Evidence map›Paper›PMID 40704059›Full record

ArticleCurrent developments in nutrition2025

Spousal Concordance in Overweight and Obesity among Indian Couples: A Nationwide Analysis of Socioeconomic and Dietary Determinants.

Prashant Kumar Singh, Lucky Singh, Shashi Kala Saroj, Chandan Kumar, Shekhar Kashyap, Shalini Singh

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Article in Current developments in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Prashant Kumar SinghDivision of Preventive Oncology and Population Health, ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, India.
Lucky SinghIndian Council of Medical Research (ICMR), New Delhi, India.
Shashi Kala SarojDivision of Preventive Oncology and Population Health, ICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, India.
Chandan KumarDepartment of Policy and Management Studies, TERI School of Advanced Studies (TERI SAS), New Delhi, India.
Shekhar KashyapInterventional Cardiologist, New Delhi, India.
Shalini SinghICMR-National Institute of Cancer Prevention and Research, Noida, Uttar Pradesh, India.

Funding

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6 · The paper itself

Abstract

Objective: This study examines the level and determinants of spousal concordance in overweight/obesity among married couples in India. Background: The rising prevalence of overweight/obesity is a growing public health concern globally. While spousal concordance in obesity is recognized in developed countries, less is known about this phenomenon in low- and middle-income countries. Understanding the shared risk factors within couples is crucial for effective intervention. Methods: We analyzed data from 52,737 married couples using the nationally representative National Family Health Survey (NFHS)-5 (2019-2021). This study used the Asian body mass index (BMI) (in kg/m Results: Overall, 27.4% of couples exhibited concordance for overweight or obesity. Concordance was more prevalent among couples belonging to the richest wealth quintile (47.6%), residing in urban areas (38.4%), living in nuclear families (28.9%), sharing similar age (28.8%) or higher (28.9%), or having similar education levels (31.4%). Higher concordance was also associated with couples not engaged in paid work (33.9%) and those who frequently used media (newspapers: 39.6%, television: 32.8%) or consumed nonvegetarian foods weekly-eggs (30.7%), chicken (29.9%). Geographically, the highest concordance was observed in the southern (37.2%) and northern (33.5%) regions, with Kerala, Jammu and Kashmir, Manipur, Delhi, Goa, Tamil Nadu, and Punjab reporting the highest state-level prevalence (≥42%). Multivariable analysis showed significantly increased risk of spousal overweight/obesity concordance among couples in the richest wealth quintile (ARR = 4.311; 95% CI: 3.757, 4.947), urban areas (ARR = 1.085; 95% CI: 1.016, 1.159), other religious groups (ARR = 1.185; 95% CI: 1.089, 1.291). Regular consumption of eggs (14%), fish (25%), chicken (9%), fried foods (6%), and alcohol (98%) were also linked to higher concordance. Conclusions: Spousal concordance in overweight/obesity is strongly influenced by shared socioeconomic status, lifestyle behaviors, and dietary patterns. Couples in urban, affluent, media-exposed, and nonvegetarian households are particularly at risk. Public health strategies should prioritize couple-based interventions, especially among high-risk subgroups, to curb the dual burden of overweight/obesity and associated chronic diseases.

Indexed as

Asian-BMIcovariatesIndiaNFHSobesityoverweightspousal concordance

Identifiers

PMID40704059
PMCPMC12284779

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