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Nationwide ICMR Study Links India’s Carb-Heavy Diet to Higher Diabetes and Obesity Risk

Researchers say shifting 5% of calories from carbs to plant or dairy protein could cut metabolic risk.

Overview

  • Published in Nature Medicine on September 30, the analysis draws on a nationally representative survey of 121,077 adults across 36 states and union territories.
  • Indian diets supply about 62% of energy from carbohydrates and only 12% from protein, with saturated fat exceeding the <7% energy threshold in all but Jharkhand, Chhattisgarh, Arunachal Pradesh and Manipur.
  • Much of the carbohydrate intake comes from low-quality sources such as white rice, milled grains and added sugar, with at least 21 states and UTs above the recommended limit for added sugar intake.
  • Modelled isocaloric substitution indicates that replacing 5% of energy from carbohydrates with plant or dairy protein is associated with lower risk of diabetes and prediabetes, whereas replacing with red meat or fats did not show the same benefit.
  • Authors urge policy action through food subsidies and public messaging to rebalance diets, noting regional differences in staples and that millets are main staples in only three states.