Nutritional Status in Northeast India: A Comprehensive Study Linking Protein-Energy Malnutrition with Regional Disease Burden

Authors

  • Prof. Dr. Harikumar Pallathadka Vice-Chancellor & Professor, Manipur International University, Imphal, Manipur, INDIA. https://orcid.org/0000-0002-0705-9035
  • Dr. Parag Deb Roy Social Scientist & Independent Researcher, Guwahati, Assam, INDIA.

DOI:

https://doi.org/10.55544/sjmars.4.2.16

Keywords:

Northeast India, Assam, Protein-Energy Malnutrition, Diabetes, Hypertension, Chronic Kidney Disease, Community-based research

Abstract

Northeast India, with its distinct geographical, cultural, and socioeconomic landscape, may exhibit a unique nutritional profile influencing population health. Despite national efforts, the region faces health challenges potentially linked to specific nutritional deficiencies. To assess the nutritional status, specifically focusing on protein-energy malnutrition (PEM), in Northeast India and evaluate its association with the prevalence of non-communicable diseases (NCDs) including diabetes, hypertension, and kidney disease. A multi-stage, cross-sectional study was conducted across 32 districts in Northeast India (n=4,762) from June 2023 to February 2024. Data collection employed innovative community-based methods, including anthropometric measurements from tailoring establishments and health markers from local barber shops, complemented by comprehensive household surveys and clinical assessments. The study found significantly lower protein intake in Northeast India (47.3±8.2 g/day) compared to the national average (60.4±9.7 g/day, p<0.001). The prevalence of Protein-Energy Malnutrition (PEM) was 32.6% regionally, peaking at 41.3% in rural areas. Strong negative correlations were observed between protein intake and the prevalence of type 2 diabetes (r=-0.76, p<0.001), hypertension (r=-0.68, p<0.001), and chronic kidney disease (r=-0.72, p<0.001). Multivariate analysis confirmed PEM as an independent risk factor for these conditions after adjusting for confounding variables. This study provides compelling evidence of widespread protein-energy malnutrition in Northeast India and establishes a significant association with the increased burden of diabetes, hypertension, and kidney disease in the region. The findings highlight an urgent need for region-specific nutritional interventions focused on protein adequacy to address the growing epidemic of non-communicable diseases.

References

[1] Barker, D. J., Lampl, M., Roseboom, T., & Winder, N. (2021). Resource allocation in utero and health in later life. Placenta, 33, S30-S34.

[2] Barman, S., Baruah, S., & Goswami, J. (2022). Community health worker-led anthropometric assessment in remote areas: Lessons from Arunachal Pradesh. Indian Journal of Community Medicine, 47(3), 312-318.

[3] Behera, M. K., Panda, B. K., & Satapathy, S. (2020). Geographical challenges and food security in Northeast India: A comprehensive review. Journal of North Eastern Council, 40(2), 78-96.

[4] Bhargava, A., & Ganguly, S. (2023). Inadequate protein intake and hypertension risk: A cohort study from Central India. Journal of Hypertension Research, 41(3), 189-197.

[5] Borah, K., Singh, Y., & Rahman, T. (2022). Trends in non-communicable diseases in Northeast India: A systematic review and meta-analysis. International Journal of Epidemiology, 51(4), 1234-1248.

[6] Bronfenbrenner, U., & Morris, P. A. (2018). The bioecological model of human development. Handbook of Child Psychology and Developmental Science, 1, 793-828.

[7] Deka, R., Saikia, N., & Medhi, G. K. (2021). Livestock production and consumption patterns in Northeast India: Potential for nutritional security. Journal of Agricultural Sciences, 12(4), 453-467.

[8] Dutt, S., Pal, R., & Poddar, P. (2021). Role of dietary protein in insulin sensitivity and glucose metabolism: Current evidence and controversies. Diabetes Research and Clinical Practice, 174, 108746.

[9] Food and Agriculture Organization. (2022). The State of Food Security and Nutrition in the World 2022. FAO, Rome.

[10] Gibson, R. S. (2005). Principles of Nutritional Assessment (2nd ed.). Oxford University Press, New York.

[11] Gupta, A., & Prakash, S. (2021). Protein nutrition and kidney function: Emerging evidence on optimal intake for renal health. Journal of Renal Nutrition, 31(4), 375-384.

[12] Indian Council of Medical Research. (2020). Nutrient Requirements for Indians: Recommended Dietary Allowances and Estimated Average Requirements. ICMR, New Delhi.

[13] International Institute for Population Sciences. (2022). National Family Health Survey (NFHS-5), 2019-21: India. IIPS, Mumbai.

[14] Kapil, U., & Sachdev, H. (2020). Micronutrient status of Indian population: Challenges and way forward. Indian Journal of Community Health, 32(2), 270-277.

[15] Krishnan, A., Mathur, P., & Kulothungan, V. (2021). Prevalence of non-communicable disease risk factors in India: Results from the National NCD Monitoring Survey 2017-18. The Lancet Regional Health - Southeast Asia, 7, 100145.

[16] Kurpad, A. V., Raj, T., & Regan, M. M. (2023). Protein consumption patterns across India: Analysis of the Comprehensive National Nutrition Survey data. Journal of Nutrition, 153(4), 1045-1054.

[17] Lillycrop, K. A., & Burdge, G. C. (2019). Maternal dietary protein restriction during pregnancy induces a tissue-specific epigenetic response in rat offspring. Nutrition Research Reviews, 32(2), 215-226.

[18] Longvah, T., & Deosthale, Y. G. (2019). Traditional food patterns of Northeast India: Nutritional and health implications. International Journal of Food Sciences and Nutrition, 70(5), 550-564.

[19] Longvah, T., Khutsoh, B., & Meshram, I. I. (2020). Nutrient composition and protein quality of indigenous foods consumed in Northeast India. Food Chemistry, 328, 127121.

[20] Mariotti, F. (2022). Global patterns of protein intake: A comparison of plant and animal protein contributions across countries and population groups. Advances in Nutrition, 13(3), 726-738.

[21] Ministry of Health and Family Welfare. (2019). Comprehensive National Nutrition Survey (CNNS) National Report. Government of India, New Delhi.

[22] Misra, P. J., Saikia, J. P., & Chakravarty, S. (2021). Epidemiology of non-communicable diseases in Northeast India: Recent trends and future directions. Journal of Health Research, 35(4), 378-391.

[23] Mittal, M., Sharma, R., & Gupta, S. (2022). Protein intake and risk of type 2 diabetes: A prospective study from North India. Diabetes Research and Clinical Practice, 184, 109187.

[24] Oosterwijk, M. M., Neter, J. E., & Stronks, K. (2020). Protein intake and blood pressure: A systematic review. Journal of Human Hypertension, 34(12), 825-836.

[25] Pallathadka, H., & Debroy, P. (Unpublished manuscript). Protein-energy malnutrition and non-communicable disease burden in Northeast India: A comprehensive regional analysis. Manipur International University.

[26] Popkin, B. M., Corvalan, C., & Grummer-Strawn, L. M. (2020). Dynamics of the double burden of malnutrition and the changing nutrition reality. The Lancet, 395(10217), 65-74.

[27] Raghavan, S., Porneala, B., & McKeown, N. (2020). Dietary protein intake and risk of type 2 diabetes: A dose-response meta-analysis of prospective studies. Diabetes Care, 43(3), 613-621.

[28] Sharma, S., & Kabir, Z. (2022). Protein-energy malnutrition and metabolic disorders: Emerging evidence from low and middle-income countries. BMC Public Health, 22(1), 765.

[29] Simpson, S. J., & Raubenheimer, D. (2019). Protein leverage affects energy intake of high-protein diets in humans. The American Journal of Clinical Nutrition, 109(5), 1511-1518.

[30] Singh, A., & Das, S. (2021). Dietary diversity in Northeast India: Assessment and determinants. Food Security, 13(4), 809-823.

[31] Swaminathan, S., Hemalatha, R., & Pandey, A. (2019). The burden of child and maternal malnutrition and trends in its indicators in the states of India: The Global Burden of Disease Study 1990-2017. The Lancet Child & Adolescent Health, 3(12), 855-870.

[32] Wells, J. C., Sawaya, A. L., & Wibaek, R. (2020). The double burden of malnutrition: Aetiological pathways and consequences for health. The Lancet, 395(10217), 75-88.

[33] Williams, B., Mancia, G., & Spiering, W. (2022). Nutritional influences on vascular health: Current evidence and controversies. Journal of Hypertension, 40(5), 856-868.

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Published

2025-04-25

How to Cite

Pallathadka, H., & Roy, P. D. (2025). Nutritional Status in Northeast India: A Comprehensive Study Linking Protein-Energy Malnutrition with Regional Disease Burden. Stallion Journal for Multidisciplinary Associated Research Studies, 4(2), 194–221. https://doi.org/10.55544/sjmars.4.2.16

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