Purpose of Review
Obesity has increased in South Asian countries that are still grappling with undernutrition. In this review, we highlight the characteristics of obesity, its relation to morbidities, and its management in South Asians. A literature search was conducted using relevant search engines and based on key words focusing on obesity in South Asians.
The increasing trend in obesity prevalence is caused by imbalanced diets and physical inactivity. South Asians, in general, have higher body fat and lower skeletal muscle mass at the same or lower BMIs compared to white people (“high body fat-normal BMI-low muscle mass” phenotype). In addition, excess abdominal adiposity, typically seen in South Asians, and increased hepatic fat (non-alcoholic fatty liver disease) are associated with an increased risk for type 2 diabetes and cardiovascular disease. Challenges in treatment include lack of awareness regarding correct diets and non-compliance to diet and exercise regimens. Social and cultural issues limit physical activity in South Asian women. Finally, there is a lack of expert health professionals to deal with increased cases of obesity. Aggressive management of obesity is required in South Asians, with more intensive and earlier diet and exercise interventions (i.e., at lower BMI levels than internationally accepted). At a population level, there is no clear policy for tackling obesity in any South Asian country. Prevention strategies focusing on obesity in childhood and the creation of food and activity environments that encourage healthy lifestyles should be firmly applied.
Obesity in South Asians should be evaluated with ethnic-specific guidelines and prevention and management strategies should be applied early and aggressively.
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Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
• Misra A, et al. Diabetes, cardiovascular disease, and chronic kidney disease in South Asia: current status and future directions. BMJ. 2017;357:j1420 This review summarises about elevated risk of diabetes and cardiovascular disease in South Asians and suggests actions to mitigate such risk.
Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Hills AP. Prevalence, trends and associated socio-economic factors of obesity in South Asia. Obes Facts. 2013;6(5):405–14.
Misra A, Shrivastava U. Obesity and dyslipidemia in South Asians. Nutrients. 2013;5(7):2708–33.
Jayawardena R, Ranasinghe P, Wijayabandara M, Hills AP, Misra A. Nutrition transition and obesity among teenagers and young adults in South Asia. Curr Diabetes Rev. 2017;13(5):444–51.
Shrivastava U, Misra A, Mohan V, Unnikrishnan R, Bachani D. Obesity, diabetes and cardiovascular diseases in India: public health challenges. Curr Diabetes Rev. 2017;13(1):65–80.
Katulanda P, Jayawardena MAR, Sheriff MHR, Constantine GR, Matthews DR. Prevalence of overweight and obesity in Sri Lankan adults. Obes Rev. 2010;11(11):751–6.
Mohan I, Gupta R, Misra A, Sharma KK, Agrawal A, Vikram NK, et al. Disparities in prevalence of Cardiometablic risk factors in rural, urban-poor, and urban-middle class women in India. PLoS One. 2016;11(2):e0149437.
Hills A, et al. Public health and health systems: implications for the prevention and management of type 2 diabetes in South Asia. Lancet Diabetes Endocrinol. 2018;6:992–1002. https://doi.org/10.1016/S2213-8587(18)30203-1.
Wasir JS, Misra A, Vikram NK, Pandey RM, Luthra K. C-reactive protein, obesity, and insulin resistance in postmenopausal women in urban slums of North India. Diabetes Metab Syndr Clin Res Rev. 2007;1(2):83–9.
Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi PP, et al. Prevalence of generalized & abdominal obesity in urban & rural India--the ICMR-INDIAB Study (Phase-I) [ICMR- NDIAB-3]. Indian J Med Res. 2015;142(2):139–50.
Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Hills AP. Body weight perception and weight loss practices among Sri Lankan adults. Obes Res Clin Pract. 2014;8(2):e192–200.
Jayawardena R, Punchihewa P, Ranathunga I, Lokunarangoda N, Pathirana AK, Santharaj WS. Body weight perception among Sri Lankan cardiac patients. BMC Obes. 2016;3:32.
Gupta N, Goel K, Shah P, Misra A. Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev. 2012;33(1):48–70.
Gulati S, Misra A, Colles SL, Kondal D, Gupta N, Goel K, et al. Dietary intakes and familial correlates of overweight/obesity: a four-cities study in India. Ann Nutr Metab. 2013;62(4):279–90.
Gupta R, Agrawal A, Misra A, Guptha S, Vikram NK. Metabolic cardiovascular risk factors worsen continuously across the spectrum of body mass index in Asian Indians. Indian Heart J. 2012;64(3):236–44.
Bodicoat DH, Gray LJ, Henson J, Webb D, Guru A, Misra A, et al. Body mass index and waist circumference cut-points in multi-ethnic populations from the UK and India: the ADDITION-Leicester, Jaipur heart watch and New Delhi cross-sectional studies. PLoS One. 2014;9(3):e90813.
Dudeja V, Misra A, Pandey RM, Devina G, Kumar G, Vikram NK. BMI does not accurately predict overweight in Asian Indians in northern India. Br J Nutr. 2001;86(1):105–12.
Misra A, Khurana L. Obesity-related non-communicable diseases: South Asians vs white Caucasians. Int J Obes. 2011;35(2):167–87.
Misra A, Wasir JS, Vikram NK, Pandey RM, Kumar P. Cutoffs of abdominal adipose tissue compartments as measured by magnetic resonance imaging for detection of cardiovascular risk factors in apparently healthy adult Asian Indians in North India. Metab Syndr Relat Disord. 2010;8(3):243–7.
•• Misra A, Soares MJ, Mohan V, Anoop S, Abhishek V, Vaidya R, et al. Body fat, metabolic syndrome and hyperglycemia in South Asians. J Diabetes Complicat. 2018;32:1068–75. This review summarises about elevated risk of diabetes and cardiovascular disease in South Asians and suggests actions to mitigate such risk.. https://doi.org/10.1016/j.jdiacomp.2018.08.001.
Petersen KF, Dufour S, Feng J, Befroy D, Dziura J, Man CD, et al. Increased prevalence of insulin resistance and nonalcoholic fatty liver disease in Asian-Indian men. Proc Natl Acad Sci U S A. 2006;103(48):18273–7.
Bhatt SP, Misra A, Nigam P, Guleria R, Pasha MAQ. Phenotype, body composition, and prediction equations (Indian fatty liver index) for non-alcoholic fatty liver disease in non-diabetic Asian Indians: a case-control study. PLoS One. 2015;10(11):e0142260.
Nigam P, Bhatt S, Misra A, Chadha DS, Vaidya M, Dasgupta J, et al. Effect of a 6-month intervention with cooking oils containing a high concentration of monounsaturated fatty acids (olive and canola oils) compared with control oil in male Asian Indians with nonalcoholic fatty liver disease. Diabetes Technol Ther. 2014;16(4):255–61.
Bhatt SP, Nigam P, Misra A, Guleria R, Pandey RM, Pasha MAQ. Genetic variation in the patatin-like phospholipase domain-containing protein-3 (PNPLA-3) gene in Asian Indians with nonalcoholic fatty liver disease. Metab Syndr Relat Disord. 2013;11(5):329–35.
Bhatt SP, Misra A, Vikram NK. Non-alcoholic fatty liver disease in Asian Indians: relationship with insulin resistance, diabetes and cardiovascular risk. Curr Sci. 2017;113(7):1303–10.
• Misra A, et al. Body fat patterning, hepatic fat and pancreatic volume of non-obese Asian Indians with type 2 diabetes in North India: a case-control study. PLoS One. 2015;10(10):e0140447 One of the first studies to show high amount of hepatic fat and pancreatic volume in non-obese Asian Indian patients with type 2 diabetes.
Anoop S, et al. High fasting C-peptide levels and insulin resistance in non-lean & non-obese (BMI >19 to < 25 kg/m2) Asian Indians with type 2 diabetes are independently associated with high intra-abdominal fat and liver span. Diabetes Metab Syndr Clin Res Rev. 2018;13:708–15.
Ntuk UE, Celis-Morales CA, Mackay DF, Sattar N, Pell JP, Gill JMR. Association between grip strength and diabetes prevalence in black, South-Asian, and white European ethnic groups: a cross-sectional analysis of 418 656 participants in the UK Biobank study. Diabet Med. 2017;34(8):1120–8.
Misra A, Vikram NK, Gupta R, Pandey RM, Wasir JS, Gupta VP. Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity. Int J Obes. 2006;30(1):106–11.
Misra A, Wasir JS, Vikram NK. Waist circumference criteria for the diagnosis of abdominal obesity are not applicable uniformly to all populations and ethnic groups. Nutrition. 2005;21(9):969–76.
Saeed KM, Rasooly MH, Alkozai A. Prevalence of risk factors for noncommunicable diseases in Jalalabad city, Afghanistan, evaluated using the WHO STEPwise approach. East Mediterr Health J. 2016;21(11):783–90.
Biswas T, Garnett SP, Pervin S, Rawal LB. The prevalence of underweight, overweight and obesity in Bangladeshi adults: data from a national survey. PLoS One. 2017;12(5):e0177395.
Luhar S, Mallinson PAC, Clarke L, Kinra S. Trends in the socioeconomic patterning of overweight/obesity in India: a repeated cross-sectional study using nationally representative data. BMJ Open. 2018;8(10):e023935.
Aboobakur M, Latheef A, Mohamed AJ, Moosa S, Pandey RM, Krishnan A, et al. Surveillance for non-communicable disease risk factors in Maldives: results from the first STEPS survey in male. Int J Public Health. 2010;55(5):489–96.
Rawal LB, Kanda K, Mahumud RA, Joshi D, Mehata S, Shrestha N, et al. Prevalence of underweight, overweight and obesity and their associated risk factors in Nepalese adults: data from a Nationwide Survey, 2016. PLoS One. 2018;13(11):e0205912.
Rafique I, Saqib MAN, Munir MA, Qureshi H, Rizwanullah, Khan SA, et al. Prevalence of risk factors for noncommunicable diseases in adults: key findings from the Pakistan STEPS survey. East Mediterr Health J. 2018;24(1):33–41.
Misra A, Vikram NK. Clinical and pathophysiological consequences of abdominal adiposity and abdominal adipose tissue depots. Nutrition. 2003;19(5):457–66.
Misra A, Vikram NK, Arya S, Pandey RM, Dhingra V, Chatterjee A, et al. High prevalence of insulin resistance in postpubertal Asian Indian children is associated with adverse truncal body fat patterning, abdominal adiposity and excess body fat. Int J Obes Relat Metab Disord. 2004;28(10):1217–26.
Misra A, Pandey RM, Rama Devi J, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int J Obes Relat Metab Disord. 2001;25(11):1722–9.
Chopra SM, Misra A, Gulati S, Gupta R. Overweight, obesity and related non-communicable diseases in Asian Indian girls and women. Eur J Clin Nutr. 2013;67(7):688–96.
Misra A, Khurana L. Obesity and the metabolic syndrome in developing countries. J Clin Endocrinol Metab. 2008;93(11 Suppl 1):S9–30.
Gulati S, Misra A. Sugar intake, obesity, and diabetes in India. Nutrients. 2014;6(12):5955–74.
Gulati S, Misra A. Abdominal obesity and type 2 diabetes in Asian Indians: dietary strategies including edible oils, cooking practices and sugar intake. Eur J Clin Nutr. 2017;71(7):850–7.
Bhardwaj S, Passi SJ, Misra A, Pant KK, Anwar K, Pandey RM, et al. Effect of heating/reheating of fats/oils, as used by Asian Indians, on trans fatty acid formation. Food Chem. 2016;212:663–70.
Patel O, Shahulhameed S, Shivashankar R, Tayyab M, Rahman A, Prabhakaran D, et al. Association between full service and fast food restaurant density, dietary intake and overweight/obesity among adults in Delhi, India. BMC Public Health. 2017;18(1):36.
Daniel CR, Prabhakaran D, Kapur K, Graubard BI, Devasenapathy N, Ramakrishnan L, et al. A cross-sectional investigation of regional patterns of diet and cardio-metabolic risk in India. Nutr J. 2011;10:12.
Ghosh A, Bose K, Das Chaudhuri AB. Association of food patterns, central obesity measures and metabolic risk factors for coronary heart disease (CHD) in middle aged Bengalee Hindu men, Calcutta, India. Asia Pac J Clin Nutr. 2003;12(2):166–71.
Pandey RM, Agrawal A, Misra A, Vikram NK, Misra P, Dey S, et al. Population-based intervention for cardiovascular diseases related knowledge and behaviours in Asian Indian women. Indian Heart J. 2013;65(1):40–7.
Gupta R, Gupta R, Agrawal A, Misra A, Guptha S, Pandey RM, et al. Migrating husbands and changing cardiovascular risk factors in the wife: a cross sectional study in Asian Indian women. J Epidemiol Community Health. 2012;66(10):881–9.
National Nutrition Monitoring Bureau (NNMB Technical Report 27, 2017). Dieta and nutritional status of urban population in India and prevalence of obesity, hypertension, diabetes and hyperlipidemia in urban men and women. http://ninindia.org/NNMB%20Urban%20Nutrition%20survey%20%20report-Final%2025-09-2017.pdf Accessed Oct 2018.
Tripathy JP, Thakur JS, Jeet G, Chawla S, Jain S, Prasad R. Urban rural differences in diet, physical activity and obesity in India: are we witnessing the great Indian equalisation? Results from a cross-sectional STEPS survey. BMC Public Health. 2016;16(1):816.
Oommen AM, Abraham VJ, George K, Jose VJ. Prevalence of risk factors for non-communicable diseases in rural & urban Tamil Nadu. Indian J Med Res. 2016;144(3):460–71.
Hayes L, White M, Unwin N, Bhopal R, Fischbacher C, Harland J, et al. Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population. J Public Health Med. 2002;24(3):170–8.
Misra A, Sattar N, Tandon N, Shrivastava U, Vikram NK, Khunti K, et al. Clinical management of type 2 diabetes in South Asia. Lancet Diabetes Endocrinol. 2018;6:979–91. https://doi.org/10.1016/S2213-8587(18)30199-2.
India. National Family Health Survey (NFHS-2). Key findings.. Available online: www.measuredhs.com/pubs/pdf/SR81/SR81.pdf. Accessed Oct 2018.
India. National Family Health Survey (NFHS-3). 2005–06. Key findings. Available online: www.measuredhs.com/pubs/pdf/SR128/SR128.pdf. Accessed Oct 2018.
Bharati S, Pal M, Bhattacharya BN, Bharati P. Prevalence and causes of chronic energy deficiency and obesity in Indian women. Hum Biol. 2007;79(4):395–412.
Janjua NZ, Mahmood B, Bhatti JA, Khan MI. Association of household and community socioeconomic position and urbanicity with underweight and overweight among women in Pakistan. PLoS One. 2015;10(4):e0122314.
Bishwajit G. Household wealth status and overweight and obesity among adult women in Bangladesh and Nepal. Obes Sci Pract. 2017;3(2):185–92.
Misra R, Misra A, Kamalamma N, Vikram NK, Gupta S, Sharma S, et al. Differences in prevalence of diabetes, obesity, metabolic syndrome and associated cardiovascular risk factors in a rural area of Tamilnadu and an urban area of Delhi. Int J Diabetes Dev Ctries. 2011;31(2):82–90.
Agrawal P, et al. Awareness on causes, consequences and preventive measures of obesity among urban married women in India. Int J Med Public Health. 2013;3(4):293–302.
Gupta R, Misra A, Vikram NK, Kondal D, Gupta SS, Agrawal A, et al. Younger age of escalation of cardiovascular risk factors in Asian Indian subjects. BMC Cardiovasc Disord. 2009;9:28.
Joshi P, Islam S, Pais P, Reddy S, Dorairaj P, Kazmi K, et al. Risk factors for early myocardial infarction in South Asians compared with individuals in other countries. JAMA. 2007;297(3):286–94.
Chen Y, Copeland WK, Vedanthan R, Grant E, Lee JE, Gu D, et al. Association between body mass index and cardiovascular disease mortality in East Asians and South Asians: pooled analysis of prospective data from the Asia Cohort Consortium. BMJ. 2013;347:f5446.
Cameron AJ, Magliano DJ, Shaw JE, Zimmet PZ, Carstensen B, Alberti KGMM, et al. The influence of hip circumference on the relationship between abdominal obesity and mortality. Int J Epidemiol. 2012;41(2):484–94.
Prabhakaran D, Jeemon P, Ghosh S, Shivashankar R, Ajay VS, Kondal D, et al. Prevalence and incidence of hypertension: results from a representative cohort of over 16,000 adults in three cities of South Asia. Indian Heart J. 2017;69(4):434–41.
Pednekar MS, Hakama M, Hebert JR, Gupta PC. Association of body mass index with all-cause and cause-specific mortality: findings from a prospective cohort study in Mumbai (Bombay), India. Int J Epidemiol. 2008;37(3):524–35.
Liu P, Hao Q, Hai S, Wang H, Cao L, Dong B. Sarcopenia as a predictor of all-cause mortality among community-dwelling older people: a systematic review and meta-analysis. Maturitas. 2017;103:16–22.
•• Behl S, Misra A. Management of obesity in adult Asian Indians. Indian Heart J. 2017;69(4):539–44 Summarises current knowledge and guidelines for management of obesity in Asian Indians, including diet, exercise, pharmacotherapy, and bariatric surgery.
Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, et al. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009;57:163–70.
Misra A, Jaiswal A, Shakti D, Wasir J, Vikram NK, Pandey RM, et al. Novel phenotypic markers and screening score for the metabolic syndrome in adult Asian Indians. Diabetes Res Clin Pract. 2008;79(2):e1–5.
Misra A, Khurana L, Isharwal S, Bhardwaj S. South Asian diets and insulin resistance. Br J Nutr. 2009;101(4):465–73.
Misra A, Sharma R, Gulati S, Joshi SR, Sharma V, Ghafoorunissa, et al. Consensus dietary guidelines for healthy living and prevention of obesity, the metabolic syndrome, diabetes, and related disorders in Asian Indians. Diabetes Technol Ther. 2011;13(6):683–94.
Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Hills AP. Food consumption of Sri Lankan adults: an appraisal of serving characteristics. Public Health Nutr. 2013;16(4):653–8.
Jayawardena R, Thennakoon S, Byrne N, Soares M, Katulanda P, Hills A. Energy and nutrient intakes among Sri Lankan adults. Int Arch Med. 2014;7:34.
Ranasinghe P, Pigera ASAD, Ishara MH, Jayasekara LMDT, Jayawardena R, Katulanda P. Knowledge and perceptions about diet and physical activity among Sri Lankan adults with diabetes mellitus: a qualitative study. BMC Public Health. 2015;15:1160.
Gopalan HS, Misra A, Jayawardena R. Nutrition and diabetes in South Asia. Eur J Clin Nutr. 2018;72(9):1267–73.
Misra A, Singhal N, Khurana L. Obesity, the metabolic syndrome, and type 2 diabetes in developing countries: role of dietary fats and oils. J Am Coll Nutr. 2010;29(3 Suppl):289S–301S.
Gulati S, Misra A, Pandey RM, Bhatt SP, Saluja S. Effects of pistachio nuts on body composition, metabolic, inflammatory and oxidative stress parameters in Asian Indians with metabolic syndrome: a 24-wk, randomized control trial. Nutrition. 2014;30(2):192–7.
Bhardwaj S, Misra A, Gulati S, Anoop S, Kamal VK, Pandey RM. A randomized controlled trial to evaluate the effects of high protein complete (lActo) VEgetaRian (PACER) diet in non-diabetic obese Asian Indians in North India. Heliyon. 2017;3(12):e00472.
Gulati S, Misra A, Tiwari R, Sharma M, Pandey RM, Yadav CP. Effect of high-protein meal replacement on weight and cardiometabolic profile in overweight/obese Asian Indians in North India. Br J Nutr. 2017;117(11):1531–40.
Jayawardena R, Byrne NM, Soares MJ, Katulanda P, Yadav B, Hills AP. High dietary diversity is associated with obesity in Sri Lankan adults: an evaluation of three dietary scores. BMC Public Health. 2013;13:314.
Jayawardena R, Fernando P, Lokunarangoda N, Pathirana AK. Effects of the “plate model” as part of dietary intervention on modification of selected cardiometabolic risk factors in post-myocardial infarction patients: study protocol for a randomized controlled trial. Trials. 2017;18(1):314.
Wallia S, Bhopal RS, Douglas A, Bhopal R, Sharma A, Hutchison A, et al. Culturally adapting the prevention of diabetes and obesity in South Asians (PODOSA) trial. Health Promot Int. 2014;29(4):768–79.
• Hills AP, Arena R, Khunti K, Yajnik CS, Jayawardena R, Henry CJ, et al. Epidemiology and determinants of type 2 diabetes in South Asia. Lancet Diabetes Endocrinol. 2018;6:966–78. https://doi.org/10.1016/S2213-8587(18)30204-3). This review discusses phenotype of obesity in South Asians and its deteminants including influence of perinatal imbalances in nutrition.
Misra A, Nigam P, Hills AP, Chadha DS, Sharma V, Deepak KK, et al. Consensus physical activity guidelines for Asian Indians. Diabetes Technol Ther. 2012;14(1):83–98.
Jayawardena R, Ranasinghe P, Chathuranga T, Atapattu PM, Misra A. The benefits of yoga practice compared to physical exercise in the management of type 2 diabetes mellitus: a systematic review and meta-analysis. Diabetes Metab Syndr. 2018;12(5):795–805.
Jayawardena R. Availability and composition of Weight Loss Supplements in Sri Lanka Nutrition & Dietetics. in press 2018.
Ghosh A, Gupta R, Singh P, Dutta A, Misra A. Sodium-glucose cotransporter-2 inhibitors in patients with type 2 diabetes in North India: a 12-month prospective study in real-world setting. Int J Clin Pract. 2018;72:e13237. https://doi.org/10.1111/ijcp.13237.
Sohal T, Sohal P, King-Shier KM, Khan NA. Barriers and facilitators for type-2 diabetes management in South Asians: a systematic review. PLoS One. 2015;10(9):e0136202.
Shah P, Misra A, Gupta N, Hazra DK, Gupta R, Seth P, et al. Improvement in nutrition-related knowledge and behaviour of urban Asian Indian school children: findings from the ‘Medical education for children/adolescents for realistic prevention of obesity and diabetes and for healthy aGeing’ ( MARG) intervention study. Br J Nutr. 2010;104(3):427–36.
Singhal N, Misra A, Shah P, Gulati S, Bhatt S, Sharma S, et al. Impact of intensive school-based nutrition education and lifestyle interventions on insulin resistance, beta-cell function, disposition index, and subclinical inflammation among Asian Indian adolescents: a controlled intervention study. Metab Syndr Relat Disord. 2011;9(2):143–50.
Bhave S, Pandit A, Yeravdekar R, Madkaikar V, Chinchwade T, Shaikh N, et al. Effectiveness of a 5-year school-based intervention programme to reduce adiposity and improve fitness and lifestyle in Indian children; the SYM-KEM study. Arch Dis Child. 2016;101(1):33–41.
Shrivastava U, et al. Randomized control trial for reduction of body weight, body fat patterning, and cardiometabolic risk factors in overweight worksite employees in Delhi, India. J Diabetes Res. 2017;2017:7254174.
Basu S, Vellakkal S, Agrawal S, Stuckler D, Popkin B, Ebrahim S. Averting obesity and type 2 diabetes in India through sugar-sweetened beverage taxation: an economic-epidemiologic modeling study. PLoS Med. 2014;11(1):e1001582.
ax on junk food in Kerala leaves Indians with a bitter taste. July 2016. Available at: https://www.theguardian.com/global-development/2016/jul/20/tax-on-junkfood-in-kerala-leaves-indians-with-a-bitter-taste Accessed Dec 2018.
Conflict of Interest
Anoop Misra has received research funding from Herbalife International and has received compensation from Dr. Reddy’s Laboratories, Boehringer Ingelheim, AstraZeneca, Janssen, Sanofi-Aventis, and Lilly for service as a consultant. Ranil Jayawardena declares that he has no conflict of interest. Shajith Anoop declares that he has no conflict of interest.
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Misra, A., Jayawardena, R. & Anoop, S. Obesity in South Asia: Phenotype, Morbidities, and Mitigation. Curr Obes Rep 8, 43–52 (2019). https://doi.org/10.1007/s13679-019-0328-0
- South Asians
- Asian Indians
- Physical activity
- Bariatric surgery