India, like in lots of different nations, is present process a significant “diet transition”. In what characterises quickly altering dietary patterns, there’s a important shift away from conventional diets, which have been excessive in fibre and comprised largely complete meals, to extra western-style diets, that are processed and excessive in energy. This modification has coincided with speedy financial progress and urbanisation together with a surge within the consumption of packaged and processed meals (popularly referred to as “junk meals”). These meals are nutritionally low in nutritional vitamins, minerals, fibre however are excessive in energy, fat, salt, sugar, and innumerable preservatives. Categorised as excessive in fat, salts and sugars (HFSS) meals, scientific proof exhibits how junk meals has been medically discovered to weaken the physique’s defences towards an infection, enhance blood stress, result in a spike in blood sugar, trigger weight achieve, and likewise contribute to elevated danger of most cancers. Usually packaged as consolation meals in India, examples of such junk or HFSS meals embrace cookies, truffles, chips, namkeen, on the spot noodles, sugary drinks, frozen meals, canned fruits, Indian sweets, and bakery merchandise. It ought to come as no shock that India is experiencing an explosion of life-style ailments, with unhealthy diets being one of many single largest contributing components. To place the magnitude of the well being burden into perspective, an Indian Council of Medical Analysis (ICMR) research revealed in 2023 estimates that in India the prevalence of metabolic issues is obviously excessive the place 11% has diabetes, 35% is hypertensive and nearly 40% are affected by stomach weight problems.
A big issue to think about whereas analysing the evolving dietary habits of Indians is the affect of aggressive promoting to advertise “tasty” and “inexpensive” consolation meals, significantly geared toward youthful customers. In response to a pan India survey carried out by the Centre for Science and Setting (CSE), 93% of kids ate meals that was packaged, 68% drank packaged sweetened drinks greater than as soon as per week, and 53% ate these meals at the very least as soon as a day. On the similar time, the ultra-processed meals business in India has expanded at a compound annual development fee of 13.37% between 2011 and 2021. Furthermore, India’s meals processing business is predicted to be price $535 billion by 2025-26.
Courtroom’s concern
Coming to the steps which have been taken to guard customers from unhealthy meals, a ruling by the Supreme Courtroom of India, in 2013, gives a constitutionally sound place to start. The Courtroom mentioned, “We could emphasize that any meals article which is hazardous or injurious to public well being is a possible hazard to the elemental proper to life assured underneath Article 21 of the Structure of India.” Recognising the necessity to promote individuals’s well being and well-being, the Authorities of India has prioritised the promotion of wholesome meals and an lively life-style via its initiatives similar to Eat Proper India, the Match India Motion, and Prime Minister’s Overarching Scheme for Holistic Vitamin (Poshan) 2.0.
As kids are extra uncovered to the promoting of unhealthy meals, the Meals Security and Requirements Authority of India (FSSAI) launched the Meals Security and Requirements (Protected meals and balanced diets for kids in class) Rules, 2020, proscribing the sale of HFSS in class canteens/mess premises/hostel kitchens, or inside 50 metres of the varsity campus. Not too long ago, the Nationwide Fee for Safety of Baby Rights additionally issued discover to a well being drink big to guage and withdraw all deceptive commercials, packaging and labels that model the product as a “well being drink”, citing the product’s excessive sugar content material that may adversely impression the well being of kids.
Regardless of a coverage intention to offer a protected meals surroundings, there may be nonetheless a lot work that must be performed in making certain efficient implementation of interventions that may have an effect on the consumption of junk meals. Listed below are 4 methods that maintain the important thing to translating coverage intention into significant change on the bottom.
Formulate a transparent definition
First, a superb start line for the federal government is to guard rising kids from the dangerous impression of junk meals. Whereas the FSSAI has launched rules for proscribing the consumption of HFSS meals, at the moment, there isn’t any strategy to “outline” or “establish” which meals fall into the class of HFSS meals. Thus, it’s crucial that as the subsequent step, the FSSAI goes forward and “defines” what precisely constitutes HFSS meals within the Indian context which may allow higher implementation of meals security rules. Furthermore, establishments such because the Nationwide Fee for Safety of Baby Rights can play an instrumental function in making certain stricter compliance of college meals rules.
Second, Entrance-of-Pack Labelling (FOPL) seems to be a low-hanging fruit which may allow customers to make knowledgeable selections about what meals they select to eat. At the moment, now we have entry to a mathematical diet desk in small print on the again of meals packets which most of us neither discover nor comprehend. For example, the subsequent time you open a bundle of chips, are you going to sit down and calculate how a lot salt are you consuming in a packet when the label states that there are xx micrograms of sodium per 100 grams?
As a substitute, a “warning label” that states “excessive in salt” on the entrance may make extra sense, significantly if you’re a hypertensive affected person. The latter instance is an illustration of a entrance of bundle diet labelling apply that pulls one’s consideration with clear and comprehensible alerts that may make it easier to make an knowledgeable meals selection.
The Indian Vitamin Score (INR), the place packaged meals merchandise could be given a star score primarily based on the general dietary profile of the product, is in actual fact included in the newest draft of the Meals Security and Requirements (Labelling & Show) Modification Rules, 2022. Nevertheless, there are a selection of considerations right here. Above all, star rankings will give producers a transparent escape route: they might add one or two wholesome elements to boost the general star score whereas nonetheless promoting unhealthy meals which can be dangerously excessive in fats, sugar, and salt. Furthermore, rules are voluntary till a interval of 4 years from the date of ultimate notification of the rules.
Have subsidies for wholesome meals
Third, insurance policies may also be developed to facilitate the optimistic subsidies for wholesome meals similar to complete meals, millets, fruit and veggies that may enhance their availability, affordability, and thus higher consumption in rural and concrete areas. The query for policymakers is how you can make a fruit extra inexpensive than a ₹5 excessive salt chips packet and ₹2 excessive sugar biscuits.
Fourth, along with the insurance policies, a behavioural change marketing campaign concentrating on kids and younger adults alike can play a important function in serving to youth undertake wholesome dietary habits and aware consuming practices. This will embrace multimedia messaging on the well being impacts of junk meals; campaigns constructing on “vocal for native” which promotes native and seasonal fruit and veggies and conventional meals similar to millets; and interactive discussions on balanced diets and tapping into social media influencers to mainstream conversations concerning the well being dangers of junk meals.
It’s important to acknowledge the urgency of switching to more healthy diets and creating public demand, or, as Prime Minister Narendra Modi calls it, a “Jan Andolan” or individuals’s motion, for wholesome and nutritionally various diets. These efforts have to be accompanied by honest coverage interventions that assist Indians train their proper to make knowledgeable meals selections.
Ananya Awasthi is a public coverage researcher and founder-director at Anuvaad Options, an accelerator for translating scientific proof to tell coverage motion on India’s diet agenda. Apoorva Kalra is a public well being diet knowledgeable and supervisor at Anuvaad Options