The Public Health Foundation of India informs that 'the highest rates of overweight and obesity have been observed in the epidemiologically and nutritionally advanced states of Punjab, Kerala and Delhi, which, incidentally, also have higher rates of non-communicable disease (NCD) risk and disease burden.'
The Jaipur Heart Watch studies suggested an increasing trend in overweight/obesity among urban men (21.1% in 1994 to 50.9% in 2005) as well as in women (15.7% in 1994 to 57.7% in 2005).
The chief causes behind such a sharp rise in the incidence of these health conditions lies mostly in the changes in dietary habits. There has been a visible change in the per capita calorie consumption in India. People, both in urban and rural India, have increased the intake of edible oil as well as fat. Oil intake increased from 18 grams per person daily in 1990-1992 to 27 grams per person daily in 2003-2005, while fat intake rose from 41 grams to 52 grams per person daily during the same period.
Total consumption data indicates an increasing trend in edible oil consumption, which has risen from 9.7 million tonnes in 2000-2001 to 14.3 million tonnes in 2007-2008, with a high proportion of unhealthy oils high in saturated and trans-fats.
There has also been a sharp increase in the number of high income families which, and it has been reported that 32% of their energy intake is from fats.
In contrast, the intake of fruits and vegetables, which helps in protecting the onset of the lifestyle diseases, have gone down by a critical level. Typical recommendations by the World Health Organisation (WHO) suggests 5 or more servings of fruits and vegetables daily or at least 400 grams/day. Also, the consumption of salt, which determines strongly the rise in blood pressure, is very high across different regions with the average intake ranging between 9-12 grams/day. WHO recommends an intake of 5 grams/day while the National Institute of Nutrition's recent Recommended Dietary Allowances (RDA) for Indians recommends an intake of 6 grams/day.
- Chronic NCDs India 2011 (Public Health Foundation of India)