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November 1, 2019Open Access

Population-level effects of diet, lifestyle, and health environment on obesity and non-communicable diseases in India

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Key result

Adults in India who are overweight or obese have a 5.6% higher risk of diabetes and a 9.7% higher risk of hypertension compared to those who are not.

Why the study?

Obesity is increasing in India alongside rising cardiometabolic problems, driven by lifestyle shifts from urbanization and mechanization toward obesogenic diets and sedentary habits.

Population

Over 700,000 adults aged 15-49 years across regions and socioeconomic groups in India

Comparison

Lifestyle, health environment, and dietary patterns across socioeconomic groups and regions

Design

Cross-sectional analysis using 3 nationally representative datasets and linear probability regression

Authors

KJKuhu JoshiDRDevesh RoyLILora Iannotti

Discussion

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Member takes

Overview

Obesity maps reveal marked regional and SES disparities in India; leaves open targeted prevention strategies pending longitudinal data.

Study Design

Type

Cross-Sectional (n=803,211)

Structured PICO

P
Population
803,211 adults aged 15-54 years in India, assessed cross-sectionally to determine the prevalence of overweight and obesity and its association with diabetes and hypertension.
O
Outcome
Prevalence of overweight/obesity and its association with high blood sugar (diabetes) and high blood pressure (hypertension)surrogate

Main Result

Effect estimate: 5.6% higher risk of diabetes and 9.7% higher risk of hypertension

In India, rising wealth, urbanization, and obesogenic diets are strongly associated with increasing overweight/obesity, which in turn significantly increases the risk of diabetes and hypertension.

Limitations

  • NFHS does not collect data on childhood obesity (age group 5-14 years), which is a strong predictor of adult obesity.
  • Inability to distinguish between the effects of health environment, lifestyle, and diets on overweight/obesity due to correlation among these factors.
  • Lack of data on time-use and dietary intake of the specific individuals whose BMI data was analyzed.
  • Use of secondary data limits the ability to ask tailored research questions.
  • NFHS does not collect data on childhood obesity (age group 5-14 years)
  • Cannot distinguish between the effects of health environment, lifestyle, and diets as they are correlated
  • No data on time-use and dietary intake of individuals whose BMI data is analyzed
  • Use of secondary data limits ability to ask own questions

Cite This Study

Joshi et al. (2019) conducted a cross-sectional in Overweight, obesity, diabetes, and hypertension (n=803,211). Overweight and obesity vs. Normal weight (BMI < 25 kg/m2) was evaluated on Risk of high blood sugar (diabetes) and high blood pressure (hypertension) (5.6% higher risk of diabetes and 9.7% higher risk of hypertension). Adults in India who are overweight or obese have a 5.6% higher risk of diabetes and a 9.7% higher risk of hypertension compared to those who are not.

synapsesocial.com/papers/6a9ce0ba74ebc55f2882cfa7https://doi.org/10.21203/rs.2.16683/v1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Overweight/Obesity: An Emerging Epidemic in India2018 · 24 citations
  2. 2Trends in body mass index, nutrient intake and nutritional status of rural adults in India: National Nutrition Monitoring Bureau survey findings (1975–2012)2025 · 3 citations
  3. 3The Prevalence of Overweight, Obesity, Hypertension, and Diabetes in India: Analysis of the 2015–2016 National Family Health Survey2019 · 53 citations
  4. 4Is Obesity becoming a Health Challenge for India?2026
  5. 5Association of dietary practices with overweight and obesity among women in India based on National Family Health Survey 2019 to 20212026