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Nutrition transition in India

Published online by Cambridge University Press:  22 December 2006

Prakash S Shetty*
Affiliation:
Nutrition Planning, Assessment and Evaluation, Food and Nutrition Division, Food and Agriculture Organization (FAO) of the United Nations, Via delle Terme di Caracalla, I-00100 Rome, Italy
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

The primary objective of this review is to examine the demographic and nutrition transition in India in relation to its contribution to the emerging epidemic of chronic non-communicable diseases in this country.

Setting:

India, the country as a whole and its different states with a population exceeding 1 billion in 2001.

Subjects:

The review examines demographic changes in the population with consequent effects on the population pyramid, the rapidity and rates of urbanisation with striking variations in chronic disease patterns and the trends in obesity between rural and urban communities, attempting to relate their prevalence with the diet and lifestyle changes accompanying them.

Design:

The review is based largely on representative large-scale surveys in the country and other reliable documented data on population characteristics. It also includes a review of the published literature.

Results:

The results indicate that the demographic changes, rates of urbanisation and changes in dietary patterns are contributing to the changing trends in chronic disease in India.

Conclusions:

There is clear evidence of a demographic, epidemiological and nutrition transition in India that is fuelling the epidemic of chronic diseases and obesity, particularly in the urban areas.

Type
Research Article
Copyright
Copyright © CABI Publishing 2002

References

1Murray, CJL, Lopez, AD. Global Comparative Assessments in the Health Sector. Geneva: World Health Organization, 1994.Google Scholar
2World Health Organization (WHO). Global Strategy for the Prevention and Control of Non-communicable Diseases. Geneva: WHO, 2000.Google Scholar
3Shetty, PS. Diet and life-style and chronic non-communicable diseases: what determines the epidemic in developing societies? In: Krishnaswami, K, ed. Nutrition Research: Current Scenario and Future Trends. New Delhi: Oxford & IBH Publishing Co., 2000; 153–67.Google Scholar
4UNDP India. Demographic Transition in India 1998 [Online]. Available at www.undp.org.in/report/preidf 98. Accessed 3 August 2001.Google Scholar
5Registrar General of India. Census of India, 1991. New Delhi: Registrar General of India, 1998.Google Scholar
6Omran, AR. The epidemiological transition. A theory of the epidemiology of population change. Milbank Q. 1971; 49: 509–38.CrossRefGoogle ScholarPubMed
7Ross, R. Atherosclerosis: an inflammatory disease. N. Engl. J. Med. 1999; 340: 115–26.CrossRefGoogle ScholarPubMed
8Yudkin, JS, Yajnik, CS, Mohamed Ali, V, Bulmer, K. High levels of circulating proinflammatory cytokines and leptin in urban, but not rural, Indians. A potential explanation for increased risk of diabetes and coronary heart disease. Diabetes Care 1999; 22: 363–4.CrossRefGoogle Scholar
9McKeigue, PM. Cardiovascular disease and diabetes in migrants – interactions between nutritional changes and genetic background. In: Shetty, PS, McPherson, K, eds. Diet, Nutrition and Chronic Disease: Lessons from Contrasting Worlds. London: John Wiley & Sons, 1997; 5970.Google Scholar
10McKeigue, PM, Sevak, L. Coronary Heart Disease in South Asian Communities: A Manual for Health Promotion. London: Health Education Authority, 1994.Google Scholar
11Ramachandran, A. Epidemiology of non insulin dependant diabetes mellitus in India. In: Shetty, PS, Gopalan, C, eds. Diet, Nutrition and Chronic Disease: An Asian Perspective. London: Smith Gordon, 1998; 3841.Google Scholar
12Chadha, SL, Gopinath, N, Shekawat, S. Urban–rural differences in the prevalence of coronary heart disease and its risk factors in Delhi. Bull. World Health Org. 1997; 75: 31–8.Google ScholarPubMed
13Singh, RB, Sharma, JP, Rastogi, V, Raghuvanshi, RS, Moshiri, M, Verma, SP, Janus, ED. Prevalence of coronary artery disease and coronary risk factors in rural and urban populations of north India. Eur. Heart J. 1997; 18: 1728–35.CrossRefGoogle Scholar
14Gopalan, C. Diet related non-communicable diseases in South and South East Asia. In: Shetty, PS, McPherson, K, eds. Diet, Nutrition and Chronic Disease: Lessons from Contrasting Worlds. London: John Wiley & Sons, 1997; 1023.Google Scholar
15World Health Organization (WHO). Obesity: Preventing and Managing the Global Epidemic. Report of a WHO consultation. WHO Technical Report Series No. 894. Geneva: WHO, 2000.Google Scholar
16Popkin, BM, Richards, MK, Monteiro, CA. Stunting is associated in children of four nations that are undergoing nutrition transition. J. Nutr. 1996; 126: 3009–16.CrossRefGoogle ScholarPubMed
17Government of India. India Nutrition Profile. New Delhi: Department of Women and Child Development, Ministry of Human Resources, Government of India, 1998.Google Scholar
18Dhurandhar, NV, Kulkarni, PR. Prevalence of obesity in Bombay. Int. J. Obes. Relat. Metab. Disord. 1992; 16: 367–75.Google ScholarPubMed
19Gopinath, N, Chadha, SL, Jain, P, Shekawat, S, Tandon, R. An epidemiological study of obesity in adults in the urban population of Delhi. J. Assoc. Physicians India 1994; 42: 212–5.Google ScholarPubMed
20Zargar, AM, Masoodi, SR, Laway, BA, Khan, AK, Wani, AI, Bashir, MI, Akthar, S. Prevalence of obesity in adults – an epidemiological study from Kashmir valley of Indian subcontinent. J. Assoc. Physicians India 2000; 48: 1170–4.Google ScholarPubMed
21Gopalan, C. Obesity in the urban middle class. NFI Bull. 1998; 19: 14.Google Scholar
22National Family Health Survey. India Main Report, 1991. Chapter 7: Nutrition and the prevalence of anaemia [Online]. Accessed 31 August 2001.Google Scholar
23Dudeja, V, Misra, A, Pandey, RM, Devina, G, Kumar, G, Vikram, NK. BMI does not accurately predict overweight in Asians in northern India. Br. J. Nutr. 2001; 86: 105–12.CrossRefGoogle Scholar
24Yajnik, CS. The insulin resistance epidemic in India: fetal origins, later lifestyle, or both? Nutr. Rev. 2001; 59: 19.CrossRefGoogle ScholarPubMed
25Food and Agriculture Organization (FAO)/World Health Organization (WHO). Fats and Oils in Human Nutrition. Report of a joint expert consultation. FAO Food & Nutrition Papers, Vol. 57. Rome: FAO, 1994; 1147.Google Scholar
26Ghafoorunisa, . Fats in Indian diets. NFI Bull. 1989; 10: 15.Google Scholar
27Kaul, GL. Fruit and vegetable production in India. NFI Bull. 1998; 19: 58.Google Scholar
28Ferro-Luzzi, A, Martino, L. Obesity and physical activity. In: The Origins and Consequences of Obesity. Ciba Foundation Symposium, Vol. 201. Chichester: John Wiley & Sons, 1996; 228–46.Google Scholar
29Wilkinson, RG. Mortality and distribution of income. Low relative income affects mortality. Br. Med. J. 1998; 316: 1611–2.Google ScholarPubMed
30Peto, R, Lopez, AD. Worldwide mortality from current smoking pattern. In: Durston, B, Jamrozik, K, eds. Tobacco and Health 1990: The Global War. Perth: Health Department of Western Australia, 1990; 66–8.Google Scholar