Breaking the cycle of malnutrition: Insights into trends, regional gaps, and future predictions for under-five nutritional deficiencies in India (1990–2021)

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Prakasini Satapathy, Vijay Kumar, Shilpa Gaidhane, Subbulakshmi Ganesan, Ashok Kumar Bishoyi, Karthikeyan Jayabalan, Swati Mishra, Manpreet Kaur, Ganesh Bushi, Muhammed Shabil, Rukshar Syed, Sonam Puri, Sunil Kumar, Sabah Ansar, Sanjit Sah, Diptismita Jena, Quazi Syed Zahiruddin, Khang Wen Goh

2025 Journal of Hunger and Environmental Nutrition Vol. 20 Issue 6 Article Cited by 0 Quartile

Abstract

Child malnutrition remains a critical public health concern in India, particularly among under-five children. This study analyzed trends in nutritional deficiencies from 1990 to 2021 using Global Burden of Disease (GBD) data and predicted prevalence up to 2031. Joinpoint regression revealed significant declines in prevalence (−1.55% APC, 2010–2016) and mortality rates, with the sharpest reduction among females (−19.38% APC, 2019–2021). Bihar reported the highest prevalence in 2021, while Chhattisgarh saw the largest decrease (−85%). Projections indicate a slight increase by 2031. Regional and gender disparities necessitate targeted interventions to ensure equitable progress and meet global nutrition goals. © 2025 Taylor & Francis Group, LLC.

Affiliations

Centre of Research Impact and Outcome, Chitkara University, Rajpura, India; Faculty of Data Science and Information Technology, INTI International University, Nilai, Malaysia; Chitkara Centre for Research and Development, Chitkara University Institute of Engineering and Technology, Chitkara University, Himachal Pradesh, India; Division of Research and Innovation, Uttaranchal University, Dehradun, India; One Health Centre (COHERD), Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education, Wardha, India; Department of Chemistry and Biochemistry, School of Sciences, JAIN (Deemed to be University), Bangalore, India; Department of Microbiology, Faculty of Science, Marwadi University Research Center, Marwadi University, Rajkot, India; Department of CHEMISTRY, Sathyabama Institute of Science and Technology, Chennai, India; Department of Pharmacology, IMS and SUM Hospital, Siksha ‘O’ Anusandhan (Deemed to be University), Bhubaneswar, India; Department of Pharmacy, Chandigarh Pharmacy College, Chandigarh Group of Colleges-Jhanjeri, Mohali, India; School of Pharmaceutical Sciences, Lovely Professional University, Phagwara, India; University Center for Research and Development, Chandigarh University, Mohali, India; Medical Laboratories Techniques Department, AL-Mustaqbal University, Babil, Hillah, Iraq; IES Institute of Pharmacy, IES University, Bhopal, India; New Delhi Institute of Management, Tughlakabad Institutional Area, New Delhi, India; Department of Microbiology, Graphic Era (Deemed to be University), Dehradun, India; Graphic Era Hill University, Dehradun, India; Department of Clinical Laboratory Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia; Department of Paediatrics, D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed-to-be-University), Pimpri, India; Department of Public Health Dentistry, D. Y. Patil Medical College Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed-to-be-University), Pimpri, India; Department of Medicine, Korea Universtiy, Seoul, South Korea; Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India; South Asia Infant Feeding Research Network (SAIFRN), Division of Evidence Synthesis, Global Consortium of Public Health and Research, Datta Meghe Institute of Higher Education, Wardha, India; Faculty of Mathematics and Natural Sciences, Universitas Negeri Padang, Padang, Indonesia