Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study

IntroductionSedentary lifestyles, unhealthy work environments and occupational stress increase the risk of Non-Communicable Diseases (NCDs) among government employees, impacting healthcare costs and productivity. This study aimed to investigate the prevalence of hypertension, prediabetes, and diabet...

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Main Authors: Durga Datta Chapagain, Kennedy Mensah Osei, Danik Iga Prasiska, Heejin Kimm, Vasuki Rajaguru, Sunjoo Kang, Tae Hyun Kim, Sang Gyu Lee, Whiejong Han
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1514807/full
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author Durga Datta Chapagain
Durga Datta Chapagain
Kennedy Mensah Osei
Danik Iga Prasiska
Heejin Kimm
Vasuki Rajaguru
Sunjoo Kang
Tae Hyun Kim
Sang Gyu Lee
Whiejong Han
author_facet Durga Datta Chapagain
Durga Datta Chapagain
Kennedy Mensah Osei
Danik Iga Prasiska
Heejin Kimm
Vasuki Rajaguru
Sunjoo Kang
Tae Hyun Kim
Sang Gyu Lee
Whiejong Han
author_sort Durga Datta Chapagain
collection DOAJ
description IntroductionSedentary lifestyles, unhealthy work environments and occupational stress increase the risk of Non-Communicable Diseases (NCDs) among government employees, impacting healthcare costs and productivity. This study aimed to investigate the prevalence of hypertension, prediabetes, and diabetes, and identify risk factors among government employees in Nepal.MethodsA cross-sectional study was conducted among 994 government employees. Data on sociodemographic, anthropometric/biochemical measurements, behavioral and clinical factors were collected. Descriptive analysis analyzed the prevalence of NCDs among covariates. Multivariate logistic regression and ROC curves assessed the association between NCDs and covariates/risk factors. Significance was set at p < 0.05 and 95% CI.ResultsParticipants’ mean age was 33.1 ± 9.1 years, with 82.1% (n = 796) male, mostly from aged 30–39 (n = 397, 41%), and Brahmin/Chhetri (n = 454, 46.9%). Elders had a 6-times higher risk of hypertension (OR: 6.08, CI: 3.1–11.92), above 7-times higher risk of prediabetes (OR: 7.83, CI: 3.32–18.47), and above 16 times higher risk of diabetes (OR: 16.62, CI: 2.5–106.49) compared to aged 18–29. Smoking increased diabetes-risk (OR: 6.82 CI: 1.95–23.8), while alcohol-consumption increased risk of hypertension (OR: 1.51, CI: 1.02–1.63) and prediabetes (OR: 1.88, CI: 1.08–3.28). Overweight increased hypertension risk (OR: 2.79, CI: 1.90–4.09), while obesity increased both hypertension (OR: 3.04, CI: 1.73–5.34) and prediabetes-risk (OR: 2.43, CI: 1.18–4.99).ConclusionThis study recommends concerned authorities to implement workplace policies for health promotion, intensify awareness campaigns, establish routine screening for government employees, and focus on reducing risk factors and encouraging healthier lifestyles to enhance NCDs prevention.
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spelling doaj-art-b3580e19483346daa678264fa315ee002025-08-20T02:28:18ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15148071514807Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional studyDurga Datta Chapagain0Durga Datta Chapagain1Kennedy Mensah Osei2Danik Iga Prasiska3Heejin Kimm4Vasuki Rajaguru5Sunjoo Kang6Tae Hyun Kim7Sang Gyu Lee8Whiejong Han9Global Health Security, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaMinistry of Health, Hetauda, Bagamati Province, NepalGlobal Health Security, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaGlobal Health Security, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaInstitute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaDepartment of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaDepartment of Global Health and Disease Control, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaDepartment of Healthcare Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaDepartment of Preventive Medicine, College of Medicine, Yonsei University, Seoul, Republic of KoreaDepartment of Global Health and Disease Control, Graduate School of Public Health, Yonsei University, Seoul, Republic of KoreaIntroductionSedentary lifestyles, unhealthy work environments and occupational stress increase the risk of Non-Communicable Diseases (NCDs) among government employees, impacting healthcare costs and productivity. This study aimed to investigate the prevalence of hypertension, prediabetes, and diabetes, and identify risk factors among government employees in Nepal.MethodsA cross-sectional study was conducted among 994 government employees. Data on sociodemographic, anthropometric/biochemical measurements, behavioral and clinical factors were collected. Descriptive analysis analyzed the prevalence of NCDs among covariates. Multivariate logistic regression and ROC curves assessed the association between NCDs and covariates/risk factors. Significance was set at p < 0.05 and 95% CI.ResultsParticipants’ mean age was 33.1 ± 9.1 years, with 82.1% (n = 796) male, mostly from aged 30–39 (n = 397, 41%), and Brahmin/Chhetri (n = 454, 46.9%). Elders had a 6-times higher risk of hypertension (OR: 6.08, CI: 3.1–11.92), above 7-times higher risk of prediabetes (OR: 7.83, CI: 3.32–18.47), and above 16 times higher risk of diabetes (OR: 16.62, CI: 2.5–106.49) compared to aged 18–29. Smoking increased diabetes-risk (OR: 6.82 CI: 1.95–23.8), while alcohol-consumption increased risk of hypertension (OR: 1.51, CI: 1.02–1.63) and prediabetes (OR: 1.88, CI: 1.08–3.28). Overweight increased hypertension risk (OR: 2.79, CI: 1.90–4.09), while obesity increased both hypertension (OR: 3.04, CI: 1.73–5.34) and prediabetes-risk (OR: 2.43, CI: 1.18–4.99).ConclusionThis study recommends concerned authorities to implement workplace policies for health promotion, intensify awareness campaigns, establish routine screening for government employees, and focus on reducing risk factors and encouraging healthier lifestyles to enhance NCDs prevention.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1514807/fullhypertensionprediabetesdiabetesnon-communicable diseasesassociated factorsgovernment employees
spellingShingle Durga Datta Chapagain
Durga Datta Chapagain
Kennedy Mensah Osei
Danik Iga Prasiska
Heejin Kimm
Vasuki Rajaguru
Sunjoo Kang
Tae Hyun Kim
Sang Gyu Lee
Whiejong Han
Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
Frontiers in Public Health
hypertension
prediabetes
diabetes
non-communicable diseases
associated factors
government employees
title Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
title_full Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
title_fullStr Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
title_full_unstemmed Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
title_short Risk factors associated with non-communicable diseases among government employees in Nepal: insights from a cross-sectional study
title_sort risk factors associated with non communicable diseases among government employees in nepal insights from a cross sectional study
topic hypertension
prediabetes
diabetes
non-communicable diseases
associated factors
government employees
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1514807/full
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