State-wise dynamics of the double burden of malnutrition among 15-49 year-old women in India: how much does the scenario change considering Asian population-specific BMI cut-off values?

Ecol Food Nutr. 2014;53(6):618-38. doi: 10.1080/03670244.2014.891994.

Abstract

This article assesses the gravity of the "double burden of malnutrition" across 21 states of India, through a comparative analysis of traditional and Asian population-specific BMI categorizations for overweight and obesity. This study analyzes data on ever-married women (15-49 years) from the National Family Health Survey (NFHS-2, 1998-1999; NFHS-3, 2005-2006). Findings depict that Indian women tilt toward high BMI resulting in a co-existence of under- and overweight populations, which portray a regional pattern. With Asian population-specific cut-offs, 11 states can be classified as "double burden states"; however, following traditional categorization, only 4 states face such dual pressure.

Keywords: BMI cut-off points; double burden of malnutrition; nutrition transition; obesity; overweight; underweight.

MeSH terms

  • Adolescent
  • Adult
  • Body Mass Index*
  • Female
  • Humans
  • India / epidemiology
  • Malnutrition / diagnosis
  • Malnutrition / epidemiology*
  • Marital Status
  • Middle Aged
  • Obesity / diagnosis
  • Obesity / epidemiology*
  • Prevalence
  • Reference Values
  • Thinness / diagnosis
  • Thinness / epidemiology*
  • Young Adult