While India has historically struggled with undernutrition, the rise of childhood obesity shows that the country is now dealing with the “double burden of malnutrition” which means there is presence of both underweight and overweight children within the same population.
Millions of children still suffer from stunting, wasting, underweight for age and micronutrient deficiencies.Undernutrition affects children under five years of age and mostly from low socioeconomic status. Undernutrition weakens immunity and increases vulnerability to infections.
The alarming situation that the country faces is the increase in childhood obesity. According to a report of World Obesity Atlas 2026 nearly 15 million children aged 5 to 10 and more than 26 million children aged 10-19 in India were obese or overweight. India ranks 2nd globally in childhood obesity. Modern lifestyles has reduced physical activity among children. Increased screen time, online entertainment, and limited outdoor play contribute to rising obesity levels. Such children are more prone to early onset of non-communicable diseases like diabetes hypertension and cardiovascular diseases.
This double burden will have far reaching consequences on the public health of the country. Costs for managing both the infectious diseases related to undernutrition and the chronic diseases related to obesity will place a heavy burden on the healthcare system and national economy.
Government initiatives such as mid day meal programs and maternal nutrition schemes should ensure that meals are nutritionally balanced and diverse, including fruits, vegetables, and protein sources. Focus should also be given to promoting healthy eating in children from higher economic background also. Public awareness campaigns about the long term effects and early start of consuming highly processed food and sugary drinks should be started across all levels of society. Parents with low awareness often feed these calorie dense but nutritionally poor foods to children.
Schools and communities should promote regular physical activity, outdoor sports to prevent obesity in children. Organising community level sports events can encourage children to stay physically active and reduce sedentary behaviour.
Addressing this issue requires comprehensive policies, community awareness, and healthier food environments. By focusing on balanced nutrition, active lifestyles, and early-life interventions, India can move toward eliminating both undernutrition and obesity, ensuring better health outcomes for future generations.
Can the nation truly progress if its children continue to suffer from both hunger and obesity?
MBH/PS