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Fruits & Veggies Intake In India
9 Oct 2022
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Low consumption of Fruits & Vegetables (F&V) is a top risk factor for development of chronic lifestyle conditions. How many F&V should we eat? What is the daily recommended F&V consumption in India?

WHO: WHO Dietary Recommendations: at least 5 servings (400 grams) of fruits and veggies (over and above any starchy tubers we may consume, e.g., potatoes, sweet potatoes, yams, …).

Whole Food Plant-Based (WFPB) guidelines: What does Dr Greger recommend? Dr Greger's Daily Dozen has 9 servings of F&V (3 servings of fruit + 1 serving of berries + 2 servings of leafy greens + 1 serving of cruciferous veggies + 2 servings of other veggies). People have assembled meal plans with Dr Greger's Daily Dozen -- such food plates amount to only 1400 to 1600 calories. If we eat more (say, 2,000 or 2,500 calories), we scale up these numbers and eat even more fruits & veggies!

Dr Kristi Funk's 14-point cancer prevention guidelines build upon Dr Greger's Daily Dozen, with at least 9 servings of F&V daily.

Vegetarianism In India

According to national surveys by Govt of India, large percentages of Indian population are vegetarian:

Source: Twitter post by India in Pixels by Ashris which is based on two publications: (a) Census tables (2004) and (b) Type of vegetarian diet, obesity and diabetes in adult Indian population by Agrawal et al, Nutrition J, 13, Article Number 89 (2014).

Wikipedia article on Vegetarianism says:

"According to a 2018 survey released by the registrar general of India, Rajasthan (74.9%), Haryana (69.25%), Punjab (66.75%), and Gujarat (60.95%) have the highest percentage of vegetarians, followed by Madhya Pradesh (50.6%), Uttar Pradesh (47.1%), Maharashtra (40.2%), Delhi (39.5%), Uttarakhand (27.35%), Karnataka (21.1%), Assam (20.6%), Chhattisgarh (17.95%), Bihar (7.55%), Jharkhand (3.25%), Kerala (3.0%), Odisha (2.65%), Tamil Nadu (2.35%), Andhra Pradesh (1.75%), West Bengal (1.4%), and Telangana (1.3%)."

What is the history of the word 'vegetarian'? Interestingly, the word "vegetarian" was coined in early 19th century as a composition of "vegetables" + "-arian" (in the sense of agrarian). In the 21st century, do vegetarians in India consume an abundance of vegetables (and fruits)? Let's look at some data below.

Fruits & Vegetable Consumption In India

Excerpts from Cardiovascular Diseases in India: Current Epidemiology and Future Directions by Prabhakaran, Jeemon & Roy, Circulation, Vol 133, No 16, p 1605-1620:

"The rate of consumption of fruit and vegetables is low in India; this is contrary to the perception that Indians, being predominantly vegetarians, would consume adequate quantities of fruit and vegetables."

"Even in the 2 most economically prosperous states, Maharashtra and Tamil Nadu, the WHO-recommended consumption of >5 fruits and vegetables daily is only observed among 24% and 1% of people, respectively.[57]"

"The National Family Health Survey-3 (NFHS-3), a large nationally representative cross-sectional survey covering 156 316 individuals in India with self-reported data on consumption of fruit and vegetables, reported that half of the population in its survey consumed zero or only 1 serving of fruit in a week.[48]"

"The NFHS-3 also reported a social gradient in weekly consumption of fruit, with individuals in the lowest socioeconomic strata consuming a very low quantity of fruit. This is potentially explained by the high cost of fresh fruit and vegetables.[55]" "In addition, the vegetables that are consumed are often overcooked in Indian meals, leading to vital loss of micronutrients.[56]"

In 2016, ICRIER published a survey of 1,001 individuals in 5 metropolitan regions: NCR (Delhi, Gurgaon, NOIDA), Chennai, Mumbai, Hyderabad and Kolkata. See India's Phytonutrient Report by ICRIER, 2016. Average F&V consumption in Chennai (4.35), Hyderabad (4.05), NCR (3.19), Mumbai (3.17), Kolkata (2.81), all of which are less than 5.0 recommended by WHO (the bare minimum of F&V we should consume daily).

Source: Times of India news article: Production high, but Indians eating less fruits & veggies (2016).

Publications:

  1. Increasing Fruit and Vegetable Consumption: Challenges and Opportunities by Sachdeva et al, Indian J Community Med (2013) Oct-Dec; 38(4): 192-197.
  2. India's Phytonutrient Report by ICRIER, 2016.
  3. Cardiovascular Diseases in India: Current Epidemiology and Future Directions by Prabhakaran, Jeemon & Roy, Circulation, Vol 133, No 16, p 1605-1620.

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