Background: The prevalence of non-communicable diseases such as hypertension and diabetes including obesity has
increased over the past few years in Iran. The increase in these diseases has been associated with increased
urbanization and lifestyle changes. The burden of non-communicable diseases (NCD) is increasing in low and middleincome
countries. The aim of this report is to address the threat of NCDs in the capital city of 6 big provinces of Iran.
Methods: A community based cross sectional study was carried out between March 2010 to January 2011 in 6
provinces' capital cities (Isfahan, Karaj, Mashad, Shiraz, Tabriz, and Tehran). Participants were men and women of 30
years and older who had been screened through the National Diabetes Prevention and Control Program. BMI, blood
pressure, fasting blood glucose and lipids were measured.
Results: 439406 cases (60% female & 40% male) were studied. The prevalence of pre-diabetes (13%), diabetes (13%),
hypercholesterolemia (14%), hypertension (11%), overweight (27%) and obesity (20%) was higher than expected.
Only 35% of participants were healthy.
Conclusion: This study reveals a high prevalence of NCDs in urban living population in those capital cities. It also
shows that increasing urbanization may be an important threat to public health regarding NCDs especially in
developing countries. It is crucial to implement a comprehensive NCD program (across the life time) in the health
system with a strong collaboration with all stakeholders (governmental and non-governmental sector, academic,
research centers and scientific associations) in the community (Multisectoral Approaches).