Yes / Economic, physical, built, cultural, learning, social and service environments have a profound effect on lifelong health. However, policy thinking about health research is dominated by the 'biomedical model' which promotes medicalisation and an emphasis on diagnosis and treatment at the expense of prevention. Prevention research has tended to focus on 'downstream' interventions that rely on individual behaviour change, frequently increasing inequalities. Preventive strategies often focus on isolated leverage points and are scattered across different settings. This paper describes a major new prevention research programme that aims to create City Collaboratory testbeds to support the identification, implementation and evaluation of upstream interventions within a whole system city setting. Prevention of physical and mental ill-health will come from the cumulative effect of multiple system-wide interventions. Rather than scatter these interventions across many settings and evaluate single outcomes, we will test their collective impact across multiple outcomes with the goal of achieving a tipping point for better health. Our focus is on early life (ActEarly) in recognition of childhood and adolescence being such critical periods for influencing lifelong health and wellbeing. / UK Prevention Research Partnership (MR/S037527/1), which is funded by the British Heart Foundation, Cancer Research UK, Chief Scientist Office of the Scottish Government Health and Social Care Directorates, Engineering and Physical Sciences Research Council, Economic and Social Research Council, Health and Social Care Research and Development Division (Welsh Government), Medical Research Council, National Institute for Health Research, Natural Environment Research Council, Public Health Agency (Northern Ireland), The Health Foundation and Wellcome.

京都大学 / 新制・課程博士 / 博士(地域研究) / 甲第24017号 / 地博第296号 / 新制||地||114(附属図書館) / 京都大学大学院アジア・アフリカ地域研究研究科東南アジア地域研究専攻 / (主査)教授 古澤 拓郎, 准教授 坂本 龍太, 教授 竹田 晋也 / 学位規則第4条第1項該当 / Doctor of Area Studies / Kyoto University / DGAM

O processo de envelhecimento traz consigo diversas modificação no âmbito pessoal e biológico do indivíduo. Expandindo-se essas transformações, para o âmbito populacional, na questão da saúde, delimita-se um crescente prevalências das denominadas doenças crônicas não transmissíveis. Nesta lógica, um maior número de moléstias crônicas, leva os indivíduos a ingerirem uma maior quantidade de fármacos, sejam eles prescritos por via clínica ou mesmo pela própria automedicação. Em vista disso, o presente trabalho objetivou realizar um levantamento epidemiológico para se traçar o perfil de saúde dos idosos de uma cidade do interior paulista, enfocando-se a presença de doenças crônicas não transmissíveis, medicamentos utilizados, a presença de polifarmácia e a qualidade de vida. A amostra foi composta por 241 idosos residentes da cidade de Duartina, SP. Primeiramente realizou-se um questionário geral para se determinar a presença de doenças e caracterização geral da amostra. Após, os idosos passaram pelo questionário de qualidade de vida e por um questionário sobre os medicamentos utilizados. A partir dos dados deste último, através do site drugs.com determinou-se a presença e os níveis de polifarmácia. Nos resultados, pode-se observar uma considerável prevalência de diabetes, dislipidemias e hipertensão, sendo as idosas as mais afetadas. Quanto ao uso dos fármacos, 22,7% utilizam, ao menos, cinco medicamentos distintos ao dia. Na análise da polifarmácia, 30% não apresentaram interações, 68% apresentaram nível moderado e 2% elevado. Através da correlação de Pearson, identificou-se que com o aumento do número de medicamentos utilizados, houve aumento do nível da intensidade da polifarmácia (p < 0,0001 e r = 0,81). Quanto à qualidade de vida, todos as áreas apresentaram índices relativamente altos, sendo o domínio físico com a melhor média e o ambiental com pior. Na análise por questão, os piores índices ficaram com dor, dependência de medicamentos e sentimentos negativos. Com a Correlação de Spearman, determinou-se que o aumento dos índices de polifarmácia diminuem a qualidade vida (p = 0,03 e r = -0,57). Deste modo, conclui-se que, nos idosos, há uma elevada prevalência de hipertensão, diabetes e das dislipidemias, bem como um considerável uso de diferentes medicamentos diariamente. Anexo a estes dados, a qualidade de vida apresentou índices adequados, sendo afetada negativamente pelo aumento do uso diários de medicamentos. / The process of aging brings with it several modifications in the personal and biological scope of the individual. Expanding these transformations, for the population, in the health issue, delimits a growing prevalence of so-called chronic non-communicable diseases. In this logic, a greater number of chronic diseases, leads individuals to ingest a greater amount of drugs, whether they are prescribed clinically or even by self-medication. In view of this, the present study aimed to carry out an epidemiological survey to trace the health profile of the elderly in a city in the interior of the state of São Paulo, focusing on the presence of chronic noncommunicable diseases, medications used, the presence of polypharmacy and the quality of life. The sample consisted of 241 elderly residents of the city of Duartina, SP. Firstly, a general questionnaire was carried out to determine the presence of diseases and the general characterization of the sample. Afterwards, the elderly passed the quality of life questionnaire and a questionnaire about the medications used. From the data of the latter, through the website drugs.com was determined the presence and levels of polypharmacy. In the results, a considerable prevalence of diabetes, dyslipidemia and hypertension can be observed, with the elderly being the most affected. As for drug use, 22.7% use at least five different drugs a day. In the analysis of polypharmacy, 30% did not present interactions, 68% presented moderate level and 2% elevated. Through the Pearson correlation, it was identified that with the increase in the number of medications used, there was an increase in the level of polypharmacy intensity (p <0.0001 and r = 0.81). As for the quality of life, all the areas presented relatively high indexes, being the physical domain with the best average and the environmental one with worse. In the analysis by question, the worst indexes were pain, drug dependence and negative feelings. With Spearman\'s correlation, it was determined that the increase in polypharmacy indexes decreased the quality of life (p = 0.03 and r = -0.57). Thus, it is concluded that in the elderly, there is a high prevalence of hypertension, diabetes and dyslipidemias, as well as a considerable use of different drugs daily. Annexed to these data, the quality of life presented adequate indexes, being negatively affected by the increase in the daily use of medicines.

ĮVADAS: Užsienio šalyse atliktos mokslinės studijos parodė, kad miesto parkai bei kita rekreacinė aplinka yra susijusi su įvairaus amžiaus gyventojų fiziniu aktyvumu. Palanki sveikatai ir saugi miesto aplinka gali būti pritaikyta gyventojų sveikatinimui, fiziniam aktyvumui ir rekreacijai. DARBO TIKSLAS: Įvertinti sergamumo ir fizinio aktyvumo paplitimą tarp Kauno miesto gyventojų, pagrindžiant miesto rekreacinių vietų svarbą gyventojų sveikatos stiprinimui. UŽDAVINIAI: 1. Įvertinti Kauno miesto gyventojų fizinio aktyvumo lygį bei su gyvensenos veiksniais susijusių lėtinių ligų paplitimą. 2. Įvertinti oro užterštumą ir triukšmo sklaidą Kauno miesto rekreacinėse vietose. 3. ��vertinti Kauno miesto rekreacinių vietų aplinkos kokybės tinkamumą gyventojų fiziniam aktyvumui skatinti. TYRIMO METODIKA: Kauno miesto gyventojų sergamumui kraujotakos sistemos, onkologinėmis ligomis bei II tipo cukriniu diabetu įvertinti naudojama oficialių statistinių duomenų analizė. Fizinio aktyvumo paplitimui įvertinti tarp įvairaus amžiaus miesto gyventojų naudojama vykdytų tyrimų ir programų duomenų analizė. Azoto dioksido sklaida miesto parkuose vertinama panaudojant taršos modeliavimo programą AIRVIRO, triukšmo sklaida parkų teritorijoje įvertinama pagal miesto triukšmo žemėlapį. REZULTATAI: Duomenų analizė parodė, kad per paskutiniuosius penkerius metus Kauno miesto gyventojų sergamumas kraujotakos sistemos ligomis išaugo 36 proc., sergamumas onkologinėmis ligomis – nuo 12,3 proc. tarp moterų... [toliau žr. visą tekstą] / BACKGROUND: A number of studies have showed that parks provided places for people to experience nature, engage physical activity and relax. Recreation and open spaces are one of the most important urban forms related to residents’ physical activity. Safe and health related environment of the parks may help increase physical activity among residents of all ages. AIM OF THE STUDY: To assess the prevalence of cardiovascular diseases, cancer accidents and diabetes type II among residents of Kaunas city and to substantiate the importance of public parks to promote physical activity there. OBJECTIVES: 1. To assess the level of physical activity and prevalence of noncommunicable diseases among residents of Kaunas city. 2. To assess air pollution and noise in the environment of city public parks. 3. To assess the environmental quality in city recreational places that can be used to promote physical activity and improve public health. METHODS: Statistical data and literature review was undertaken to assess the level of physical activity and prevalence of noncommunicable diseases among residents of Kaunas city. The dispersion of nitrogen dioxide in the area of public parks was measured using AIRVIRO model. The dispersion of noise was identified using Kaunas MapNoise. RESULTS: The data analyze shows that prevalence of cardiovascular diseases among Kaunas city residents has increased by 36 % since 2001 to 2005. The prevalence of cancer during the same period has increased by 12,3 % among... [to full text]

Darbo tikslas. Įvertinti švietimo sistemos pagrindinių žmogiškųjų išteklių būklę Lietuvos regionuose. Darbo uždaviniai. 1. Ištirti bendrojo ugdymo mokyklų mokytojų demografinės situacijos netolygumus atskiruose Lietuvos regionuose. 2. Įvertinti mokytojų rizikos profilį susirgti lėtinėmis ligomis ir jį palyginti tarp mokytojų dirbančių didmiesčiuose ir miestuose. 3. Palyginti didmiesčių ir miestų bendrojo ugdymo mokyklose dirbančių mokytojų požiūrį į sveikatos priežiūrą ir sveikatos stiprinimą. Tyrimo metodika. Tyrimas buvo vykdomas dviem etapais. 1. Oficialių statistinių duomenų, gautų iš Švietimo ir mokslo ministerijos apie mokytojus, dirbusius bendrojo lavinimo Lietuvos mokyklose 2010 - 2011 m.m. analizė pagal amžių ir lytį penkiuose Lietuvos regionuose. 2. Vienmomentinis keturiose atsitiktinai atrinktose mokyklose (po vieną iš dviejų Lietuvos regionų didmiesčių ir regione esančių miestų) dirbančių mokytojų sveikatos tyrimas. Tyrimas vyko 2011 m. gruodžio – 2012 m. kovo mėnesiais. Tyrimo metu atlikta mokytojų apklausa (dalyvavo 202 mokytojai, tyrimo atsakas - 90,9 proc.) ir objektyvus jų sveikatos patikrinimas, siekiant išaiškinti lėtinių ligų rizikos veiksnių dažnius (dalyvavo 166 mokytojai, tyrimo atsakas - 74.8proc.). Duomenų analizė atlikta duomenų kaupimo ir analizės (IBM SPSS Statistics 20.0 ) programų paketu. Rezultatai: Lietuvoje dažniausiai mokytojais dirba moterys (87 proc.). Vyrų dalis didžiausiuose miestuose nežymiai mažiesnė lyginant su regionais... [toliau žr. visą tekstą] / The goal. To evaluate the status of main human resources. of educational system in different regions of Lithuania. The objectives. 1. To investigate the inequities of the demographic situation of teachers from general education schools in separate regions of Lithuania. 2. To assess the teachers’ NCD risk profile and to compare it between teachers working in cities and towns. 3. To compare the teachers’ attitudes towards health care and health promotion working in cities and regional towns. The methodology. The research was carried out in two phases: 1. The analysis of official statistical data obtained from Ministry of Education and Science according to the age and sex in five regions of Lithuania. 2. Cross-sectional health survey of teachers working in four randomly selected schools (one school from city and one from regional town in two regions of Lithuania). The survey was carried out from December, 2011 untill March 2012. The survey consisted of questionaire survey (202 teachers participated, the response rate – 90,9 %) and health check-up including NCD risk factors detection ( 166 techers participated, the response rate – 74,8%). For data analysis was used the data collection and analysis software package (IBM SPSS Statistics 20.0). Results: Most teachers are woman (83 %) in Lithuania. The proportion of men teachers in cities is smaller than in regional towns. One third of Lithuanian teachers are middle age. In cities more than in regions are working old age or... [to full text]

O processo de envelhecimento traz consigo diversas modificação no âmbito pessoal e biológico do indivíduo. Expandindo-se essas transformações, para o âmbito populacional, na questão da saúde, delimita-se um crescente prevalências das denominadas doenças crônicas não transmissíveis. Nesta lógica, um maior número de moléstias crônicas, leva os indivíduos a ingerirem uma maior quantidade de fármacos, sejam eles prescritos por via clínica ou mesmo pela própria automedicação. Em vista disso, o presente trabalho objetivou realizar um levantamento epidemiológico para se traçar o perfil de saúde dos idosos de uma cidade do interior paulista, enfocando-se a presença de doenças crônicas não transmissíveis, medicamentos utilizados, a presença de polifarmácia e a qualidade de vida. A amostra foi composta por 241 idosos residentes da cidade de Duartina, SP. Primeiramente realizou-se um questionário geral para se determinar a presença de doenças e caracterização geral da amostra. Após, os idosos passaram pelo questionário de qualidade de vida e por um questionário sobre os medicamentos utilizados. A partir dos dados deste último, através do site drugs.com determinou-se a presença e os níveis de polifarmácia. Nos resultados, pode-se observar uma considerável prevalência de diabetes, dislipidemias e hipertensão, sendo as idosas as mais afetadas. Quanto ao uso dos fármacos, 22,7% utilizam, ao menos, cinco medicamentos distintos ao dia. Na análise da polifarmácia, 30% não apresentaram interações, 68% apresentaram nível moderado e 2% elevado. Através da correlação de Pearson, identificou-se que com o aumento do número de medicamentos utilizados, houve aumento do nível da intensidade da polifarmácia (p < 0,0001 e r = 0,81). Quanto à qualidade de vida, todos as áreas apresentaram índices relativamente altos, sendo o domínio físico com a melhor média e o ambiental com pior. Na análise por questão, os piores índices ficaram com dor, dependência de medicamentos e sentimentos negativos. Com a Correlação de Spearman, determinou-se que o aumento dos índices de polifarmácia diminuem a qualidade vida (p = 0,03 e r = -0,57). Deste modo, conclui-se que, nos idosos, há uma elevada prevalência de hipertensão, diabetes e das dislipidemias, bem como um considerável uso de diferentes medicamentos diariamente. Anexo a estes dados, a qualidade de vida apresentou índices adequados, sendo afetada negativamente pelo aumento do uso diários de medicamentos. / The process of aging brings with it several modifications in the personal and biological scope of the individual. Expanding these transformations, for the population, in the health issue, delimits a growing prevalence of so-called chronic non-communicable diseases. In this logic, a greater number of chronic diseases, leads individuals to ingest a greater amount of drugs, whether they are prescribed clinically or even by self-medication. In view of this, the present study aimed to carry out an epidemiological survey to trace the health profile of the elderly in a city in the interior of the state of São Paulo, focusing on the presence of chronic noncommunicable diseases, medications used, the presence of polypharmacy and the quality of life. The sample consisted of 241 elderly residents of the city of Duartina, SP. Firstly, a general questionnaire was carried out to determine the presence of diseases and the general characterization of the sample. Afterwards, the elderly passed the quality of life questionnaire and a questionnaire about the medications used. From the data of the latter, through the website drugs.com was determined the presence and levels of polypharmacy. In the results, a considerable prevalence of diabetes, dyslipidemia and hypertension can be observed, with the elderly being the most affected. As for drug use, 22.7% use at least five different drugs a day. In the analysis of polypharmacy, 30% did not present interactions, 68% presented moderate level and 2% elevated. Through the Pearson correlation, it was identified that with the increase in the number of medications used, there was an increase in the level of polypharmacy intensity (p <0.0001 and r = 0.81). As for the quality of life, all the areas presented relatively high indexes, being the physical domain with the best average and the environmental one with worse. In the analysis by question, the worst indexes were pain, drug dependence and negative feelings. With Spearman\'s correlation, it was determined that the increase in polypharmacy indexes decreased the quality of life (p = 0.03 and r = -0.57). Thus, it is concluded that in the elderly, there is a high prevalence of hypertension, diabetes and dyslipidemias, as well as a considerable use of different drugs daily. Annexed to these data, the quality of life presented adequate indexes, being negatively affected by the increase in the daily use of medicines.

In the last two decades, global action to address noncommunicable diseases (NCDs) has accelerated, but policy adoption and implementation at the national level has been inadequate. This analysis examines the role of rationalities of governing, or governmentality, in national-level adoption of global recommendations. Critical discourse analysis was conducted using 49 formal institutional and organizational documents obtained through snowball sampling methodology. Text were coded using a framework of five forms of governmentality and analyzed to describe the order of discourse which has emerged within the global NCD policy domain. The dominant political rationality used to frame NCDs is rooted in risk governmentality. Recommendations for tobacco control and prevention of harmful alcohol use rely on a governmentality of police mixed with discipline. The promotion of physical activity relies heavily on disciplinary governmentality, and the prevention of unhealthy diet mixed disciplinary measures, discipline, and neoliberal governmentalities. To translate global NCD prevention and control strategies to national action, acceptability for the political rationalities embodied in policy options must be nurtured as new norms, procedures, and institutions appropriate to the political rationalities of specific interventions are developed.

This study examined correlations of historical changes in diet and physical inactivity with the rise of noncommunicable diseases (NCDs) in Kenya. Historical data on diet, wage jobs by industry, urbanization, gross domestic product (GDP), and morbidity due to NCDs were extracted from Kenya Statistical Abstracts, Food and Agriculture Organization (FAOSTAT), and the World Bank online database. These data were plotted and correlations between these factors and the incidence of different NCDs over time were evaluated. There was a rapid rise in the incidence of circulatory disease starting in 2001, and of hypertension and diabetes starting in 2008. The rise of these NCDs, especially hypertension and diabetes, was accompanied over the same period by a rise in per capita GDP and physical inactivity (as measured by increased urbanization and declining proportion of agricultural and forestry wage jobs); a rise in per capita supply of rice, wheat and its products, and cooking oils; and a decline in the per capita supply of maize and sugar. In conclusion, the positive correlations between indicators of dietary consumption and physical inactivity and rates of hypertension, circulatory disease, and diabetes suggest that the rapid rise of NCDs in Kenya may be, in part, due to changes in these modifiable factors.

Why are non-communicable diseases (NCDs) near the bottom of the list in terms of global health funding and political priority when together they account for the most death and suffering globally, particularly amongst the world’s poorest populations? The dissertation engages this puzzle by analyzing the work and impact of two model public health programs, one which succeeded in making legible the problem of NCDs as understood and experienced by citizens in the Global North in Finland and one which is challenging that understanding, based on the experiences of the poor in the Global South in Sierra Leone. The North Karelia Project, launched in eastern Finland in the early 1970s, generated science and practice that was taken up by the World Health Organization (WHO) (Puska 2002) and has become hegemonic, dominating global NCD public health discourse and rendering understandings of alternative causes and potential interventions invisible (Weisz and Vignola-Gagné 2015). The integrated NCD clinic at Koidu Government Hospital is the first clinical program to treat ongoing chronic illnesses—an issue that is frequently assumed to be too expensive for poor governments to address—in post-conflict and post-Ebola Sierra Leone, which hosts one of the weakest health systems in the world but which is part of a broader movement to challenge the dominant WHO NCD policy (PIH 2019; NCD Synergies 2015). Drawing on theories from medical sociology, science and technology studies, and global and transnational sociology, I use this comparison to explore how and why some understandings of NCDs prevail and why others fail. I also use it to gain leverage on three important related questions: (1) How are depictions of the burden of NCDs and their severity constructed in different material and social settings? (2) How do those depictions become stabilized (or not) in the global discourse about global health priorities? And, (3) What are the implications of such contrasting stabilization processes? I approach these questions by using a triangulated qualitative comparative case study research design (Bartlett and Vavrus 2016; Rihoux 2006), building on existing models of comparative research in the field of Science and Technology Studies (STS) (Knorr-Cetina 1999; Crane 2013). I conducted participant observation at organizational headquarters and clinical settings; semi-structured interviews with leaders, researchers, and clinical staff; and critical discourse analysis of the scientific literature, reports, and other historical and organizational materials generated by the actors. Each component compares the two cases (North Karelia Project, Finland and Koidu Government Hospital, Sierra Leone) along the lines of material setting, discourse, and science-making practices. Differences in epistemic practices reveal how power and politics are enacted and reproduced through public health science. I find that public health scientists in both cases must work to quell, or neutralize, persistent sociological ambivalence – irreconcilable tensions in values, interests, and politics – to solve local public health problems and produce science that can travel beyond the local. Ambivalences inherent in local public health science-making are quelled in patterned ways, shaped by an institutional field of struggle and strategies of accumulation of scarce symbolic and material capital. The North Karelia Project exemplified a public health social epistemology that I term “UHC-Insulated Population Optimization” which deployed three tactics for quelling persistent ambivalence such as offloading obligations, epistemic normality, and utilitarian construction. Conversely, the integrated NCD clinic at Koidu Government Hospital’s public health social epistemology, characterized as “Attending to Undone Care”, utilized other strategies for quelling ambivalence: making preferential option for the poor obligations, hybrid methods, and polar distinctions. The field of global health struggle, and the doxa on which it rests, is rooted in principles of distinction and hierarchy built from the legacies of extractive colonialism which remain powerful today in maintaining enormous health inequalities between the Global North and South. This dissertation and the comparison on which it rests opens new ground on the material conditions for epistemic justice and the material reparations necessary to ‘decolonize global’ health. / 2025-09-21T00:00:00Z

Introdução: O excesso de peso em adultos jovens está associado ao desenvolvimento de doenças crônicas não transmissíveis (DCNT) e à diminuição da qualidade de vida e ao aumento da mortalidade precoce. A transição da adolescência para a fase adulta é o período de maior risco para a incidência da obesidade. Objetivo: Estimar o efeito o índice de massa corpora (IMC) aos 20 anos sobre a incidência de DCNT em adultos brasileiros com idade entre 30 a 49 anos. Métodos: Foram selecionados 12.079 indivíduos de 30 a 49 anos da Pesquisa Nacional de Saúde (PNS), realizada no ano de 2013. O modelo adotado para determinação das DCNT foi aquele proposto pela Organização Mundial de Saúde. A incidência das DCNT (hipertensão, doenças cardiovasculares, diabetes e câncer, entre outras), informada pela data do diagnóstico, foi modelada como função do IMC aos 20 anos. Os indivíduos sem a doença até o presente foram considerados como censura. As estimativas de sobrevida foram calculadas com o método de Kaplan-Meier (KM) para cada uma das doenças, estratificada por sexo e ajustada por escolaridade. A análise dos fatores de risco para as doenças foi feita utilizando-se o modelo de riscos proporcionais de Cox. Resultados: Nas curvas de sobrevida KM, indivíduos com IMC >=25kg/m² apresentaram incidência mais elevada e precoce de DCNT, principalmente hipertensão, diabetes e depressão. A idade mediana para incidência do diabetes em obesos foi de 47 anos para homens e 48 anos para mulheres. A incidência da hipertensão arterial foi 4,2 por mil com sobrevida mediana de 48 e 44 anos em mulheres com excesso de peso e obesidade, respectivamente. Dentre os fatores de risco associados as DCNT, o tabagismo em idade precoce foi associado à incidência de depressão. Conclusão: O excesso de peso em adultos jovens aumenta a incidência precoce de DCNT, com efeitos negativos na qualidade de vida, lazer e produtividade, além de aumentar a demanda por serviços de saúde. Torna-se necessário que a intervenção para redução dessas doenças seja direcionada para o período da infância e adolescência com ações que promovam a redução da exposição desses indivíduos à alimentação de má qualidade e incentivo a prática de atividade, não uso do tabaco e consumo moderado de álcool. / Introduction: Overweight in young adults is associated with the development of chronic noncommunicable diseases (NCDs) and decreased quality of life and increased early mortality. The transition from adolescence to adulthood is the period of greatest risk for the incidence of obesity. Objective: To estimate the effect of the corpora mass index (BMI) at age 20 on the incidence of NCDs in Brazilian adults aged 30-49 years. Methods: We selected 12 079 individuals 30-49 years of the National Health Research (PNS) held in 2013. The model adopted for determining the NCD was that proposed by the World Health Organization The incidence of NCDs (hypertension, diseases. cardiovascular, diabetes and cancer, among others), informed by the date of diagnosis, and modeled as a function of BMI at age 20. Individuals without the disease to date have been considered as censorship. Survival estimates calculated with the Kaplan-Meier (KM) for each of the diseases, stratified by gender and adjusted for schooling. The analysis of risk factors for the disease made using the model of Cox proportional hazards. Results: In the survival curves KM, individuals with BMI> = 25 kg / m² presented higher and early incidence of NCDs, particularly hypertension, diabetes and depression. The median age for incidence of diabetes in obese was 47 years for men and 48 years for women. The incidence of hypertension was 4.2 per thousand with a median survival of 48 and 44 years in women with excess weight and obesity respectively. Among the risk factors associated with the NCD, smoking at an early age was associated with the incidence of depression. Conclusion: Being overweight in young adults increases the early incidence of NCDs, with negative effects on quality of life, leisure and productivity, and increase the demand for health services. It is necessary that the intervention to reduce these diseases directed to the period of childhood and adolescence with actions that promote a reduction in exposure of these individuals to the poor quality of food and encouraging the practice of activity, no tobacco use and moderate consumption alcohol.