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Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: a systemic analysis

Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: a systemic analysis
Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: a systemic analysis

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.

1932-6203
Sharma, Sudesh
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Matheson, Anna
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Lambrick, Danielle
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Faulkner, James
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Lounsbury, David W.
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Vaidya, Abhinav
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Page, Rachel
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Kushitor, Sandra Boatemaa
314dab1e-09d8-45c8-b629-622dd9f1dc54
Sharma, Sudesh
f276c3fd-6b0e-4b1d-a1ec-b7a5790236ec
Matheson, Anna
2133f82f-b99f-4e23-8325-5915478c127d
Lambrick, Danielle
1deafa4b-acf3-4eff-83c9-f8274e47e993
Faulkner, James
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Lounsbury, David W.
e513dbbd-5484-42e8-ae29-f3a0067f9cf2
Vaidya, Abhinav
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Page, Rachel
6e7cbe74-9f19-45b8-959d-b32f8ac41d69
Kushitor, Sandra Boatemaa
314dab1e-09d8-45c8-b629-622dd9f1dc54

Sharma, Sudesh, Matheson, Anna, Lambrick, Danielle, Faulkner, James, Lounsbury, David W., Vaidya, Abhinav and Page, Rachel , Kushitor, Sandra Boatemaa (ed.) (2023) Dietary practices, physical activity and social determinants of non-communicable diseases in Nepal: a systemic analysis. PLoS ONE, 18 (2), [e0281355]. (doi:10.1371/journal.pone.0281355).

Record type: Article

Abstract

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.

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Accepted/In Press date: 23 January 2023
Published date: 6 February 2023

Identifiers

Local EPrints ID: 475961
URI: http://eprints.soton.ac.uk/id/eprint/475961
ISSN: 1932-6203
PURE UUID: 7dffcb02-71fc-40cf-bec7-e207d302f263
ORCID for Danielle Lambrick: ORCID iD orcid.org/0000-0002-0325-6015

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Date deposited: 03 Apr 2023 16:33
Last modified: 17 Mar 2024 03:37

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Contributors

Author: Sudesh Sharma
Author: Anna Matheson
Author: James Faulkner
Author: David W. Lounsbury
Author: Abhinav Vaidya
Author: Rachel Page
Editor: Sandra Boatemaa Kushitor

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