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Ultra-Processed Foods in India: A Comprehensive Market and Health Risk Analysis

Hungund, S.

2025-12-08 nutrition
10.64898/2025.12.07.25341791 medRxiv
Show abstract

India faces an escalating burden of non-communicable diseases (NCDs) concur-rent with rapid expansion of the ultra-processed food (UPF) market. This study provides comprehensive analysis of UPF market dynamics and associated health risks in India using multi-source secondary data. We analyzed market data from Euromonitor International (2011-2021), consumption patterns from National Fam-ily Health Survey-5 (NFHS-5), dietary data from ICMR-INDIAB study, and health burden statistics from Global Burden of Disease (GBD) 2021. Mathematical mod-eling examined relationships between UPF consumption and NCD prevalence using regression analysis, compound annual growth rate (CAGR) calculations, and popu-lation attributable fraction (PAF) estimations. Indias UPF sector grew at 13.37% CAGR from 2011-2021, with market value increasing from USD 0.9 billion (2006) to USD 38 billion (2019). Per capita processed food sales doubled from USD 31.3 (2012) to USD 57.7 (2018). Urban households increased UPF purchases from 6.0 kg to 6.4 kg per person annually (2013-2016), representing 6% growth. Sweet bis-cuits dominated market share (43% in 2021). NCD mortality rose from 37.9% (1990) to 61.8% (2016). Diabetes prevalence reached 11.4% (101 million cases), with prediabetes at 15.3% (136 million). Obesity affected 28.6% (generalized) and 39.5% (abdominal). Regression models demonstrated significant positive associa-tions between UPF consumption share and diabetes risk ({beta} = 0.28, p < 0.001), hypertension ({beta} = 0.24, p < 0.001), and obesity ({beta} = 0.31, p < 0.001). Each 10% increase in UPF dietary share correlated with 14-30% higher cardiometabolic risk. Economic burden projects to USD 4.58 trillion by 2030. Indias UPF market ex-pansion parallels rising NCD burden, with quantifiable dose-response relationships. Comprehensive policy interventions including taxation, front-of-package labeling, marketing restrictions, and public health campaigns are urgently needed to miti-gate health and economic impacts.

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