ArticlePublic health nutrition2021
Double burden of underweight and overweight among Indian adults: spatial patterns and social determinants.
Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Screening for Modifiable Risk Factors of Noncommunicable Diseases in Urban Young Adults, Indore, 2023-2024.Cureus · 2025Article
- Identifying obesogenic environment through spatial clustering of body mass index among adults.International journal of health geographics · 2024Article
- Temporal change in prevalence of BMI categories in India: patterns across States and Union territories of India, 1999-2021.BMC public health · 2024Article
- Double burden of malnutrition among women of reproductive age: Trends and determinants over the last 15 years in India.PloS one · 2024Article
- Article
- Spatial clustering of overweight/obesity among women in India: Insights from the latest National Family Health Survey.PloS one · 2024Article
- Healthcare costs attributable to abnormal weight in China: evidence based on a longitudinal study.BMC public health · 2023Article
- Concurrent Undernutrition and Overnutrition within Indian Families between 2006 and 2021.Current developments in nutrition · 2023Article
- Association between intimate partner violence and nutritional status among Indian women: a latent class analysis approach.Archives of public health = Archives belges de sante publique · 2023Article
- Determinants of undernutrition and overnutrition among reproductive-age women in Bangladesh: Trend analysis using spatial modeling.PloS one · 2023Article
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3 authors.
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Abstract
objectiveThe current study explores the spatial patterns of underweight and overweight among adult men and women in districts of India and identifies the micro-geographical locations where the risks of underweight and overweight are simultaneously prevalent, after accounting for demographic and socio-economic factors.
designWe relied on BMI (weight (kg)/height squared (m2)), a measure of nutritional status among adult individuals, from the 2015-2016 National Family and Health Survey. Underweight was defined as <18·5 kg/m2 and overweight as ≥25·0 kg/m2.
settingWe adopted Bayesian structured additive quantile regression to model the underlying spatial structure in underweight and overweight burden.
participantsMen aged 15-54 years (sample size: 108 092) and women aged 15-49 years (sample size: 642 002).
resultsAbout 19·7 % of men and 22·9 % of women were underweight, and 19·6 % of men and 20·6 % of women were overweight. Results indicate that malnutrition burden in adults exhibits geographical divides across the country. Districts located in the central, western and eastern regions show higher risks of underweight. There is evidence of substantial spatial clustering of districts with higher risk of overweight in southern and northern India. While finding a little evidence on double burden of malnutrition among population groups, we identified a total of sixty-six double burden districts.
conclusionsThe current study demonstrates that the geographical burden of overweight in Indian adults is yet to surpass that of underweight, but the coexistence of double burden of underweight and overweight in selected regions presents a new challenge for improving nutritional status and necessitates specialised policy initiatives.
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