PHYSIOLOGICAL RISK MARKERS FOR LIFESTYLE DISEASES IN URBAN YOUTH POPULATIONS

Main Article Content

Dr Nida Nowreen
Mudasir Bashir
Dr Sheikh Imran Sayeed

Keywords

Urban youth, Kashmir, Physiological risk markers, Non-communicable diseases, Lifestyle behavior

Abstract

The rising burden of non-communicable diseases (NCDs) among teenagers and young adults


is a developing public health issue, particularly in rapidly urbanizing regions such as Kashmir. This cross-sectional study investigated the occurrence and behavioral associations of physiological and biochemical risk markers among 352 urban youth aged 18 to 22 years. Findings revealed that 22.4% of participants were overweight and 7.1% were obese, while 25.6% exhibited prehypertension. 64.8% of participants exhibited at least one physiological risk marker, such as elevated BMI, WHR, or prehypertension, while 22.4% showed clustering of two or more. Logistic regression identified screen time >4 hours/day (OR = 2.36), low physical activity, and fast-food consumption as independent predictors of overweight, prehypertension. These results underscore the urgent requirement of early detection and precise interventions among Kashmiri youth to mitigate long-term health risks. Public health policies should integrate structured physical activity, nutritional literacy, and behavioural counselling in adolescent programs to address these emerging threats.

Abstract 101 | PDF Downloads 8

References

1. Armocida B, Monasta L, Sawyer S, et al. Burden of non-communicable diseases among adolescents aged 10–24 years in the EU, 1990–2019: a systematic analysis of the Global Burden of Diseases Study 2019. The Lancet Child & Adolescent Health. 2022 Jun 1;6(6):367-83.
2. World Health Organization. Global report on hypertension: the race against a silent killer. World Health Organization; 2023 Sep 19.
3. Hu S, Ji W, Zhang Y, et al. Risk factors for progression to type 2 diabetes in prediabetes: a systematic review and meta-analysis. BMC Public Health. 2025 Mar 31;25(1):1220.
4. Ahad F, Nowreen N. Prevalence of prehypertension among medical students and its correlation with anthropometric indices. Int J Med Sci Public Health 2018;7(12):1018-1022.
5. Smout S, Champion KE, O’Dean S, et al. Adolescent Lifestyle Behaviour Modification and Mental Health: Longitudinal Changes in Diet, Physical Activity, Sleep, Screen Time, Smoking, and Alcohol Use and Associations with Psychological Distress. International Journal of Mental Health and Addiction. 2024 Jul 9:1-22.
6. Biswas T, Townsend N, Huda MM, Maravilla J, Begum T, Pervin S, Ghosh A, Mahumud RA, Islam S, Anwar N, Rifhat R. Prevalence of multiple non-communicable disease risk factors among adolescents in 140 countries: A population-based study. EClinical Medicine. 2022 Oct 1;52.
7. Poole D. Indirect Health Consequences of War. International Journal of Sociology. 2012 July;42(2):90-107.
8. Poddar AK. Nutrition in the New Era: Bridging Cultural Traditions and Modern Health Science in Diet Choices. Food Studies: An Interdisciplinary Journal. 2024 Dec 1;14(2).
9. Ma C, Zhai L, Huo RR, et al. Joint associations of pre-diabetes, pre-hypertension, and pre-dyslipidemia with cardiovascular and metabolic disease progression. Diabetology & Metabolic Syndrome. 2025 Dec;17(1):1-1.
10. Cacciatore S, Mao S, Nuñez MV, et al. Urban health inequities and healthy longevity: traditional and emerging risk factors across the cities and policy implications. Aging Clinical and Experimental Research. 2025 May 7;37(1):143.
11. Charchar FJ, Prestes PR, Mills C, et al. Lifestyle management of hypertension: International Society of Hypertension position paper endorsed by the World Hypertension League and European Society of Hypertension. Journal of Hypertension. 2024 Jan 1;42(1):23-49.
12. Kolovos S, Jimenez-Moreno AC, Pinedo-Villanueva R, et al. Association of sleep, screen time, and physical activity with overweight and obesity in Mexico. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2021 Feb;26(1):169-79.
13. Akhtar S, Khan S, Aziz N, Imran M, Samad Z, Iqbal R, Almas A. Obesity and risk of hypertension in preadolescent urban school children: insights from Pakistan. Journal of Health, Population and Nutrition. 2024 Jun 20;43(1):89.
14. Bali S, Gouroumourty R. Predictors of Acute and Chronic Undernutrition among 10-19 Years Adolescents using World Health Organisation Growth References: A Cross-Sectional Study from Central India. Nepal Journal of Epidemiology. 2024 Dec 31;14(3):1346-58.
15. Ghosh S, Paul M, Mondal KK, et al. Sedentary lifestyle with increased risk of obesity in urban adult academic professionals: an epidemiological study in West Bengal, India. Scientific reports. 2023 Mar 25;13(1):4895.
16. Krupp K, Rao AP, Pope B, et al. Prevalence and correlates of metabolic syndrome among women living in urban slums, Mysore, India. PLOS Global Public Health. 2023 Jul 7;3(7):e0000846.
17. Still CH, Ruksakulpiwat S. Resilience and self-management of hypertension in African American adults using a conceptualized resilience framework: an exploratory analysis. Nursing research. 2024 Jul 1;73(4):278-85.
18. Hargreaves D, Mates E, Menon P, et al. Strategies and interventions for healthy adolescent growth, nutrition, and development. The Lancet. 2022 Jan 8;399(10320):198-210.
19. Kennedy KE, Onyeonwu C, Nowakowski S, et al. Menstrual regularity and bleeding are associated with sleep duration, sleep quality, and fatigue in a community sample. Journal of Sleep Research. 2022 Feb;31(1):e13434.
20. Oh C, Carducci B, Vaivada T, Bhutta ZA. Digital interventions for universal health promotion in children and adolescents: a systematic review. Pediatrics. 2022 May 1;149(Supplement 6).