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A diet high in sodium contributes to a significant proportion of Disability Adjusted Life Years (DALYs) due to cardiovascular diseases. This paper describes the awareness, behaviour and determinants related to dietary salt intake in an adult population of 18–69 years that were assessed as part of the National NCD Monitoring Survey (NNMS) in India. A sub-sample of 3000 adults selected through simple random sampling from 150 nationally representative Primary Sampling Units (PSUs) was included. Data regarding awareness and behaviour related to dietary salt intake were collected. Urinary sodium excretion in spot urine samples was estimated and used to calculate dietary salt intake. The dietary salt intake's sociodemographic, behavioural and metabolic determinants were also analysed. Less than one-third of the adults of both genders in all age groups in rural and urban areas were aware that daily high salt intake could affect health. The estimated mean daily salt intake was 8.0 g (8.9 g/day for men and 7.1 g/day for women). The salt intake was significantly higher in men [Adjusted OR = 17.66 (5.24–59.46)], rural areas [Adjusted OR = 6.14 (1.83–20.60)], overweight and obese respondents [Adjusted OR = 17.62 (3.17–98.07)]. The perception of the harmful effects of high salt intake and practices to limit salt intake was low in the study population. The mean daily salt intake was higher than the WHO recommendation of up to 5 g daily. The mean dietary salt intake is high in the Indian population, which calls for planning and implementing control of dietary salt consumption measures. [ABSTRACT FROM AUTHOR]

The rapid urbanization trend in most developing countries including India is creating a plethora of civic concerns such as loss of green space, degradation of environmental health, scarcity of clean water, rise in air pollution, and exacerbated traffic congestion resulting in significant delays in vehicular transportation. To address the intricate nature of transportation issues, many researchers and planners have analyzed the complexities of urban and regional road systems using transportation models by employing transportation indices such as road length, network density, accessibility, and connectivity metrics. This study addresses the complexities of predicting road network density for small and medium-sized Indian cities that come under the Integrated Development of Small and Medium Towns (IDSMT) project at a national level. A hybrid framework based on Kernel Ridge Regression (KRR) and the CityGAN model is introduced to predict network density using spatial indicators of human settlements. The major goal of this study is to generate hyper-realistic urban patterns of small and medium-sized Indian cities using an unsupervised CityGAN model and to study the causal relationship between human settlement indices (HSIs) and transportation index (network density) using supervised KRR for the real cities. The synthetic urban universes mimic Indian urban patterns and evaluating their landscape structures through the settlement indices can aid in comprehending urban landscape, thereby enhancing sustainable urban planning. We analyzed 503 real cities to find the actual relationship between the urban settlements and their road density. The nonlinear KRR model may help urban planners in deriving the network density for GAN-generated futuristic urban patterns through the settlement indicators. The proposed hybrid process, termed as RidgeGAN model, can gauge the sustainability of urban sprawl tied to infrastructure and transportation systems in sprawling cities. Analysis results clearly demonstrate the utility of RidgeGAN in predicting network density for different kinds of human settlements, particularly for small and medium Indian cities. By predicting future urban patterns, this study can help in the creation of more livable and sustainable areas, particularly by improving transportation infrastructure in developing cities. [ABSTRACT FROM AUTHOR]

Indian cities have frequently observed intense and severe heat waves for the last few years. It will be primarily due to a significant increase in the variation in heat wave characteristics like duration, frequency, and intensity across the urban regions of India. This study will determine the impact of future climate scenarios like SSP 245 and 585 over the heat wave characteristics. It will present the comparison between heat waves characteristics in the historical time (1981 to 2020) with future projections, i.e., D1 (2021–2046), D2 (2047–2072), and D3 (2073–2098) for different climate scenarios across Indian smart cities. It is observed that the Coastal, Interior Peninsular, and North-Central regions will observe intense and frequent heat waves in the future under SSP 245 and 585 scenarios. A nearly two-fold increase in heat wave' mean duration will be observed in the smart cities of the Interior Peninsular, Coastal, and North Central zones. Thiruvananthapuram city on the west coast has the maximum hazard associated with heat waves among all the smart cities of India under both SSPs. This study assists smart city policymakers in improving the planning and implementation of heat wave adaptation and mitigation plans based on the proposed framework for heat action plans and heat wave characteristics for improving urban health well-being under hot weather extremes in different homogeneous temperature zones. [ABSTRACT FROM AUTHOR]

The first two years of life is a critical window for good nutrition. Promoting infant and young child feeding (IYCF) practices in the first two years can help improve child survival and promote healthy growth and development. Assessment of IYCF practices is important, especially in developing countries like India where optimal IYCF practices can potentially prevent 12% of all deaths under 5 years of age, to promote awareness and intervene appropriately. The objective of our study is to generate evidence for the association between different types of mass media and appropriate IYCF practices in India, including optimal breastfeeding and appropriate complementary feeding practices. A positive association between them can point to intervention at scale. We analyzed data from India's National Family Health Survey 5 (NFHS-5), 2019–2021. Multivariable logistic regression was used to examine the association of appropriate IYCF practices with mass media exposure. After controlling for demographics and socioeconomic status, the analyses showed that, overall, women who had exposure to television followed by newspaper and movies, had higher odds of adopting the recommended IYCF practices. The results also showed that the association of media exposure varied for different IYCF practices by geography. For instance, in the rural areas, television exposure was positively associated with all the IYCF practices, but in the urban areas, television exposure was positively associated with only early initiation of breastfeeding [OR 1.25; (95% CI 1.1–1.42)]. The study strengthens our understanding that an appropriate selection of mass media channels for intervention programs can promote IYCF practices at scale. Appropriately selecting the type of mass media to create awareness about different IYCF practices, in specific urban–rural settings, could help customize intervention programs to successfully influence IYCF behaviors. [ABSTRACT FROM AUTHOR]