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Regular physical activities benefit an individual's well‐being as well as his or her living standards. It encourages sustainable development, and also the prevention of obesity and excess weight gain, as well as social integration and civic health. Even after this counselling and the known benefits of fitness, global fitness levels are declining. According to recent global figures, inactivity exposes 60% of the world's population to health threats, resulting in numerous preventable deaths per year (Gupta et al. 2016). Inactivity is often dictated by the speed at which technology and modernisation are created, such as quicker home delivery of groceries, medications, and meals, which eventually leads to less moving and biking, electronic web browsing games, which attract kids to remain back at home and not actively play outdoors (Figure 2.5). Physical inactivity is tied to CVD or cardiometabolic risk factors such as hypertension, high blood sugar, and overweight (both specifically and tangentially). Amounting to both the built urbanised area in which they live and the moderately active patterns and lifestyles that have emerged in this era, children living in cities may be especially restricted in their ability to partake in adequate physical activity. Physical activity such as walking and cycling to school is discouraged by development trends such as rush hour traffic, a lack of pedestrians, and overcrowded streets. Adolescents families may be much less willing to exercise as they simply couldn't afford or use fitness programmes, diet plans, and athletic centres. Individuals are getting more depressed as digital leisure activities become more prevalent. As a result, regular exercise promotional activities must overcome social, psychological, and financial obstacles. By leading the way in reducing levels of physical immobility, the medical care is better positioned to do so, promoting physical exercise for all individuals and proposing individual advice as part of broader wellness programmes. Merge partnerships between various governmental departments and rated, industries, community‐based organisations, instructors, the internet, and the health service are more likely to result in strategic plans that reach a wide proportion of people and make suggestions, aid, and coordination for fitness exercises.

Figure 2.5 Plausible strategies to reduce cardiometabolic syndrome.

Dietary habits are changing across the world as a result of scale‐up such as industrial prosperity, globalisation, and immigration. As a result of these habits, a trend of inadequacy and overnutrition has evolved, occasionally living side by side within the same nation, region, and even families. People in certain countries are growing up in a state of poverty and vulnerability, culminating in deficiency. The body triggers the storage and accumulation of fatty acids as a preventive mechanism of underfed people, increasing the risk of cardiometabolic syndrome and forming a tendency to obesity and diabetes. Saturated fat, processed food, glucose, and sodium diets have been attributed to four of the world's top leading causes of mortality: hypertension, diabetes, excess weight, and elevated cholesterol (World Heart Federation 2015). Unhealthy snacks are advertised in neon colours or sold with a game, ad campaigns with new figurative language; exposure of children to such commercials find it difficult to make a good decision and are therefore driven to ingest junk food. ‘Eat for Goals!’ was designed to encourage teenage individuals to accept a more balanced living and consume more healthy diet. ‘Government School Feeding’ and ‘Nutrition Programmes’ are undertaken to provide lunch for children who are in poverty. Such school‐based feeding strategies have improved the predictive enrolment rates, decrease absences, and provided support for and perception of a healthier lifestyle for kids that will last into adult years (World Heart Federation 2015).

The relationship between urban growth and smokers is an experimentally proven fact. One instance, research over four decades ago reported that urban residents seem to be more smokers than rural residents (Maric et al. 2021). ‘Smoking’ is being considered as one of the nations critically significant public health challenges. The disadvantages of smoking are quite well acknowledged in current history. Kids are just unable to monitor their own surroundings due to dependence on adulthood, and they can be compelled to breathe smoke‐filled air. Smoking may be conducted by adolescents for a variety of purposes. Other family and friends, such as siblings and parents, can have an influence on each other: whenever a relative smokes, the youngster is three times more likely to do the same. Girls are among the new targets of tobacco companies, as per the tobacco control collaboration, particularly in urban slums, where feminine smoker participation is still lower and the tobacco industry has recognised an economic boon to leverage. The implementation of the World Health Organisation (WHO's) ‘CVD Prevention Programme’ is among the main attractions in the battle against CVD (though it is a never‐ending battle) (World Heart Federation 2015). In India, the ‘Mobilising Youth for Tobacco‐Related Initiatives’ (MYTRI) are effective school‐based tobacco control programmes that aim to expand tobacco control awareness and intervention in order to change behaviour patterns (Sidhu et al. 2018). Increased rates of CVD have been linked to industrial development, alterations in eating and exercise habits, cigarette smoking, and weight gain (Kumar et al. 2006). In Australia, a new law began to show up on 1 July 2012, authorising all smoking goods to be delivered in plain packaging. The aim of these new amendments is to minimise the use of such packages for marketing and promotions, enhance the functioning of safety warnings, discourage any use of deceitful wrapping to generate delusional ideas about smoking performance and quality, reduce tobacco consumption and absorption, and eradicate strong bonds with brand names (Maric et al. 2021). Commercials in the press and training programmes may assist in countering business tricks. Adults could be persuaded to quit smoking by advertising and awareness campaigns, thus having a significant impact on youth, or individuals could be alerted about the hazards of passive smoking, eventually trying to shield children from second‐hand smoke. Anti‐tobacco commercials and graphical packaging warnings – especially those with images – often lower the quantity of minors taking up smoking and expand the number of smokers dropping. Like many governments, the Indian government is also taking steps such as charging people who smoke in open areas. Despite the fact that there are many alternatives for adolescents to become more healthy, such as biking or commuting to work, this is not a possibility for them until congested road strategies or improvements to city infrastructures to include cycle tracks or large sidewalks are enacted (Figure 2.5). However, these are common practices in European and American nations.

The physical, financial, and social environments of many urban dwellers, especially young people, are driving them to lead pseudo lives in the light of drastic shifts in rapid and unplanned urban growth, as we are currently witnessing. Good infrastructure and working environments, food security and access to nutrient‐dense foods, enhanced access to medical care, open environments for regular exercise, and education about physiological well‐being and balanced living are only a handful of the many health determinants that should be resolved by government and societal action to encourage overall health. Groups of people and communities will profit massively from such actions: better family employment, reduced capital rates, and exacerbation of the emotional and behavioural problems associated with cardiometabolic syndrome are only a few of the advantages to be achieved. There is indeed a larger, right to life incentive for towns to act decisively against CVD. The ‘Universal Declaration of Human Rights’ (United Nations 1948) was published by the United Nations in 1948. Article 25 states that everyone has the right to a certain quality of living that is suitable for his or her health and well‐being, including food, clothes, accommodation, medical treatment, and other required social services. Daily workout (3–5 days a week; 30–60 minutes a day), along with improved food safety and an intake of 500 calorie restriction a day, is the first phase of treatment. Weight loss by dietary restriction, independent of diet composition, is the most significant nutritional factor in lowering cardiometabolic rate (CMR) (Brunzell et al. 2008).

When communities increase in popularity, maintaining, and extending healthy and smoke‐free open areas – such as playgrounds becomes extremely important to ensure suitable areas for the family‐sports and physical activities. For the community, urban sprawl may either offer a benefit or a reward. The cost: cardiometabolic syndrome‐related suffering which could have been eliminated, costing both social and political opportunity. The pledge: CVD mitigation, empowering urbanites to excel. Since the future has yet to be understood, we must work together to make sure that the societies of the long run are healthy environments for everyone.