Dual Nutrition Burden in Urban Women from Low Middle Income Families

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Dual nutrition burden, over nutrition, non-pregnant women, BMI, anthropometric measurement
Dual nutrition burden in women


 Currently India is experiencing dual nutrition burden. Prevalence of both under and over nutrition is reported to be higher in women as compared to men. Over nutrition rates in Delhi are among the highest in India. A mixed longitudinal study was undertaken to assess nutritional status of urban women from low middle income families. Between January 2015 and December 2017, 4155 non-pregnant non-lactating women were enrolled for this observational study. These women belonged to food secure low middle income families. They were living in highly congested urban localities in one or two room tenements and had no access to public spaces where they could go for walk or discretionary physical activities. In all women, height was measured at enrolment. Efforts were made to measure weight, mid upper arm, waist and hip circumferences once in three months. Prevalence of under nutrition (BMI < 18.5) in the 18-29 years age group was 12.1%, but 33.9% had BMI of ≥25. There was a progressive increase in over-nutrition, high waist and hip circumferences with increasing age; 68.4% of women aged 50 years and above were over-nourished. None of the undernourished women had waist circumference ≥ 80 cm; among the normally nourished 8.5% and in the over-nourished women 3/4th had waist circumference above 80cm. Hip circumference showed a similar trend but prevalence of ≥ 102 cm was lower. Prevalence of over nutrition, truncal and abdominal adiposity was high in women from Delhi low middle income families.


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How to Cite

Goel, A., Devi, A. T., Kalaivani, K., & Ramachandran, P. (2020). Dual Nutrition Burden in Urban Women from Low Middle Income Families. The Indian Journal of Nutrition and Dietetics, 57(1), 10–24. https://doi.org/10.21048/ijnd.2020.57.1.24119



Original Articles
Received 2019-08-23
Accepted 2019-11-25
Published 2020-01-03



Ramachandran, P. The double burden of malnutrition in India, 2006. ftp://ftp.fao.org/docrep/fao/009/a0442e/a0442e01.pdf accessed on 22.8.2019.

Ramachandran, P. and Kalaivani, K. Nutrition transition in India challenges in achieving the global nutrition targets. Proc. Ind. Nat. Sci. Acad., 2018, 84, 821- 833.

Prabhakaran, D. Differences in the prevalence of metabolic syndrome in urban and rural India: a problem of urbanization. Chronic Illness, 2007, 3, 8-19.

Reddy, K.S. Diet, nutrition and the prevention of hypertension and cardiovascular diseases. Public Health Nutr., 2004, 7, 167-186.

NNMB, Diet and nutritional status of rural population, prevalence of hypertension and diabetes among adults and infant and young child feeding practices. Report of third repeat survey. Technical report No: 26. National Institute of Nutrition, Indian Council of Medical Research; Hyderabad, 2012.Http://www.nnmbindia.org/1_NNMB_Third_Repeat_Rural_Survey_Technicl_Report_26.pdf, accessed on 22.8.2019

NNMB, Diet and Nutritional status of urban population in India and prevalence of obesity, hypertension, diabetes and hyperlipidemia in urban men and women. Technical report No: 27. National Institute of Nutrition, Indian Council of Medical Research; Hyderabad, 2017. http://ninindia.org/NNMB%20Urban%20Nutrition%20survey%20%20report-Final%2025-09-2017pdf, accessed on 22.8.2019.

IIPS, National Family Health Survey (NFHS) 1 http://rchiips.org/nfhs/nfhs1.shtml accessed on 22.8.2019, 1998.

IIPS, National Family Health Survey (NFHS) 2 http://rchiips.org/nfhs/nfhs2.shtml accessed on 22.8.2019, 1998.

IIPS, National Family Health Survey (NFHS) 3 http://rchiips.org/nfhs/nfhs3.shtml accessed on 22.8.2019, 2006.

IIPS, National Family Health Survey (NFHS) 4 Fact sheets http://rchiips.org/nfhs/factsheet_NFHS-4.shtml accessed on 22.8.2019, 2015.

IIPS, District Level Household and Facility Survey DLHS-2 http://rchiips.org/PRCH-2.html accessed on 22.8.2019, 2004

IIPS, District Level Household and Facility Survey DLHS-4 http://rchiips.org/DLHS-4.html accessed on 22.8.2019, 2014

RGI, Annual Health Survey: CAB component http://www.censusindia.gov.in/2011census/hh-series/cab.html accessed on 22.8.2019, 2015.

WHO, Waist Circumference and Waist-Hip Ratio Report of a WHO Expert Consultation Geneva 2008, 811.

Bhargava, S. K. Adult health and human capital; Impact of birth weight and childhood growth. Sage Publications India Pvt Ltd, New Delhi, 2018.

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