Background - A recent study highlighted the prevalence of metabolic dysfunction-associated fatty liver disease (MAFLD) among participants in Hyderabad, with 84% having fatty liver and 78% being obese.
- This concerning health crisis is emerging in tandem with the growth of India's urban economy.
- Obesity drivers, chronic stress, insufficient sleep, disrupted eating patterns, and prolonged sedentary lifestyles are prevalent.
- Many companies in the technology sector offer free kiosks to their employees for checking liver and fitness, but these are often underutilized.
The Situation Now - India is grappling with a paradox: rural undernutrition persists, while urban overnutrition is rapidly rising.
- In 2021, India ranked second globally in overweight and obesity prevalence, and the disparity between rural and urban areas is widening.
- A global hunger index report states that 74% of deaths in 2019 were linked to diet, and the WHO indicates that 2024 World Health Statistics will include overnutrition.
- UNICEF has noted that 2023 Sustainable Development Goals (SDGs) will fail to reduce mortality from non-communicable diseases (NCDs).
- The 24 SDGS Survey in India shows a 65% failure rate in Chennai for NCDs, while the NCD cascade of care shows inadequate improvement.
- Among those receiving treatment for hypertension, 16% had elevated blood pressure, and 18-44% were diabetic at the time.
- Over 32.2 million to 33.3 million are obese or overweight, and 94.2% of respondents reported inadequate fruit and vegetable consumption, while 24.4% reported insufficient physical activity.
- A recent study by MMTC (MMUM) in Chennai on diabetes and hypertension found a significant increase in MAFLD among 40-year-olds.
- A multisectoral approach to NCD control from January 2024, with 29,000 employees having been screened, aims to encourage healthy eating and physical activity.
- The "eight-kilometer health walk and 'Eat Right Challenge'" were introduced to raise awareness.
- However, awareness and nutrition challenges remain, as indicated by a 26% decline in meals from a formidable obstacle.
- The National Family Health Survey indicates a 37% prevalence of overweight or obesity among all ages, with the lowest quintile at 37% and the wealthiest at 70%.
- The prevalence of overweight and obesity varies across regions and income levels, demonstrating a need for tailored interventions.
- High prevalence of overweight or obesity is seen among males (28% to 46%) and females (31% to 47.6%) across age groups in Tamil Nadu.
- 46.1% of urban and 41.1% of rural children under five show a high prevalence of overweight or obesity.
- Tamil Nadu's majority workforce is increasingly vulnerable to early-onset NCDs due to consumption of ultra-processed foods.
- A Lancet for 2023 estimates that India's overweight and obese adult population could reach 450 million by 2050 (80 million in 2021).
- Simultaneously, childhood obesity is expected to increase by 44%, leading to a projected 12% increase in the next three decades.
- Focus on manufacturing and marketing within the consumer level is growing. It remains insufficient.
- The greater responsibility lies with regulators, producers, and policymakers.
- Marketing of ultra-processed foods that offer convenience but little in the way of nourishment needs to be addressed.
- The Eat Right India movement focuses on safe, healthy, and sustainable food. It promotes hygiene, certification, and campaigns such as "Jago Grahak Jago."
- The Food Safety and Standards Authority of India (FSSAI) advocates for labeling high-fat, salt, and sugar content.
- The Supreme Court has recently directed an FSSAI-constituted expert committee to recommend scientific advice on food safety.
- The FSSAI must enforce stringent rules regarding manufacturing and marketing of food, to ensure safety and quality.
- The Saudi Arabian model of its Vision 2030 initiative is promoting a healthier lifestyle, reducing sugar consumption, and increasing exercise.
- New Delhi's urban landscape continues to evolve rapidly, with Bengaluru, Pune, and Chennai becoming economic engines, however, the urban areas lack proper amenities.
- The booming e-commerce and food delivery services are further exacerbating unhealthy eating habits.
- Experts from the IT professionals' group highlight that their industry has a duty to provide proper nutrition and address unhealthy choices.
- The regulatory framework is not addressing these issues effectively, making it challenging to impose taxes on foods high in sugar and salt.
- It is critical to change eating habits, which may not happen overnight.
Way Forward - India needs a comprehensive and sustained public health approach to tackle the rising epidemic of overnutrition, encompassing both rural and urban populations.
- Stronger regulations on food manufacturing and marketing, especially for ultra-processed foods, are essential.
- Promoting healthier lifestyle choices, improving access to nutritious food, and encouraging physical activity are crucial.
- Collaboration among government agencies, industry, and civil society is vital to implement effective interventions and raise awareness about healthy eating and living.
- Learning from successful international models like Saudi Arabia's Vision 2030 can provide valuable insights.
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