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India’s New Urban Health Crisis: The Silent Epidemic of Overnutrition

Published by Vashishth Academy — Your Trusted Guide for UPSC, PCS & SSC Preparation in Ludhiana


🧭 Context: From Hunger to Obesity — A Shocking Shift

India, long considered a country struggling with undernutrition and hunger, is now facing a double burden — where obesity, poor diets, and lifestyle diseases are emerging as major threats, especially in urban areas.

📌 A Hyderabad study in the IT sector found 84% of employees with fatty liver disease (MAFLD) — a clear signal that lifestyle-induced non-communicable diseases (NCDs) are becoming the next big health crisis.


⚖️ India’s Paradox: Undernutrition + Overnutrition

Type Prevalent In Impact
Undernutrition Rural, economically poor states Anemia, stunting, poor development
Overnutrition Urban middle & upper class Obesity, diabetes, heart disease
  • India ranked 2nd globally in obesity (2021).

  • 37% obesity in India’s wealthiest group.

  • NCDs caused 74% of global deaths in 2019 (WHO).

🔎 Despite economic growth, India’s Global Hunger Index remains low — reflecting unequal nutrition access.


🏙️ Urbanisation & The Lifestyle Shift

Rapid urbanisation and sedentary jobs in cities like Bengaluru and Hyderabad have accelerated the health decline among working-age adults.

Causes of Rising Obesity:

  • 📱 IT sector sedentary work

  • 🍕 High-calorie, low-nutrition food

  • 🌙 Irregular sleep & high stress

  • 🚫 Lack of physical activity

Case Study (Tamil Nadu STEPS Survey 2023–24):

  • Only 16% hypertensives have controlled BP.

  • Just 10% diabetics have proper sugar control.

  • 94% eat fewer fruits/vegetables, and 25% lack any physical activity.


🧃 India’s Weak Response: Policy Gaps

Despite campaigns like Eat Right India, many roadblocks persist:

Policy Issue Description
⚠️ Weak Regulation Lax food safety laws & enforcement
❌ Poor Labelling No mandatory front-of-pack warnings
🏭 Industry Pressure Pushback from food & beverage lobby
⭐️ Health Star Rating Faces criticism for flawed metrics

🌍 International Example: Saudi Arabia’s Success

India can take cues from Saudi Arabia’s Vision 2030, which includes:

  • Calorie labelling on restaurant menus

  • Sugar-sweetened beverage tax

  • Ban on trans fats and salt control

🟢 Recognised by WHO for sodium reduction — something India is still lagging behind.


🛤️ The Way Forward: What India Needs Now

1. 💰 Fiscal Reforms (Sin Taxes)

  • Impose taxes on sugar, salt, and saturated fats

  • Invest the revenue into public health & nutrition

2. 🏷️ Food Labelling Reform

  • Enforce clear front-of-pack warnings

  • Mass awareness campaigns to interpret labels

3. 🏙️ Urban & Corporate Wellness

  • Promote walkability, green spaces, & healthy cafeteria options

  • Make employee health a core HR metric

4. 🤝 Multi-Sector Coordination

  • Ministries of Health, Urban Development, Food Safety, and Education must collaborate.


📘 Exam Relevance (UPSC/PCS/SSC)

Topic Relevance
UPSC GS-2 & GS-3 Health, Urbanisation, Governance
State PCS Nutrition Policies, Public Health
SSC Current Affairs, Obesity Trends

📝 Key Terms to Know:

  • MAFLD – Metabolic Dysfunction-Associated Fatty Liver Disease

  • NCDs – Non-Communicable Diseases

  • STEPS Survey

  • Sin Tax

  • Eat Right India


📣 Vashishth Academy Insights

At Vashishth Academy, Ludhiana’s premier institute for competitive exam prep, we focus on dynamic issues like health transitions, ensuring our students are exam-ready and socially aware.

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