Why in the News
The United Nations Children’s Fund (UNICEF) Child Nutrition Global Report 2025 found that obesity has, for the first time, overtaken underweight as the most common form of malnutrition among school-aged children worldwide. The World Health Organization (WHO) has now issued its first-ever guidelines on childhood obesity. Low- and middle-income countries such as India face a double burden of malnutrition: undernutrition and obesity at once.
What is childhood obesity, and why is it rising?
- What it is: Childhood obesity is excess body fat that harms a child’s health. Like underweight, it is malnutrition, because the diet is wrong in quality, not only quantity.
- Changing diets and habits: Children are shifting to foods high in fat and sugar and poor in variety, vitamins and micronutrients. They also play and travel less actively.
- Roots in early life: Inadequate prenatal, infant and child nutrition, followed by energy-dense (high-calorie), micronutrient-poor food and too little physical activity, sets children on this path.
- The takeaway: Obesity is no longer a marker of affluent societies, so nutrition policy can no longer focus on hunger alone.
What has the WHO guideline and the new data shown?
- First-ever guideline: WHO’s guidelines cover integrated management of obesity, meaning several approaches used together, in children aged 29 days to under 10 years.
- Scope of advice: The recommendations cover diet, physical activity, sedentary behaviour and sleep, behaviour change, digital health tools, pharmacotherapy (drug treatment) and bariatric surgery (weight-loss surgery).
- Global count: About 188 million children worldwide live with obesity.
- South Asia’s jump: South Asia had the world’s lowest share of overweight children at the turn of the century. By 2022 that share had risen nearly fivefold in every age band.
- India’s projection: By 2030, India is projected to have over 27 million obese children and adolescents.
Why is this a double burden, not a replacement?
- Unfinished agenda: India still battles communicable diseases (infections that spread between people) and undernutrition. It now also faces rising risk factors for non-communicable diseases (NCDs), including obesity at younger ages.
- Adult diseases in children: NCDs once seen in adults now appear in obese children, so screening must start younger:
- type 2 diabetes;
- cardiovascular disease (disease of the heart and blood vessels);
- metabolic dysfunction-associated steatotic liver disease (fat build-up in the liver).
- Lost productive years: Complications such as chronic kidney disease, chronic liver disease and some obesity-driven cancers will appear in younger, productive ages.
How should policy reshape the child’s environment?
- Obesogenic environment: Policy must target “an environment that promotes gaining weight and one that is not conducive to weight loss” within the home or school.
- Role of each government: The Union and State governments set the agenda and frame policy. Local and municipal governments adapt and implement it.
Challenges
- Weak marketing controls: The food environment is the hardest area to fix, because promotion of unhealthy food on television and other media faces weak curbs.
- No front-of-package labelling: Packaged foods carry no simple front label telling buyers how much fat, sugar or salt they contain.
- Local variation: One national design misses sub-national and regional differences in ethnicity and culture.
- Cost of action: These interventions need increased capital investment.
Way Forward
- School drinks curbs: Limit sweetened beverages at schools, alongside health education and early intervention programmes.
- Meal and obesity guidelines: Establish meal and obesity guidelines and promote physical activity.
- Labelling and marketing rules: The Food Safety and Standards Authority of India (FSSAI) should notify front-of-package labelling and tighten curbs on food marketing.
- Sin taxes: Use sin taxes (higher taxes on unhealthy products) to fund specific public health interventions.
Conclusion
India’s nutrition policy must now serve both underfed and overfed children. Whether the food environment, above all marketing and labelling, is regulated is the measure of how seriously the shift is taken.
Key numbers
- Global prevalence of childhood obesity: roughly one in 10 children.
- India’s projected share of the global burden (2030): about 11%.
Government Initiatives on Nutrition and Healthy Lifestyles
- Saksham Anganwadi and Poshan 2.0: Supplementary nutrition through anganwadis (community childcare centres) to reduce stunting and wasting among young children and mothers.
- PM POSHAN: One hot cooked meal a day for school children, formerly the Mid-Day Meal, with School Nutrition Gardens.
- Eat Right India: FSSAI’s campaign for safe and healthy food, urging “Aaj Se Thoda Kam” (a little less salt, sugar and fat).
- Fit India Movement: A national movement promoting daily fitness to counter sedentary lifestyles.
Matching Previous Year Question
“[2022] Consider the following statements : 1. The India Sanitation Coalition is a platform to promote sustainable sanitation and is funded by the Government of India and the World Health Organization. 2. The National Institute of Urban Affairs is an apex body of the Ministry of Housing and Urban Affairs in Government of India and provides innovative solutions to address the challenges of Urban India. Which of the statements given above is/are correct ? (a) 1 only (b) 2 only (c) Both 1 and 2 (d) Neither 1 nor 2 ANSWER: (b)”




