Communicable behavior of non-communicable diseases


  • Prashant Shukla Department of Pharmacology,Government Medical College, Patiala, India
  • Anita Gupta Department of Pharmacology,Government Medical College, Patiala, India
  • Vijay K. Sehgal Department of Pharmacology,Government Medical College, Patiala, India
  • Raghuvansh Kumar Department of Medicine, Government Medical College, Patiala, India



DM, Lifestyle transmission, Non-communicable diseases, Obesity


Communicability of non- communicable diseases can be explained using the prototype of non- communicable diseases. The concept can be further extended to other non- communicable diseases. Diabetes mellitus (DM) is regarded as the prototype of non-communicable diseases. Its subtype, type 2 DM is usually associated with obesity. Obesity, in turn, can be attributed to deranged eating habits and lack of physical activity. Eating habits of a person bears a close resemblance to the parental eating habits. Other factors contributing to obesity like alcoholism can also be transmitted from parents to child. Smoking, another factor implicated in DM, can be picked as a habit from peer group as well as family. All these factors implicated directly or indirectly in the pathogenesis of DM are actually components of lifestyle. These lifestyle components can be transmitted both in an inter-generation and intra-generation fashion. And so the chances of transmission of DM (a lifestyle disease) in the same fashion cannot be ruled out.


Rosenbloom AL, Joe JR, Young RS, Winter WE. Emerging epidemic of type 2 diabetes in youth. Winter Diabetes Care. 1999;22(2):345-54.

Fauci AS, Braunwald E, Kasper DL, Hauser SL, Longo DL, Jameson JL, et al. Harrison's Principles of Internal Medicine. 17th ed. New York, USA: Mc Graw Hill. Chapter 338, Diabetes Mellitus; 2008:2275-304.

International Diabetes Federation South East Asia. Diabetes in India 2015. Brussels, Belgium: International Diabetes Federation; 2015. Available at

Wannamethee SG, Shaper AG, Perry IJ. British regional heart study. Smoking as a modifiable risk factor for type 2 diabetes in middle-aged men. Diabetes Care. 2001;24:1590-5.

Colditz GA, Willett WC, Stampfer MJ. Weight as a risk factor for clinical diabetes in women. Am J Epidemiol. 1990;132:501-13.

Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med. 1991;325:147-52.

Kao WHL, Puddey IB, Boland LL, Watson RL, Brancati FL. Alcohol consumption and the risk of type 2 diabetes mellitus. Am J Epidemiol. 2001;154(8):748-57.

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, et al. editors. Harrison’s principles of internal medicine. 18th ed. New York: McGraw Hill; 2012.

Bloom DE, Cafiero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The global economic burden of non-communicable diseases. Geneva: World Economic Forum; 2011.

Vikram NK, Misra A, Pandey RM, Dudeja V, Sinha S, Ramadevi J. Anthropometry and body composition in northern Asian Indian patients with type 2 diabetes: receiver operating characteristics (ROC) curve analysis of body mass index with percentage body fat as standard. Diabetes Nutr Metab. 2003;16(1):32-40.

Singh RB, Bajaj S, Niaz MA, Rastogi SS, Moshiri M. Prevalence of type 2 diabetes mellitus and risk of hypertension and coronary artery disease in rural and urban population with low rates of obesity. Int J Cardiol. 1998;66:65-72.

Ranjani H, Mehreen TS, Pradeepa R, Anjana RM, Garg R, Anand K, et al. Epidemiology of childhood overweight and obesity in India: a systematic review. Indian J Med Res. 2016;143:160-74.

Overview of NCD’s and related risk factors. Atlanta, GA: centers for disease control and prevention (CDC), 2013. Available at

Hunter DJ, Reddy KS. Non-communicable diseases. N Engl J Med. 2013;369(14):1336-43.

World Health Organization. Non communicable diseases-Overview. Available at

Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study, 2010. Lancet. 2012;380:2095-128.

Liefbroer AC, Elzinga CH. Intergenerational transmission of behavioural patterns: similarity of parents’ and children’s family life trajectories. Draft Paper, Dept. of Social Research Methodology, Vrije Universiteit, Amsterdam; 2006.

Bourchard C, Pérusse L. Genetics of obesity. Annu Rev Nutr. 1993;13:337-54.

Sørensen TI, Holst C, Stunkard AJ, Skorgaard LT. Correlations of body mass index of adult adoptees and their biological and adoptive relatives. Int J Obes Relat Metab Disord. 1992;16:227-36.

Strauss RS, Knight J. Influence of the home environment on the development of obesity in children. Pediatrics. 1999;103:e85.

Kral TVE, Rauh EM. Eating behaviors of children in the context of their family environment. Physiol behav. 2010;100(5):567-73.

Billon S, Lluch A, Gueguen R, Berthier AM, Siest G, Herveth B. Family resemblance in breakfast energy intake: the stanislas family study. Eur J Clin Nutr. 2002;56:1011-9.

Klesges RC, Stein RJ, Eck LH, Isbell TR, Klesges LM. Parental influences on food selection in young children and its relationships to childhood obesity. Am J Clin Nutr. 1991;53:859-64.

Olivera SA, Ellison RC, Moore LL, Gillman MW, Garrahie EJ, Singer MR. Parent child relationships in nutrient intake: the Framingham Children's Study. Am J Clin Nutr. 1992;56:593-8.

Wardle J. Parental influences on children's diets. Proc Nutr Soc. 1995;54:747-58.

Kalesan B, Stine J, Alberg AJ. The joint influence of parental modeling and positive parental concern on cigarette smoking in middle and high school students. J Sch Health. 2006;76(8):402-7.

Szabo E, White V, Hayman J. Can home smoking restrictions influence adolescents smoking behaviours if their parents and friends smoke? Addictive Behaviours. 2006;31:2298-303.

Wen CP, Tsai SP, Cheng TY, Hsu CC, Chen T, Lin HS. Role of parents and peers in influencing the smoking status of high school students in Taiwan. Tobacco Control. 2005;14(1):10-5.

Vandewater EA, Park SE, Carey FR, Wilkinson AV. Intergenerational transfer of smoking across three generations and forty-five years. Nicotine Tob Res. 2014;16(1):11-7.

Eiser JR, Morgan M, Gammage P, Gray E. Adolescent smoking: attitude, norms and parental influence. Br J Soc Psychol. 1989;28:193-202.

Miller WJ, Hunter L. The relationship between socio-economic status and household smoking patterns in Canada. Am J Health Promotion. 1990;5:36-43.

McGraw SA, Smith KW, Schensul JJ, Carrillo E. Socio-cultural factors associated with smoking by puerto rican adolescents in Boston. Soc Sci Med. 1991;33:1355-64.

Cotton NS. The familial incidence of alcoholism: a review. Journal of Studies on Alcohol. 1979;40:89-116.

Global status report on alcohol and health. World Health Organization, 2011. Available at

Sassi F. Tackling harmful alcohol use: economics and public health policy, OECD publishing, Paris, 2015.




How to Cite

Shukla, P., Gupta, A., Sehgal, V. K., & Kumar, R. (2017). Communicable behavior of non-communicable diseases. International Journal of Basic & Clinical Pharmacology, 5(5), 1711–1714.



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