SECTION A: READING COMPREHENSION
[30 marks]
Readthe text below and answer all the questions that follow.
1. Lifestyle diseases are ailments that are primarily based on the day-to-day habits of people.
Habits that detract people from activity and push them towards a sedentary/inactivity routine
can cause a number of health issues that can lead to chronic Non-Communicable Diseases
(NCDs)that can have near life-threatening consequences, including early/premature death.
NCDsare chronic in nature and cannot be communicated from one person to another. NCDs
are a result of a combination of factors including genetics, physiology, environment and
behaviours. NCDsare heavily linked to lifestyle choices, and hence, are often known as lifestyle
diseases (Tagish, 2017). These NCDs include diabetes, cancer, cardiovascular diseases and
obesity.
2. The causes of NCDscan be divided into three broad categories: modifiable behavioural risk
factors, non-modifiable risk factors and metabolic risk factors. Modifiable behavioural risk
factors are risk factors that individuals have the most ability to modify, such as diet, tobacco
smoking and drinking alcohol (Libuku, 2018). They include those behavioural risk factors that
increase the likelihood of NCDs such as excessive use of alcohol, bad food habits, smoking
tobacco, physical inactivity, wrong body posture and disturbed biological clock. The modern
occupational setting (desk jobs) and the stress related to work is also being seen as a potent
behavioural risk factor for NCDs.According to the WHO, more than 7 million people die each
year due to the use of tobacco and the fatality rate is projected to increase markedly in the
years to come. Excessive use of sodium in the diet causes 4.1 million deaths per year while
alcohol intake leads to around 1.65 million deaths due to NCDs. A simple lack of physical
activity has been claiming 1.6 million lives annually (WHO, 2015).
3. Non-modifiable risk factors are those factors that cannot be controlled or modified by the
application of an intervention. These factors include, among others, age, race, gender and
genetics (Tabish, 2017). As a person ages, the immune system weakens, organs begin to
deteriorate and the body becomes susceptible to a variety of diseases (Niccoli & Partridge,
2012). Age defines a set of classifications in daily life which people experience as they interact
in various ordinary and institutional contexts. These classifications reference generational
differences, family relations, life stages, and bodily transformations through time, among
others (Rughini~ & Huma, 2015).
4. An important way to control NCDsis to focus on reducing the risk factors associated with
these diseases. Low-cost solutions exist for governments and other stakeholders to reduce
the common modifiable risk factors. Monitoring progress and trends of NCDsand their risks
is important for guiding policy and priorities (MOHSS,2013).
5. There are different types of diabetes; the three most common ones are type 1, type 2 and
gestational diabetes. While genetics plays an important role in the development of diabetes,
an individual still has the ability to influence their health to prevent type 2 diabetes.
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