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.