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ICMR is raising concern about increasing obesity in India - calling it a “belly alarm.” Around 1 in 4 Indian adults (25%+) are overweight or obese, and the number is rising. This is driving lifestyle diseases like: Type 2 diabetes Hypertension Heart disease Fatty liver The problem is widespread - both urban and rural India, with rural areas now also seeing rising obesity alongside undernutrition. Despite years of: various diets fitness programs awareness campaigns there is no clear consensus on what works best. So, ICMR has launched a national initiative to: study what actually works for weight loss compare diet, exercise, and behavioral interventions understand why some people respond and others don’t generate India-specific evidence Important shift: Weight alone is no longer a reliable marker Some normal-weight people have metabolic issues Some overweight people may not show immediate complications My Take. Here is the elephant in the room: Insulin resistance We are still looking at: weight calories activity But ignoring the central driver of most metabolic diseases. You can be: normal weight → and still insulin resistant overweight → but metabolically improving Until we measure and address: fasting insulin HOMA-IR postprandial glucose & insulin response we will keep chasing symptoms, not the root cause. My simple, practical solution: Fix the food environment first - not just carbs, but Ultra-Processed Foods (UPFs) Eliminate or drastically reduce UPFs:packaged snacks biscuits, namkeens, bakery items sugary beverages ready-to-eat foods foods made with refined flours + industrial seed oils + additives These are the real drivers of:chronic overeating insulin resistance inflammation India doesn’t just have a “weight problem.” India has a metabolic health problem driven by insulin resistance. Fix the root - and weight, diabetes, BP, fatty liver will follow. Image credit: Soumen Das from Linkedin