Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study

Abstract Background The burden of noncommunicable diseases (NCD) is increasing globally including in the African countries. Healthy nutrition plays a crucial role in the prevention and management of NCD. Therefore, this study aimed to assess NCD protect score as indicator of dietary quality of adult...

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Main Authors: Alemneh Kabeta Daba, Frehiwot Atsbeha, Alemu Tamiso Debiso
Format: Article
Language:English
Published: BMC 2025-03-01
Series:BMC Nutrition
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Online Access:https://doi.org/10.1186/s40795-025-01014-4
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author Alemneh Kabeta Daba
Frehiwot Atsbeha
Alemu Tamiso Debiso
author_facet Alemneh Kabeta Daba
Frehiwot Atsbeha
Alemu Tamiso Debiso
author_sort Alemneh Kabeta Daba
collection DOAJ
description Abstract Background The burden of noncommunicable diseases (NCD) is increasing globally including in the African countries. Healthy nutrition plays a crucial role in the prevention and management of NCD. Therefore, this study aimed to assess NCD protect score as indicator of dietary quality of adults with NCD in Sidama National Regional State of Ethiopia. In addition, it identified predictors of good NCD protect score and highlighted salt usage practice. Methods A cross-sectional study was conducted among randomly selected 882 adults with diabetes and/or hypertension from February to April in 2023. Descriptive statistics was computed to satisfy univariate outcomes and logistics regression analysis was done to identify predictors of good NCD protect score. Results Less than one-thirds (29.5%) of the participants achieved good NCD protect score. Among salt users (n = 224), nearly half (47%) consume more than five grams of salt in a day. No formal education [AOR = 0.5 (95%CI: 0.29, 0.85), p = 0.011], being from no radio [AOR = 0.56 (95%CI:0.39, 0.82), p < 0.003] and no refrigerator [AOR = 0.22 (95%CI: 0.12, 0.46), p < 0.001] owning household decreased probability to achieve good NCD protect score as compared to the counterparts. In contrary, being widowed/divorced [AOR = 2.22 (95%CI: 1.17, 4.22), p = 0.015] and common out of home eating practice [AOR = 1.57 (95%CI:1.05, 2.34), p = 0.027] increased probability to achieve good NCD protect score. Conclusions Substantial proportion of adults with NCD did not achieve good NCD protect score. Moreover, both complete salt avoidance, and more than the recommended amount salt consumption practice among salt users are prevalent. Education, access to media and food preservation services predicted NCD protect score. Context specific nutrition interventions have to be designed and integrated with existing NCD medical care. Implementation researches would also benefit further understanding and intervention effect determination.
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spelling doaj-art-b88a0667da694c41b10d6e0b3e186aef2025-08-20T02:59:19ZengBMCBMC Nutrition2055-09282025-03-0111111410.1186/s40795-025-01014-4Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional studyAlemneh Kabeta Daba0Frehiwot Atsbeha1Alemu Tamiso Debiso2College of Medicine and Health Sciences, Hawassa UniversityCollege of Medicine and Health Sciences, Hawassa UniversityCollege of Medicine and Health Sciences, Hawassa UniversityAbstract Background The burden of noncommunicable diseases (NCD) is increasing globally including in the African countries. Healthy nutrition plays a crucial role in the prevention and management of NCD. Therefore, this study aimed to assess NCD protect score as indicator of dietary quality of adults with NCD in Sidama National Regional State of Ethiopia. In addition, it identified predictors of good NCD protect score and highlighted salt usage practice. Methods A cross-sectional study was conducted among randomly selected 882 adults with diabetes and/or hypertension from February to April in 2023. Descriptive statistics was computed to satisfy univariate outcomes and logistics regression analysis was done to identify predictors of good NCD protect score. Results Less than one-thirds (29.5%) of the participants achieved good NCD protect score. Among salt users (n = 224), nearly half (47%) consume more than five grams of salt in a day. No formal education [AOR = 0.5 (95%CI: 0.29, 0.85), p = 0.011], being from no radio [AOR = 0.56 (95%CI:0.39, 0.82), p < 0.003] and no refrigerator [AOR = 0.22 (95%CI: 0.12, 0.46), p < 0.001] owning household decreased probability to achieve good NCD protect score as compared to the counterparts. In contrary, being widowed/divorced [AOR = 2.22 (95%CI: 1.17, 4.22), p = 0.015] and common out of home eating practice [AOR = 1.57 (95%CI:1.05, 2.34), p = 0.027] increased probability to achieve good NCD protect score. Conclusions Substantial proportion of adults with NCD did not achieve good NCD protect score. Moreover, both complete salt avoidance, and more than the recommended amount salt consumption practice among salt users are prevalent. Education, access to media and food preservation services predicted NCD protect score. Context specific nutrition interventions have to be designed and integrated with existing NCD medical care. Implementation researches would also benefit further understanding and intervention effect determination.https://doi.org/10.1186/s40795-025-01014-4Diabetes MellitusDietary qualityEthiopiaHypertensionNoncommunicable diseasesNCD protect score
spellingShingle Alemneh Kabeta Daba
Frehiwot Atsbeha
Alemu Tamiso Debiso
Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
BMC Nutrition
Diabetes Mellitus
Dietary quality
Ethiopia
Hypertension
Noncommunicable diseases
NCD protect score
title Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
title_full Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
title_fullStr Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
title_full_unstemmed Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
title_short Noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in Sidama National Regional State, Ethiopia: A multi-center cross-sectional study
title_sort noncommunicable diseases protect score and its predictors among adults with chronic diseases from public hospitals in sidama national regional state ethiopia a multi center cross sectional study
topic Diabetes Mellitus
Dietary quality
Ethiopia
Hypertension
Noncommunicable diseases
NCD protect score
url https://doi.org/10.1186/s40795-025-01014-4
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