A comparison of the Indian Diet with the EAT-Lancet Reference Diet
Abstract Background The 2019 EAT-Lancet Commission report recommends healthy diets that can feed 10 billion people by 2050 from environmentally sustainable food systems. This study compares food consumption patterns in India, from different income groups and regions and sectors(rural/urban), with the EAT-Lancet reference diet and highlights the deviations.Methods The analysis was done using data from consumption expenditure survey of a nationally representative sample of 0.102 million households from 7469 villages and 5268 urban blocks of India by the National Sample Survey Organization (NSSO) in 2011-12. This is the most recent nationally representative data on household consumption in India. Calorie intake (kcal/capita/day) of food groups was calculated using quantity of consumption and nutritional values of food items from the NSSO report. Diet across rural and urban, poor and rich households across different regions were compared with EAT-Lancet reference diet.Results Average daily calorie consumption in India is below the recommended 2503 kcal/capita/day across all groups compared, except for the richest 5% of the population. Calorie share of whole grains is significantly higher than the EAT-Lancet recommendations while those of fruits, vegetables, legumes, and meat, fish & eggs are significantly lower. The share of calories from protein sources is only 6-8% in India compared to 29% in the reference diet. The imbalance is highest for the households in the lowest decile of consumption expenditure, but even the richest households in India do not consume adequate amounts of fruits, vegetables and non-cereal proteins in their diets. An average Indian household consumes more calories from processed foods than fruits.Conclusions Indian diets, across states and income groups, are unhealthy. Indians also consume excessive cereals and not enough proteins, fruits and vegetables. Importantly, unlike many countries, excess consumption of animal protein is not a problem in India. Indian policy-makers need to accelerate food system wide efforts to make healthier and sustainable diets more affordable, accessible and acceptable.