Tags

Type your tag names separated by a space and hit enter

Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey.
BMC Public Health. 2016 08 18; 16(1):816.BP

Abstract

BACKGROUND

The rising morbidity and mortality due to non-communicable diseases can be partly attributed to the urbanized lifestyle leading to unhealthy dietary practices and increasing physical levels of inactivity. The demographic and nutrition transition in India has also contributed to the emerging epidemic of non-communicable diseases in this country. In this context, there is limited information in India on dietary patterns, levels of physical activity and obesity. The aim of the present study was thus to assess the urban rural differences in dietary habits, physical activity and obesity in India.

METHODS

A household survey was done in the state of Punjab, India in a multistage stratified sample of 5127 individuals using the WHO STEPS questionnaire.

RESULTS

No rural urban difference was found in dietary practices and prevalence of overweight and obesity except the fact that a significantly higher proportion of respondents belonging to rural area (15.6 %) always/often add salt before/when eating as compared to urban area (9.1 %). Overall 95.8 % (94.6-97.0) of participants took less than 5 servings of fruits and/or vegetables on average per day. No significant urban rural difference was noted in both sexes in all three domains of physical activity such as work, transport and recreation. However, rural females (19.1 %) were found to be engaged in vigorous activity more than the urban females (6.3 %). Males reported high levels of physical activity in both the settings. Absence of recreational activity was reported by more than 95 % of the subjects. Higher prevalence of obesity (asian cut offs used) was seen among urban females (34.3 %) as compared to their rural counterparts (23.2 %). Abdominal obesity was found to be significantly higher among females in both the settings compared to males (p < 0.001).

CONCLUSIONS

Poor dietary practices and physical inactivity seems to fuel the non-communicable disease epidemic in India. Non communicable disease control strategy need to address these issues with a gender equity lens. Rapid urbanization of rural India might be responsible for the absence of a significant urban rural difference.

Authors+Show Affiliations

International Union Against Tuberculosis and Lung Disease, The Union South East Asia Office, New Delhi, India.Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India. jsthakur64@gmail.com.Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.Department of Biochemistry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27538686

Citation

Tripathy, Jaya Prasad, et al. "Urban Rural Differences in Diet, Physical Activity and Obesity in India: Are We Witnessing the Great Indian Equalisation? Results From a Cross-sectional STEPS Survey." BMC Public Health, vol. 16, no. 1, 2016, p. 816.
Tripathy JP, Thakur JS, Jeet G, et al. Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey. BMC Public Health. 2016;16(1):816.
Tripathy, J. P., Thakur, J. S., Jeet, G., Chawla, S., Jain, S., & Prasad, R. (2016). Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey. BMC Public Health, 16(1), 816. https://doi.org/10.1186/s12889-016-3489-8
Tripathy JP, et al. Urban Rural Differences in Diet, Physical Activity and Obesity in India: Are We Witnessing the Great Indian Equalisation? Results From a Cross-sectional STEPS Survey. BMC Public Health. 2016 08 18;16(1):816. PubMed PMID: 27538686.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey. AU - Tripathy,Jaya Prasad, AU - Thakur,J S, AU - Jeet,Gursimer, AU - Chawla,Sohan, AU - Jain,Sanjay, AU - Prasad,Rajender, Y1 - 2016/08/18/ PY - 2016/05/18/received PY - 2016/08/11/accepted PY - 2016/8/20/entrez PY - 2016/8/20/pubmed PY - 2017/8/2/medline KW - Diet KW - India KW - Obesity KW - Physical activity KW - STEPS survey KW - Urbanization SP - 816 EP - 816 JF - BMC public health JO - BMC Public Health VL - 16 IS - 1 N2 - BACKGROUND: The rising morbidity and mortality due to non-communicable diseases can be partly attributed to the urbanized lifestyle leading to unhealthy dietary practices and increasing physical levels of inactivity. The demographic and nutrition transition in India has also contributed to the emerging epidemic of non-communicable diseases in this country. In this context, there is limited information in India on dietary patterns, levels of physical activity and obesity. The aim of the present study was thus to assess the urban rural differences in dietary habits, physical activity and obesity in India. METHODS: A household survey was done in the state of Punjab, India in a multistage stratified sample of 5127 individuals using the WHO STEPS questionnaire. RESULTS: No rural urban difference was found in dietary practices and prevalence of overweight and obesity except the fact that a significantly higher proportion of respondents belonging to rural area (15.6 %) always/often add salt before/when eating as compared to urban area (9.1 %). Overall 95.8 % (94.6-97.0) of participants took less than 5 servings of fruits and/or vegetables on average per day. No significant urban rural difference was noted in both sexes in all three domains of physical activity such as work, transport and recreation. However, rural females (19.1 %) were found to be engaged in vigorous activity more than the urban females (6.3 %). Males reported high levels of physical activity in both the settings. Absence of recreational activity was reported by more than 95 % of the subjects. Higher prevalence of obesity (asian cut offs used) was seen among urban females (34.3 %) as compared to their rural counterparts (23.2 %). Abdominal obesity was found to be significantly higher among females in both the settings compared to males (p < 0.001). CONCLUSIONS: Poor dietary practices and physical inactivity seems to fuel the non-communicable disease epidemic in India. Non communicable disease control strategy need to address these issues with a gender equity lens. Rapid urbanization of rural India might be responsible for the absence of a significant urban rural difference. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/27538686/Urban_rural_differences_in_diet_physical_activity_and_obesity_in_India:_are_we_witnessing_the_great_Indian_equalisation_Results_from_a_cross_sectional_STEPS_survey_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3489-8 DB - PRIME DP - Unbound Medicine ER -