PHYSIOLOGICAL RISK MARKERS FOR LIFESTYLE DISEASES IN URBAN YOUTH POPULATIONS
Main Article Content
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.
References
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).