State-wise Dynamics of the Double Burden of Malnutrition among 15–49 Year-old Women in India: How Much Does the Scenario Change Considering Asian Population-specific BMI Cut-off Values?

Angan Sengupta*, Federica Angeli, Thelakkat Sankaranarayanan Syamala, C. P. Van Schayck, Pieter Dagnelie

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


This article assesses the gravity of the “double burden of malnutrition” across 21 states of India, through a comparative analysis of traditional and Asian population-specific BMI categorizations for overweight and obesity. This study analyzes data on ever-married women (15–49 years) from the National Family Health Survey (NFHS-2, 1998–1999; NFHS-3, 2005–2006). Findings depict that Indian women tilt toward high BMI resulting in a co-existence of under- and overweight populations, which portray a regional pattern. With Asian population-specific cut-offs, 11 states can be classified as “double burden states”; however, following traditional categorization, only 4 states face such dual pressure.

Original languageEnglish
Pages (from-to)618-638
Number of pages21
JournalEcology of Food and Nutrition
Issue number6
Publication statusPublished - 1 Jan 2014


  • BMI cut-off points
  • double burden of malnutrition
  • nutrition transition
  • obesity
  • overweight
  • underweight

Cite this