ArticlePloS one2021
The double burden of malnutrition in India: Trends and inequalities (2006-2016).
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.
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Who cites it
53 citing papers in PubMed.
- Combining ability and gene action for grain yield and biofortification traits in pearl millet [Pennisetum glaucum (L.) R. Br.]: implications for breeding high-yielding biofortified hybrids in arid regions.TAG. Theoretical and applied genetics. Theoretische und angewandte Genetik · 2026Article
- Double burden of malnutrition by mid-childhood in an Indian birth cohort: a longitudinal study (2010-2021).The Lancet regional health. Southeast Asia · 2026Article
- Double Burden of Malnutrition in Mother and Child Pairs in an Urban Resettlement Colony of East Delhi: A Cross-sectional Study.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2026Article
- Effect of infant feeding practices on stunting and wasting in Northwest Ethiopia: a birth cohort study.Archives of public health = Archives belges de sante publique · 2026Article
- Prevalence of Childhood Stunting and Its Associated Factors in Bangladesh: Quantile Regression Modeling Approach.Journal of nutrition and metabolism · 2026Article
- State-level nutritional disparities and policy priorities in India.Frontiers in nutrition · 2026Article
- Comprehensive assessment of health disparities in tribal and non-tribal population in India: a sex- and age-stratified cross-sectional study.Frontiers in public health · 2026Article
- Nutrition transition: contextualising the prevalence of overweight and obesity among the Lotha Naga tribal population of North-East India.Frontiers in public health · 2026Article
- Food labelling in India: a scoping review of consumer engagement, comprehension, and purchase behaviour.Global health action · 2025Article
- Evaluating algorithmic fairness of machine learning models in predicting underweight, overweight, and adiposity across socioeconomic and caste groups in India: evidence from the longitudinal ageing study in India.PLOS digital health · 2025Article
- Can nutrition-sensitive agriculture interventions address intersectional inequalities in women's diets? A mediation analysis using cross-sectional trial data from Odisha, India.The American journal of clinical nutrition · 2025Article
- Association of Gestational Weight Trajectories With Neonatal Outcomes Among Pregnant Slum-Dwelling Women, India.Maternal & child nutrition · 2025Observational
- Prevalence of Multimorbidity Among School-Aged Children in the Yangzhou District of China.Healthcare (Basel, Switzerland) · 2025Article
- Double Burden of Malnutrition in Under-Five Children (NFHS-5 Data) Using Extended CIAF: WHO 2006 Growth Standard Versus 2019 Indian Growth References.Indian pediatrics · 2025Article
- Understanding the dynamics of malnutrition dichotomy in India: Trends and insights from the National Family Health Surveys.Dialogues in health · 2025Article
- The Double Burden of Malnutrition in the Brazilian Legal Amazon: Spatial Distributions and Temporal Trends (2013-2023).Nutrients · 2025Article
- Prevalence of and Socio-Demographic Factors of Malnutrition Among Vietnamese Children and Adolescents: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2025Article
- An observational, multigenerational platform for health systems and population health interventions to minimise intergenerational transmission of non-communicable diseases in India: the YUVAAN cohort study protocol.BMJ public health · 2025Article
- Prevalence of obesity among adults in Otjomuise Community in Namibia.Health SA = SA Gesondheid · 2025Article
- Does low fertility indicate better reproductive health status? Evidence from nationally representative survey in India.PloS one · 2025Article
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Abstract
Rapid urban expansion has important health implications. This study examines trends and inequalities in undernutrition and overnutrition by gender, residence (rural, urban slum, urban non-slum), and wealth among children and adults in India. We used National Family Health Survey data from 2006 and 2016 (n = 311,182 children 0-5y and 972,192 adults 15-54y in total). We calculated differences, slope index of inequality (SII) and concentration index to examine changes over time and inequalities in outcomes by gender, residence, and wealth quintile. Between 2006 and 2016, child stunting prevalence dropped from 48% to 38%, with no gender differences in trends, whereas child overweight/obesity remained at ~7-8%. In both years, stunting prevalence was higher in rural and urban slum households compared to urban non-slum households. Within-residence, wealth inequalities were large for stunting (SII: -33 to -19 percentage points, pp) and declined over time only in urban non-slum households. Among adults, underweight prevalence decreased by ~13 pp but overweight/obesity doubled (10% to 21%) between 2006 and 2016. Rises in overweight/obesity among women were greater in rural and urban slum than urban non-slum households. Within-residence, wealth inequalities were large for both underweight (SII -35 to -12pp) and overweight/obesity (+16 to +29pp) for adults, with the former being more concentrated among poorer households and the latter among wealthier households. In conclusion, India experienced a rapid decline in child and adult undernutrition between 2006 and 2016 across genders and areas of residence. Of great concern, however, is the doubling of adult overweight/obesity in all areas during this period and the rise in wealth inequalities in both rural and urban slum households. With the second largest urban population globally, India needs to aggressively tackle the multiple burdens of malnutrition, especially among rural and urban slum households and develop actions to maintain trends in undernutrition reduction without exacerbating the rapidly rising problems of overweight/obesity.
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