. Four key interacting themes emerged from the study describing current dietary and physical activity practices, influence of junk food, role of health system and socio-economic factors as root causes. While the current dietary and physical activity-related practices within communities were unhealthy, the broader determinants such as socio-economic circumstances and gender further fuelled such practices. The health system has potential to play a more effective role in the prevention of the behavioural and social determinants of NCDs. [Abstract copyright: Copyright: © 2023 Sharma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.]
AB - Unhealthy dietary habits and physical inactivity are major risk factors of non-communicable diseases (NCDs) globally. The objective of this paper was to describe the role of dietary practices and physical activity in the interaction of the social determinants of NCDs in Nepal, a developing economy. The study was a qualitative study design involving two districts in Nepal, whereby data was collected via key informant interviews (n = 63) and focus group discussions (n = 12). Thematic analysis of the qualitative data was performed, and a causal loop diagram was built to illustrate the dynamic interactions of the social determinants of NCDs based on the themes. The study also involved sense-making sessions with policy level and local stakeholders. Four key interacting themes emerged from the study describing current dietary and physical activity practices, influence of junk food, role of health system and socio-economic factors as root causes. While the current dietary and physical activity-related practices within communities were unhealthy, the broader determinants such as socio-economic circumstances and gender further fuelled such practices. The health system has potential to play a more effective role in the prevention of the behavioural and social determinants of NCDs. [Abstract copyright: Copyright: © 2023 Sharma et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.]
KW - Humans
KW - Exercise
KW - Risk Factors
KW - Nepal
KW - Social Determinants of Health
KW - Noncommunicable Diseases
KW - Noncommunicable Diseases - epidemiology - prevention & control
KW - Nepal - epidemiology
UR - http://www.scopus.com/inward/record.url?scp=85147536245&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/d2dfb357-6742-3410-bb42-dfd2c4856513/
U2 - 10.1371/journal.pone.0281355
DO - 10.1371/journal.pone.0281355
M3 - Article
VL - 18
SP - e0281355
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 2
M1 - e0281355
ER -