Obesity in India has reached epidemic proportions in the 21st century, with morbid obesity affecting 5% of the country's population. [1] India is following a trend of other developing countries that are steadily becoming more obese. Unhealthy, processed food has become much more accessible following India's continued integration in global food markets. This, combined with rising middle class incomes, is increasing the average caloric intake per individual among middle class and high income households. [2] Obesity is a major risk factor for cardiovascular disease, and NGOs such as the Indian Heart Association have been raising awareness about this issue. [3]
While studying 22 different SNPs near to MC4-R gene, scientists have identified an SNP (single nucleotide polymorphism) named rs12970134 to be mostly associated with waist circumference. In this study more than two thousand individuals of Indian origin participated and the aforementioned SNP is highly prevalent in this group. [4]
Internationally, a BMI over 25 kg/m2 is considered overweight. Due to genetic tendency of Indians towards abdominal obesity and its associated risk of related lifestyle diseases such as diabetes and anemia, guidelines for diagnosis of obesity and abdominal obesity for India have been published in JAPI (2009) that a BMI over 23 kg/m2 is considered overweight. [5] Further definitions: Normal BMI: 18.0-22.9 kg/m2, Overweight: 23.0-24.9 kg/m2, Obesity: >25 kg/m2. [5]
This is a list of the states of India ranked in order of percentage of people who are overweight or obese, based on data from the 2016-2021National Family Health Survey. [6]
States | Males (%) | Males rank | Females (%) | Females rank |
---|---|---|---|---|
India | 18.9 | 24 | 20.7 | 22 |
Delhi | 24.6 | 11 | 33.5 | 5 |
Chandigarh | 32.0 | 6 | 41.4 | 1 |
Dadra and Nagar Haveli | 22.9 | 15 | 19.2 | 25 |
Daman and Diu | 30.7 | 7 | 31.7 | 9 |
Andaman and Nicobar Islands | 38.2 | 1 | 31.8 | 8 |
Lakshadweep | 24.1 | 13 | 40.6 | 2 |
Puducherry | 37.1 | 2 | 36.7 | 3 |
Punjab | 27.8 | 10 | 31.3 | 10 |
Kerala | 28.5 | 8 | 32.4 | 7 |
Goa | 32.7 | 5 | 33.5 | 4 |
Tamil Nadu | 28.2 | 9 | 30.9 | 11 |
Andhra Pradesh | 33.5 | 4 | 33.2 | 6 |
Sikkim | 34.8 | 3 | 26.7 | 15 |
Mizoram | 20.9 | 18 | 21.1 | 20 |
Himachal Pradesh | 22.0 | 17 | 28.7 | 13 |
Maharashtra | 23.8 | 14 | 23.4 | 18 |
Gujarat | 19.7 | 23 | 23.8 | 17 |
Haryana | 20.0 | 21 | 21.0 | 21 |
Karnataka | 22.1 | 16 | 23.3 | 17 |
Manipur | 19.8 | 22 | 26.0 | 16 |
Uttarakhand | 17.7 | 25 | 20.5 | 23 |
Arunachal Pradesh | 20.6 | 19 | 18.8 | 26 |
Uttar Pradesh | 12.5 | 33 | 16.5 | 27 |
Jammu and Kashmir | 20.5 | 20 | 29.1 | 12 |
Bihar | 12.6 | 32 | 11.7 | 36 |
Nagaland | 13.9 | 29 | 16.2 | 29 |
Rajasthan | 13.2 | 30 | 14.1 | 31 |
Meghalaya | 10.0 | 37 | 12.2 | 34 |
Odisha | 17.3 | 26 | 16.5 | 28 |
Assam | 12.9 | 31 | 13.2 | 33 |
Chhattisgarh | 10.2 | 36 | 11.9 | 35 |
West Bengal | 14.2 | 28 | 19.9 | 24 |
Madhya Pradesh | 10.9 | 35 | 13.6 | 32 |
Jharkhand | 11.1 | 34 | 10.3 | 37 |
Telangana | 24.2 | 12 | 28.7 | 13 |
Tripura | 15.9 | 27 | 16.0 | 30 |
Body mass index (BMI) is a value derived from the mass (weight) and height of a person. The BMI is defined as the body mass divided by the square of the body height, and is expressed in units of kg/m2, resulting from mass in kilograms (kg) and height in metres (m).
Metabolic syndrome is a clustering of at least three of the following five medical conditions: abdominal obesity, high blood pressure, high blood sugar, high serum triglycerides, and low serum high-density lipoprotein (HDL).
Abdominal obesity, also known as central obesity and truncal obesity, is the human condition of an excessive concentration of visceral fat around the stomach and abdomen to such an extent that it is likely to harm its bearer's health. Abdominal obesity has been strongly linked to cardiovascular disease, Alzheimer's disease, and other metabolic and vascular diseases.
Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it can potentially have negative effects on health. People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over 30 kg/m2; the range 25–30 kg/m2 is defined as overweight. Some East Asian countries use lower values to calculate obesity. Obesity is a major cause of disability and is correlated with various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.
The waist is the part of the abdomen between the rib cage and hips. On people with slim bodies, the waist is the narrowest part of the torso.
Nutritional genomics, also known as nutrigenomics, is a science studying the relationship between human genome, human nutrition and health. People in the field work toward developing an understanding of how the whole body responds to a food via systems biology, as well as single gene/single food compound relationships. Nutritional genomics or Nutrigenomics is the relation between food and inherited genes, it was first expressed in 2001.
The waist–hip ratio or waist-to-hip ratio (WHR) is the dimensionless ratio of the circumference of the waist to that of the hips. This is calculated as waist measurement divided by hip measurement. For example, a person with a 75 cm waist and 95 cm hips has WHR of about 0.79.
Childhood obesity is a condition where excess body fat negatively affects a child's health or well-being. As methods to determine body fat directly are difficult, the diagnosis of obesity is often based on BMI. Due to the rising prevalence of obesity in children and its many adverse health effects it is being recognized as a serious public health concern. The term overweight rather than obese is often used when discussing childhood obesity, as it is less stigmatizing, although the term overweight can also refer to a different BMI category. The prevalence of childhood obesity is known to differ by sex and gender.
Obesity is common in the United States and is a major health issue associated with numerous diseases, specifically an increased risk of certain types of cancer, coronary artery disease, type 2 diabetes, stroke, and cardiovascular disease, as well as significant increases in early mortality and economic costs.
Being overweight is having more body fat than is optimally healthy. Being overweight is especially common where food supplies are plentiful and lifestyles are sedentary.
Obesity has been observed throughout human history. Many early depictions of the human form in art and sculpture appear obese. However, it was not until the 20th century that obesity became common — so much so that, in 1997, the World Health Organization (WHO) formally recognized obesity as a global epidemic and estimated that the worldwide prevalence of obesity has nearly tripled since 1975. Obesity is defined as having a body mass index (BMI) greater than or equal to 30 kg/m2, and in June 2013 the American Medical Association classified it as a disease.
Diet plays an important role in the genesis of obesity. Personal choices, food advertising, social customs and cultural influences, as well as food availability and pricing all play a role in determining what and how much an individual eats.
Obesity classification is a ranking of obesity, the medical condition in which excess body fat has accumulated to the extent that it has an adverse effect on health. The World Health Organization (WHO) classifies obesity by body mass index (BMI). BMI is further evaluated in terms of fat distribution via the waist–hip ratio and total cardiovascular risk factors. In children, a healthy weight varies with sex and age, and obesity determination is in relation to a historical normal group.
Android fat distribution describes the distribution of human adipose tissue mainly around the trunk and upper body, in areas such as the abdomen, chest, shoulder and nape of the neck. This pattern may lead to an "apple"-shaped body or central obesity, and is more common in males than in females. Thus, the android fat distribution of men is about 48.6%, which is 10.3% higher than that of premenopausal women. In other cases, an ovoid shape forms, which does not differentiate between men and women. Generally, during early adulthood, females tend to have a more peripheral fat distribution such that their fat is evenly distributed over their body. However, it has been found that as females age, bear children and approach menopause, this distribution shifts towards the android pattern of fat distribution, resulting in a 42.1% increase in android body fat distribution in postmenopausal women. This could potentially provide evolutionary advantages such as lowering a woman's center of gravity making her more stable when carrying offspring.
Weight management refers to behaviors, techniques, and physiological processes that contribute to a person's ability to attain and maintain a healthy weight. Most weight management techniques encompass long-term lifestyle strategies that promote healthy eating and daily physical activity. Moreover, weight management involves developing meaningful ways to track weight over time and to identify the ideal body weights for different individuals.
A person's waist-to-height ratio – occasionally written WHtR – or called waist-to-stature ratio (WSR), is defined as their waist circumference divided by their height, both measured in the same units. It is used as a predictor of obesity-related cardiovascular disease. The WHtR is a measure of the distribution of body fat. Higher values of WHtR indicate higher risk of obesity-related cardiovascular diseases; it is correlated with abdominal obesity.
A number of lifestyle factors are known to be important to the development of type 2 diabetes including: obesity, physical activity, diet, stress, and urbanization. Excess body fat underlies 64% of cases of diabetes in men and 77% of cases in women. A number of dietary factors such as sugar sweetened drinks and the type of fat in the diet appear to play a role.
TOFI (thin-outside-fat-inside) is used to describe lean individuals with a disproportionate amount of fat stored in their abdomen. The figure to illustrate this shows two men, both 35 years old, with a BMI of 25 kg/m2. Despite their similar size, the TOFI had 5.86 litres of internal fat, whilst the healthy control had only 1.65 litres.
A Body Shape Index (ABSI) or simply body shape index (BSI) is a metric for assessing the health implications of a given human body height, mass and waist circumference (WC). The inclusion of WC is believed to make the BSI a better indicator of risk of mortality from excess weight than the standard body mass index. ABSI correlates only slightly with height, weight and BMI, indicating that it is independent of other anthropometric variables in predicting mortality.
Body roundness index (BRI) is a calculated geometric index used to quantify a person's individual body shape. Based on the principle of body eccentricity, it provides a rapid visual and anthropometric tool for health evaluation.
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