Page 1
25 Kurukshetra August 2023
Rajiv Theodore
ypically, nutritional deficiency is
considered a problem plaguing the
poor, who cannot afford a balanced
meal. Thus, poverty remains the biggest cause of
nutritional problems in India. However, lately, research
has shown prevalent malnutrition even in urban, and
wealthy individuals. The urban rich have enough to
eat, but poor food choices have caused nutritional
deficiencies among them. The influence of the Western
diet has led to people consuming more fats, refined
carbohydrates, and sugars that only provide empty
calories without any substantial nutrition.
Although, the situation is easing because of the
Government policies and concerted efforts, however,
more efforts are required to deal with the issue.
T
Economic inequality and low economic status all hit
the diets of a large section of the population, which
often lack both quality and quantity. Many times, it is
a vicious circle, women who suffer from malnutrition
are less likely to have healthy babies and inflict
long-term damage to both individuals and society.
Compared with their better-fed peers, nutrition-
deficient individuals are more likely to have infectious
diseases such as pneumonia and tuberculosis, which
lead to a higher mortality rate and are less productive
at work. Under-nutrition also brings inefficiency to
society, especially in India, where labour is a major
input factor for economic production. On the other
hand, overnutrition also has severe consequences and
causes several non-communicable diseases, such as
The author is a Delhi based journalist. Email: rajivtheodore@gmail.com
Foods that Address Nutritional Deficiencies
Over the last few years, India has been implementing several nutrition interventions as part
of its national strategy to address malnutrition and its associated risks. These include the
provision of food supplements, Iron and Folic Acid (IFA) supplementation during pregnancy,
breastfeeding promotion, access to clean water, sanitation, etc.
Page 2
25 Kurukshetra August 2023
Rajiv Theodore
ypically, nutritional deficiency is
considered a problem plaguing the
poor, who cannot afford a balanced
meal. Thus, poverty remains the biggest cause of
nutritional problems in India. However, lately, research
has shown prevalent malnutrition even in urban, and
wealthy individuals. The urban rich have enough to
eat, but poor food choices have caused nutritional
deficiencies among them. The influence of the Western
diet has led to people consuming more fats, refined
carbohydrates, and sugars that only provide empty
calories without any substantial nutrition.
Although, the situation is easing because of the
Government policies and concerted efforts, however,
more efforts are required to deal with the issue.
T
Economic inequality and low economic status all hit
the diets of a large section of the population, which
often lack both quality and quantity. Many times, it is
a vicious circle, women who suffer from malnutrition
are less likely to have healthy babies and inflict
long-term damage to both individuals and society.
Compared with their better-fed peers, nutrition-
deficient individuals are more likely to have infectious
diseases such as pneumonia and tuberculosis, which
lead to a higher mortality rate and are less productive
at work. Under-nutrition also brings inefficiency to
society, especially in India, where labour is a major
input factor for economic production. On the other
hand, overnutrition also has severe consequences and
causes several non-communicable diseases, such as
The author is a Delhi based journalist. Email: rajivtheodore@gmail.com
Foods that Address Nutritional Deficiencies
Over the last few years, India has been implementing several nutrition interventions as part
of its national strategy to address malnutrition and its associated risks. These include the
provision of food supplements, Iron and Folic Acid (IFA) supplementation during pregnancy,
breastfeeding promotion, access to clean water, sanitation, etc.
Kurukshetra August 2023 26
cardiovascular disease, diabetes, cancer, and chronic
respiratory issues.
September is celebrated as Nutrition Month, or
Poshan Maah, which is marked by creative and diverse
efforts such as better use of technology and public
participation across the country against malnutrition.
Prime Minister Narendra Modi launched this campaign
(Poshan Abhiyaan) in March 2018, which today
continues to address nutritional deficiencies among
adolescent girls, pregnant women, lactating mothers,
and children from 0-6 years of age. It seeks to reduce
the level of stunting, undernutrition, anaemia, and low
birth weight in children through the use of technology
and community involvement. This campaign has been
taken forward ever since by Krishi Vigyan Kendras
(Farm Science Centre) by organising several nutrition
sensitisation programmes across the country.
Over the last few years, India has been
implementing several nutrition interventions as part
of its national strategy to address malnutrition and its
associated risks. These include the provision of food
supplements, Iron and Folic Acid (IFA) supplementation
during pregnancy, breastfeeding promotion, access to
clean water, sanitation, etc.
The existing systems in both urban and rural
areas are strategically placed to decentralise the
efforts under POSHAN and move towards last-mile
convergence for better nutrition service delivery.
Elected bodies at the grassroots, SHGs consisting
of community members, youth groups, Integrated
Child Development Services (ICDS), and Anganwadi
Centres, can be effectively leveraged for community
mobilisation. To generate demand for nutrition services
and develop an understanding of nutrient-rich foods,
this could also be achieved by using a 360-degree
communication approach along with an enabling
environment. Interventions that stress on Information,
Education and Communication (ICE) and Social and
Behaviour Change Communication (SBCC) can prove
indispensable. They can go a long way in creating
awareness among beneficiaries about programmes
like the supplementary feeding programme, Public
Distribution Scheme (PDS) fortification, mid-day meal
scheme (MDM), and provisions for tribal groups. These
could be effectively used for targeted behaviour change
in the community on nutrition-related practices. For
example, in Rajasthan, the government has taken the
lead in developing a State-specific SBCC strategy to
support nutrition programmes.
To keep the message about nutrition intake
targeted, effective messaging customised to the
requirements of communities and easy to comprehend
is needed. The idea of eating right based on locally
available and accessible nutrient-rich food, and
educating the community on food groups and simple
ways of obtaining them are some of the points
that could be driven home through this. Effective
messaging, being true to local realities and finding
simple solutions are the needs of the hour.
Most Common Nutritional Problems
Vitamin D Deficiency--An important nutrient for
maintaining bone health, vitamin D is a fat-soluble
vitamin that is also known for preventing certain types
of cancer. It maintains normal calcium and phosphate
levels and helps in muscle contraction, nerve signalling,
and cell functions. A deficiency of vitamin D can lead to
osteoporosis, repeated fractures, and bone and muscle
weakness. It can also lead to severe medical conditions
such as:
Vitamin A Deficiency--Vitamin A is essential for
healthy vision, metabolism, and cell development. It
also keeps the lining of your intestines and urinary
tract in proper shape. A major cause of vision loss and
blindness, vitamin A deficiency can lead to certain
complications with the heart, lungs, skin, tissues, and
immune system.
Vitamin C Deficiency--Important for the normal
functioning of the blood vessels, vitamin C is essential
for the absorption of iron in the body, which is used
to make red blood cells. Vitamin C benefits the teeth,
gums, skin, and tissue.
Vitamin B12 Deficiency--In order to maintain a
healthy nervous system, prevent mutations in the DNA,
and induce the formation of red blood cells, vitamin
B12 is extremely important. A lack of this vitamin can
lead to atrophic gastritis, Crohn’s disease, parasitic
infections, celiac disease, or certain neurological
symptoms.
Protein Deficiency--Known as the building blocks
of the body, proteins are essential to maintain muscle
mass. Lack of protein can cause oedema of the legs,
hands, and abdomen. It can also lead to mood changes,
slow healing of wounds, preeclampsia, weakness,
fatigue, etc.
Page 3
25 Kurukshetra August 2023
Rajiv Theodore
ypically, nutritional deficiency is
considered a problem plaguing the
poor, who cannot afford a balanced
meal. Thus, poverty remains the biggest cause of
nutritional problems in India. However, lately, research
has shown prevalent malnutrition even in urban, and
wealthy individuals. The urban rich have enough to
eat, but poor food choices have caused nutritional
deficiencies among them. The influence of the Western
diet has led to people consuming more fats, refined
carbohydrates, and sugars that only provide empty
calories without any substantial nutrition.
Although, the situation is easing because of the
Government policies and concerted efforts, however,
more efforts are required to deal with the issue.
T
Economic inequality and low economic status all hit
the diets of a large section of the population, which
often lack both quality and quantity. Many times, it is
a vicious circle, women who suffer from malnutrition
are less likely to have healthy babies and inflict
long-term damage to both individuals and society.
Compared with their better-fed peers, nutrition-
deficient individuals are more likely to have infectious
diseases such as pneumonia and tuberculosis, which
lead to a higher mortality rate and are less productive
at work. Under-nutrition also brings inefficiency to
society, especially in India, where labour is a major
input factor for economic production. On the other
hand, overnutrition also has severe consequences and
causes several non-communicable diseases, such as
The author is a Delhi based journalist. Email: rajivtheodore@gmail.com
Foods that Address Nutritional Deficiencies
Over the last few years, India has been implementing several nutrition interventions as part
of its national strategy to address malnutrition and its associated risks. These include the
provision of food supplements, Iron and Folic Acid (IFA) supplementation during pregnancy,
breastfeeding promotion, access to clean water, sanitation, etc.
Kurukshetra August 2023 26
cardiovascular disease, diabetes, cancer, and chronic
respiratory issues.
September is celebrated as Nutrition Month, or
Poshan Maah, which is marked by creative and diverse
efforts such as better use of technology and public
participation across the country against malnutrition.
Prime Minister Narendra Modi launched this campaign
(Poshan Abhiyaan) in March 2018, which today
continues to address nutritional deficiencies among
adolescent girls, pregnant women, lactating mothers,
and children from 0-6 years of age. It seeks to reduce
the level of stunting, undernutrition, anaemia, and low
birth weight in children through the use of technology
and community involvement. This campaign has been
taken forward ever since by Krishi Vigyan Kendras
(Farm Science Centre) by organising several nutrition
sensitisation programmes across the country.
Over the last few years, India has been
implementing several nutrition interventions as part
of its national strategy to address malnutrition and its
associated risks. These include the provision of food
supplements, Iron and Folic Acid (IFA) supplementation
during pregnancy, breastfeeding promotion, access to
clean water, sanitation, etc.
The existing systems in both urban and rural
areas are strategically placed to decentralise the
efforts under POSHAN and move towards last-mile
convergence for better nutrition service delivery.
Elected bodies at the grassroots, SHGs consisting
of community members, youth groups, Integrated
Child Development Services (ICDS), and Anganwadi
Centres, can be effectively leveraged for community
mobilisation. To generate demand for nutrition services
and develop an understanding of nutrient-rich foods,
this could also be achieved by using a 360-degree
communication approach along with an enabling
environment. Interventions that stress on Information,
Education and Communication (ICE) and Social and
Behaviour Change Communication (SBCC) can prove
indispensable. They can go a long way in creating
awareness among beneficiaries about programmes
like the supplementary feeding programme, Public
Distribution Scheme (PDS) fortification, mid-day meal
scheme (MDM), and provisions for tribal groups. These
could be effectively used for targeted behaviour change
in the community on nutrition-related practices. For
example, in Rajasthan, the government has taken the
lead in developing a State-specific SBCC strategy to
support nutrition programmes.
To keep the message about nutrition intake
targeted, effective messaging customised to the
requirements of communities and easy to comprehend
is needed. The idea of eating right based on locally
available and accessible nutrient-rich food, and
educating the community on food groups and simple
ways of obtaining them are some of the points
that could be driven home through this. Effective
messaging, being true to local realities and finding
simple solutions are the needs of the hour.
Most Common Nutritional Problems
Vitamin D Deficiency--An important nutrient for
maintaining bone health, vitamin D is a fat-soluble
vitamin that is also known for preventing certain types
of cancer. It maintains normal calcium and phosphate
levels and helps in muscle contraction, nerve signalling,
and cell functions. A deficiency of vitamin D can lead to
osteoporosis, repeated fractures, and bone and muscle
weakness. It can also lead to severe medical conditions
such as:
Vitamin A Deficiency--Vitamin A is essential for
healthy vision, metabolism, and cell development. It
also keeps the lining of your intestines and urinary
tract in proper shape. A major cause of vision loss and
blindness, vitamin A deficiency can lead to certain
complications with the heart, lungs, skin, tissues, and
immune system.
Vitamin C Deficiency--Important for the normal
functioning of the blood vessels, vitamin C is essential
for the absorption of iron in the body, which is used
to make red blood cells. Vitamin C benefits the teeth,
gums, skin, and tissue.
Vitamin B12 Deficiency--In order to maintain a
healthy nervous system, prevent mutations in the DNA,
and induce the formation of red blood cells, vitamin
B12 is extremely important. A lack of this vitamin can
lead to atrophic gastritis, Crohn’s disease, parasitic
infections, celiac disease, or certain neurological
symptoms.
Protein Deficiency--Known as the building blocks
of the body, proteins are essential to maintain muscle
mass. Lack of protein can cause oedema of the legs,
hands, and abdomen. It can also lead to mood changes,
slow healing of wounds, preeclampsia, weakness,
fatigue, etc.
27 Kurukshetra August 2023
Iron Deficiency--Iron deficiency is one of the most
common nutritional problems in India. Its deficiency
results in iron deficiency anaemia, fatigue, paleness,
and shortness of breath.
Folate Deficiency--Also known as vitamin B9,
folate plays a vital role in DNA and RNA synthesis in the
Iodine Deficiency--The deficiency of iodine is
known to cause impaired thyroid functioning, leading
to hypothyroidism symptoms, such as weight gain,
fatigue, dry skin, weakness, etc.
Addressing Food Deficiencies
Protein Deficiency
Protein is an essential macronutrient for proper
body functioning and is necessary for building and
repairing muscle, producing hormones, and producing
enzymes. A common concern in vegetarian diets is the
lack of adequate protein intake. Including a variety
of protein-rich plant-based foods such as lentils,
chickpeas, beans, soy products, and dairy can help
vegetarians meet their daily protein requirements.
Consuming a mix of complementary protein sources
can ensure the intake of all essential amino acids.
Additionally, incorporating protein-rich foods such
as tempeh, tofu, and seitan can help to meet protein
needs.
Calcium: Finding Alternative Sources Beyond Dairy
Calcium is a crucial nutrient for building and
maintaining strong bones and teeth, and it is often
associated with dairy products. However, for those
following a vegetarian Indian diet, finding alternative
sources of calcium beyond dairy is essential.
Fortunately, there are several plant-based sources
of calcium that can be easily incorporated into a
vegetarian Indian diet.
Leafy Green Vegetables
Spinach, kale, and collard greens, are excellent
sources of calcium, as are other vegetables such as
broccoli, okra, and bok choy. Additionally, some nuts
and seeds, such as almonds and sesame seeds, are
rich in calcium. Tofu, a popular vegetarian protein
source, can also be an excellent source of calcium,
particularly if it has been fortified. By incorporating
these alternative sources of calcium into a vegetarian
Indian diet, individuals can ensure they are meeting
their calcium needs and supporting optimal bone
health.
Iron Deficiencies
To increase iron intake, consume iron-rich plant
foods like spinach, legumes, nuts, seeds, and fortified
cereals. Pairing these foods with vitamin C-rich foods,
such as tomatoes, citrus fruits, or bell peppers, can
enhance iron absorption.
Zinc
This can be found in whole grains, legumes, and
nuts, while calcium is abundant in dairy products,
green leafy vegetables, and fortified plant-based milk
alternatives.
Essential Fatty Acids
This is important for maintaining good health, as
they provide the building blocks for many important
hormones and help to reduce inflammation. A
vegetarian Indian diet may be low in omega-3 fatty
acids while high in omega-6 fatty acids. To balance the
intake of these essential fats, incorporate omega-3
rich foods like flaxseeds, chia seeds, walnuts, and
algae-based supplements. Simultaneously, reduce the
consumption of vegetable oils high in omega-6 fatty
acids.
Fibre
A vegetarian Indian diet is typically low in whole
grains and fibre, as these are found primarily in
processed grains and refined carbohydrates. To ensure
adequate intake of whole grains and fibre, we should
focus on eating foods such as oats, barley, brown rice,
quinoa, whole wheat bread, and legumes. Additionally,
incorporating foods such as fruits and vegetables can
help to meet fibre needs.
A fibre-rich diet promotes digestive health and
helps prevent chronic diseases. Incorporate whole
Calcium is a crucial nutrient for
building and maintaining strong bones
and teeth, and it is often associated
with dairy products. There are several
plant-based sources of calcium that
can be easily incorporated into a
vegetarian Indian diet.
Page 4
25 Kurukshetra August 2023
Rajiv Theodore
ypically, nutritional deficiency is
considered a problem plaguing the
poor, who cannot afford a balanced
meal. Thus, poverty remains the biggest cause of
nutritional problems in India. However, lately, research
has shown prevalent malnutrition even in urban, and
wealthy individuals. The urban rich have enough to
eat, but poor food choices have caused nutritional
deficiencies among them. The influence of the Western
diet has led to people consuming more fats, refined
carbohydrates, and sugars that only provide empty
calories without any substantial nutrition.
Although, the situation is easing because of the
Government policies and concerted efforts, however,
more efforts are required to deal with the issue.
T
Economic inequality and low economic status all hit
the diets of a large section of the population, which
often lack both quality and quantity. Many times, it is
a vicious circle, women who suffer from malnutrition
are less likely to have healthy babies and inflict
long-term damage to both individuals and society.
Compared with their better-fed peers, nutrition-
deficient individuals are more likely to have infectious
diseases such as pneumonia and tuberculosis, which
lead to a higher mortality rate and are less productive
at work. Under-nutrition also brings inefficiency to
society, especially in India, where labour is a major
input factor for economic production. On the other
hand, overnutrition also has severe consequences and
causes several non-communicable diseases, such as
The author is a Delhi based journalist. Email: rajivtheodore@gmail.com
Foods that Address Nutritional Deficiencies
Over the last few years, India has been implementing several nutrition interventions as part
of its national strategy to address malnutrition and its associated risks. These include the
provision of food supplements, Iron and Folic Acid (IFA) supplementation during pregnancy,
breastfeeding promotion, access to clean water, sanitation, etc.
Kurukshetra August 2023 26
cardiovascular disease, diabetes, cancer, and chronic
respiratory issues.
September is celebrated as Nutrition Month, or
Poshan Maah, which is marked by creative and diverse
efforts such as better use of technology and public
participation across the country against malnutrition.
Prime Minister Narendra Modi launched this campaign
(Poshan Abhiyaan) in March 2018, which today
continues to address nutritional deficiencies among
adolescent girls, pregnant women, lactating mothers,
and children from 0-6 years of age. It seeks to reduce
the level of stunting, undernutrition, anaemia, and low
birth weight in children through the use of technology
and community involvement. This campaign has been
taken forward ever since by Krishi Vigyan Kendras
(Farm Science Centre) by organising several nutrition
sensitisation programmes across the country.
Over the last few years, India has been
implementing several nutrition interventions as part
of its national strategy to address malnutrition and its
associated risks. These include the provision of food
supplements, Iron and Folic Acid (IFA) supplementation
during pregnancy, breastfeeding promotion, access to
clean water, sanitation, etc.
The existing systems in both urban and rural
areas are strategically placed to decentralise the
efforts under POSHAN and move towards last-mile
convergence for better nutrition service delivery.
Elected bodies at the grassroots, SHGs consisting
of community members, youth groups, Integrated
Child Development Services (ICDS), and Anganwadi
Centres, can be effectively leveraged for community
mobilisation. To generate demand for nutrition services
and develop an understanding of nutrient-rich foods,
this could also be achieved by using a 360-degree
communication approach along with an enabling
environment. Interventions that stress on Information,
Education and Communication (ICE) and Social and
Behaviour Change Communication (SBCC) can prove
indispensable. They can go a long way in creating
awareness among beneficiaries about programmes
like the supplementary feeding programme, Public
Distribution Scheme (PDS) fortification, mid-day meal
scheme (MDM), and provisions for tribal groups. These
could be effectively used for targeted behaviour change
in the community on nutrition-related practices. For
example, in Rajasthan, the government has taken the
lead in developing a State-specific SBCC strategy to
support nutrition programmes.
To keep the message about nutrition intake
targeted, effective messaging customised to the
requirements of communities and easy to comprehend
is needed. The idea of eating right based on locally
available and accessible nutrient-rich food, and
educating the community on food groups and simple
ways of obtaining them are some of the points
that could be driven home through this. Effective
messaging, being true to local realities and finding
simple solutions are the needs of the hour.
Most Common Nutritional Problems
Vitamin D Deficiency--An important nutrient for
maintaining bone health, vitamin D is a fat-soluble
vitamin that is also known for preventing certain types
of cancer. It maintains normal calcium and phosphate
levels and helps in muscle contraction, nerve signalling,
and cell functions. A deficiency of vitamin D can lead to
osteoporosis, repeated fractures, and bone and muscle
weakness. It can also lead to severe medical conditions
such as:
Vitamin A Deficiency--Vitamin A is essential for
healthy vision, metabolism, and cell development. It
also keeps the lining of your intestines and urinary
tract in proper shape. A major cause of vision loss and
blindness, vitamin A deficiency can lead to certain
complications with the heart, lungs, skin, tissues, and
immune system.
Vitamin C Deficiency--Important for the normal
functioning of the blood vessels, vitamin C is essential
for the absorption of iron in the body, which is used
to make red blood cells. Vitamin C benefits the teeth,
gums, skin, and tissue.
Vitamin B12 Deficiency--In order to maintain a
healthy nervous system, prevent mutations in the DNA,
and induce the formation of red blood cells, vitamin
B12 is extremely important. A lack of this vitamin can
lead to atrophic gastritis, Crohn’s disease, parasitic
infections, celiac disease, or certain neurological
symptoms.
Protein Deficiency--Known as the building blocks
of the body, proteins are essential to maintain muscle
mass. Lack of protein can cause oedema of the legs,
hands, and abdomen. It can also lead to mood changes,
slow healing of wounds, preeclampsia, weakness,
fatigue, etc.
27 Kurukshetra August 2023
Iron Deficiency--Iron deficiency is one of the most
common nutritional problems in India. Its deficiency
results in iron deficiency anaemia, fatigue, paleness,
and shortness of breath.
Folate Deficiency--Also known as vitamin B9,
folate plays a vital role in DNA and RNA synthesis in the
Iodine Deficiency--The deficiency of iodine is
known to cause impaired thyroid functioning, leading
to hypothyroidism symptoms, such as weight gain,
fatigue, dry skin, weakness, etc.
Addressing Food Deficiencies
Protein Deficiency
Protein is an essential macronutrient for proper
body functioning and is necessary for building and
repairing muscle, producing hormones, and producing
enzymes. A common concern in vegetarian diets is the
lack of adequate protein intake. Including a variety
of protein-rich plant-based foods such as lentils,
chickpeas, beans, soy products, and dairy can help
vegetarians meet their daily protein requirements.
Consuming a mix of complementary protein sources
can ensure the intake of all essential amino acids.
Additionally, incorporating protein-rich foods such
as tempeh, tofu, and seitan can help to meet protein
needs.
Calcium: Finding Alternative Sources Beyond Dairy
Calcium is a crucial nutrient for building and
maintaining strong bones and teeth, and it is often
associated with dairy products. However, for those
following a vegetarian Indian diet, finding alternative
sources of calcium beyond dairy is essential.
Fortunately, there are several plant-based sources
of calcium that can be easily incorporated into a
vegetarian Indian diet.
Leafy Green Vegetables
Spinach, kale, and collard greens, are excellent
sources of calcium, as are other vegetables such as
broccoli, okra, and bok choy. Additionally, some nuts
and seeds, such as almonds and sesame seeds, are
rich in calcium. Tofu, a popular vegetarian protein
source, can also be an excellent source of calcium,
particularly if it has been fortified. By incorporating
these alternative sources of calcium into a vegetarian
Indian diet, individuals can ensure they are meeting
their calcium needs and supporting optimal bone
health.
Iron Deficiencies
To increase iron intake, consume iron-rich plant
foods like spinach, legumes, nuts, seeds, and fortified
cereals. Pairing these foods with vitamin C-rich foods,
such as tomatoes, citrus fruits, or bell peppers, can
enhance iron absorption.
Zinc
This can be found in whole grains, legumes, and
nuts, while calcium is abundant in dairy products,
green leafy vegetables, and fortified plant-based milk
alternatives.
Essential Fatty Acids
This is important for maintaining good health, as
they provide the building blocks for many important
hormones and help to reduce inflammation. A
vegetarian Indian diet may be low in omega-3 fatty
acids while high in omega-6 fatty acids. To balance the
intake of these essential fats, incorporate omega-3
rich foods like flaxseeds, chia seeds, walnuts, and
algae-based supplements. Simultaneously, reduce the
consumption of vegetable oils high in omega-6 fatty
acids.
Fibre
A vegetarian Indian diet is typically low in whole
grains and fibre, as these are found primarily in
processed grains and refined carbohydrates. To ensure
adequate intake of whole grains and fibre, we should
focus on eating foods such as oats, barley, brown rice,
quinoa, whole wheat bread, and legumes. Additionally,
incorporating foods such as fruits and vegetables can
help to meet fibre needs.
A fibre-rich diet promotes digestive health and
helps prevent chronic diseases. Incorporate whole
Calcium is a crucial nutrient for
building and maintaining strong bones
and teeth, and it is often associated
with dairy products. There are several
plant-based sources of calcium that
can be easily incorporated into a
vegetarian Indian diet.
Kurukshetra August 2023 28
grains, legumes, fruits, vegetables, nuts, and seeds
into your meals to maximise fibre intake and support
overall health. Whole grains like brown rice, whole
wheat, and millets are packed with fibre, vitamins,
and minerals. Including these in the diet can improve
digestion, regulate blood sugar levels, and lower
cholesterol.
Vitamin B12
This is predominantly found in animal
products, making it difficult for vegetarians
to meet their daily requirements. Fortified
foods, such as plant-based milk and breakfast
cereals, or B12 supplements can help.
Vitamin D is essential for calcium absorption,
and exposure to sunlight, fortified foods, or
supplements can be beneficial. Riboflavin is
present in dairy products, fortified cereals,
and certain vegetables like spinach and
mushrooms.
Micro-Nutrients
India is in a stage of nutrition transition. Being
overweight and underweight are two common
predicaments, but irrespective of them, micronutrient
deficiency is another glaring reason for nutritional
deficiencies. The Government of India has launched
several schemes and programmes in the wake of
micronutrient deficiency. Food fortification, dietary
diversification, nutritional education, micronutrient
supplementation, maintenance of environmental
sanitation, and hygiene are the various available
measures taken to tackle the problem of micronutrient
malnutrition.
Blue foods
Blue food, sourced from aquatic environments,
can reduce nutritional deficiencies and contribute
to employment and export revenue in India. Blue
foods are important for the economies, livelihoods,
nutritional security, and cultures of people in many
countries. Compared to terrestrial meat, blue foods
generate lower emissions. They can also contribute
to the health, well-being, and livelihoods of rural
communities. India can use aquatic foods to address
B12 and omega-3 deficiencies, the data showed.
Government Initiatives
The Indian Council of Agricultural Research
(ICAR) developed 79 biofortified varieties of various
crops that are nutritionally rich and also launched two
programmes, Nutri-sensitive Agricultural Resources
and Innovations (NARI) and Value Addition and
Technology Incubation Centres in Agriculture (VATICA),
for upscaling biofortified varieties of crops through
Krishi Vigyan Kendras.
Today, there is a kind of revolution occurring
in the wonder cereal--Millets — often called 'nutri-
cereals' due to their high nutritional value. Millets are
a group of small-seeded grasses grown mainly in dry
zones of Asia and Africa. These include sorghum (or
great millet), pearl millet, finger millet, fonio, proso
millet, foxtail millet, teff, and other smaller varietals.
Millets are a good source of energy, carbohydrates, fats,
proteins, soluble and insoluble fiber, antioxidants, iron,
zinc and vitamins, and can help eliminate micronutrient
deficiency in India and other developing nations.
The resurgence of this cereal could be gauged
from the fact that the United Nations has declared the
year 2023 as “the International Year of Millets.” The
Indian Government’s efforts to mark the International
Year of Millets (2023) was endorsed by the members
of the Food and Agriculture Organization (FAO)
governing bodies, as well as by the 75
th
Session of the
United Nations General Assembly. India also launched
the ‘Mainstreaming Millets for Nutrition Security’
programme in 2021. It provides a detailed framework
for strengthening the entire value chain by addressing
the gaps and calling for replicating scalable models
across states for millet promotion in the country. The
Indian Ministry of Agriculture and Farmers Welfare has
made elaborate plans to promote millets.
Extensive use of millets could also help attain
the sustainable developmental goals (SDGs) of the
United Nations and could just be the crucial link in
the sustainable food supply chain. Across rural India,
the Indian government, through various grassroots
institutions, is encouraging farmers to cultivate a mix
of crops that improve their own food security and
nutrition requirements. India’s agriculture and food
security policies, thus, are now going beyond the
calorie sufficiency approach towards ensuring access
to a nutritionally balanced and diverse diet and help
bring positive change in the nutrition profile of India’s
undernourished millions. ?
Page 5
25 Kurukshetra August 2023
Rajiv Theodore
ypically, nutritional deficiency is
considered a problem plaguing the
poor, who cannot afford a balanced
meal. Thus, poverty remains the biggest cause of
nutritional problems in India. However, lately, research
has shown prevalent malnutrition even in urban, and
wealthy individuals. The urban rich have enough to
eat, but poor food choices have caused nutritional
deficiencies among them. The influence of the Western
diet has led to people consuming more fats, refined
carbohydrates, and sugars that only provide empty
calories without any substantial nutrition.
Although, the situation is easing because of the
Government policies and concerted efforts, however,
more efforts are required to deal with the issue.
T
Economic inequality and low economic status all hit
the diets of a large section of the population, which
often lack both quality and quantity. Many times, it is
a vicious circle, women who suffer from malnutrition
are less likely to have healthy babies and inflict
long-term damage to both individuals and society.
Compared with their better-fed peers, nutrition-
deficient individuals are more likely to have infectious
diseases such as pneumonia and tuberculosis, which
lead to a higher mortality rate and are less productive
at work. Under-nutrition also brings inefficiency to
society, especially in India, where labour is a major
input factor for economic production. On the other
hand, overnutrition also has severe consequences and
causes several non-communicable diseases, such as
The author is a Delhi based journalist. Email: rajivtheodore@gmail.com
Foods that Address Nutritional Deficiencies
Over the last few years, India has been implementing several nutrition interventions as part
of its national strategy to address malnutrition and its associated risks. These include the
provision of food supplements, Iron and Folic Acid (IFA) supplementation during pregnancy,
breastfeeding promotion, access to clean water, sanitation, etc.
Kurukshetra August 2023 26
cardiovascular disease, diabetes, cancer, and chronic
respiratory issues.
September is celebrated as Nutrition Month, or
Poshan Maah, which is marked by creative and diverse
efforts such as better use of technology and public
participation across the country against malnutrition.
Prime Minister Narendra Modi launched this campaign
(Poshan Abhiyaan) in March 2018, which today
continues to address nutritional deficiencies among
adolescent girls, pregnant women, lactating mothers,
and children from 0-6 years of age. It seeks to reduce
the level of stunting, undernutrition, anaemia, and low
birth weight in children through the use of technology
and community involvement. This campaign has been
taken forward ever since by Krishi Vigyan Kendras
(Farm Science Centre) by organising several nutrition
sensitisation programmes across the country.
Over the last few years, India has been
implementing several nutrition interventions as part
of its national strategy to address malnutrition and its
associated risks. These include the provision of food
supplements, Iron and Folic Acid (IFA) supplementation
during pregnancy, breastfeeding promotion, access to
clean water, sanitation, etc.
The existing systems in both urban and rural
areas are strategically placed to decentralise the
efforts under POSHAN and move towards last-mile
convergence for better nutrition service delivery.
Elected bodies at the grassroots, SHGs consisting
of community members, youth groups, Integrated
Child Development Services (ICDS), and Anganwadi
Centres, can be effectively leveraged for community
mobilisation. To generate demand for nutrition services
and develop an understanding of nutrient-rich foods,
this could also be achieved by using a 360-degree
communication approach along with an enabling
environment. Interventions that stress on Information,
Education and Communication (ICE) and Social and
Behaviour Change Communication (SBCC) can prove
indispensable. They can go a long way in creating
awareness among beneficiaries about programmes
like the supplementary feeding programme, Public
Distribution Scheme (PDS) fortification, mid-day meal
scheme (MDM), and provisions for tribal groups. These
could be effectively used for targeted behaviour change
in the community on nutrition-related practices. For
example, in Rajasthan, the government has taken the
lead in developing a State-specific SBCC strategy to
support nutrition programmes.
To keep the message about nutrition intake
targeted, effective messaging customised to the
requirements of communities and easy to comprehend
is needed. The idea of eating right based on locally
available and accessible nutrient-rich food, and
educating the community on food groups and simple
ways of obtaining them are some of the points
that could be driven home through this. Effective
messaging, being true to local realities and finding
simple solutions are the needs of the hour.
Most Common Nutritional Problems
Vitamin D Deficiency--An important nutrient for
maintaining bone health, vitamin D is a fat-soluble
vitamin that is also known for preventing certain types
of cancer. It maintains normal calcium and phosphate
levels and helps in muscle contraction, nerve signalling,
and cell functions. A deficiency of vitamin D can lead to
osteoporosis, repeated fractures, and bone and muscle
weakness. It can also lead to severe medical conditions
such as:
Vitamin A Deficiency--Vitamin A is essential for
healthy vision, metabolism, and cell development. It
also keeps the lining of your intestines and urinary
tract in proper shape. A major cause of vision loss and
blindness, vitamin A deficiency can lead to certain
complications with the heart, lungs, skin, tissues, and
immune system.
Vitamin C Deficiency--Important for the normal
functioning of the blood vessels, vitamin C is essential
for the absorption of iron in the body, which is used
to make red blood cells. Vitamin C benefits the teeth,
gums, skin, and tissue.
Vitamin B12 Deficiency--In order to maintain a
healthy nervous system, prevent mutations in the DNA,
and induce the formation of red blood cells, vitamin
B12 is extremely important. A lack of this vitamin can
lead to atrophic gastritis, Crohn’s disease, parasitic
infections, celiac disease, or certain neurological
symptoms.
Protein Deficiency--Known as the building blocks
of the body, proteins are essential to maintain muscle
mass. Lack of protein can cause oedema of the legs,
hands, and abdomen. It can also lead to mood changes,
slow healing of wounds, preeclampsia, weakness,
fatigue, etc.
27 Kurukshetra August 2023
Iron Deficiency--Iron deficiency is one of the most
common nutritional problems in India. Its deficiency
results in iron deficiency anaemia, fatigue, paleness,
and shortness of breath.
Folate Deficiency--Also known as vitamin B9,
folate plays a vital role in DNA and RNA synthesis in the
Iodine Deficiency--The deficiency of iodine is
known to cause impaired thyroid functioning, leading
to hypothyroidism symptoms, such as weight gain,
fatigue, dry skin, weakness, etc.
Addressing Food Deficiencies
Protein Deficiency
Protein is an essential macronutrient for proper
body functioning and is necessary for building and
repairing muscle, producing hormones, and producing
enzymes. A common concern in vegetarian diets is the
lack of adequate protein intake. Including a variety
of protein-rich plant-based foods such as lentils,
chickpeas, beans, soy products, and dairy can help
vegetarians meet their daily protein requirements.
Consuming a mix of complementary protein sources
can ensure the intake of all essential amino acids.
Additionally, incorporating protein-rich foods such
as tempeh, tofu, and seitan can help to meet protein
needs.
Calcium: Finding Alternative Sources Beyond Dairy
Calcium is a crucial nutrient for building and
maintaining strong bones and teeth, and it is often
associated with dairy products. However, for those
following a vegetarian Indian diet, finding alternative
sources of calcium beyond dairy is essential.
Fortunately, there are several plant-based sources
of calcium that can be easily incorporated into a
vegetarian Indian diet.
Leafy Green Vegetables
Spinach, kale, and collard greens, are excellent
sources of calcium, as are other vegetables such as
broccoli, okra, and bok choy. Additionally, some nuts
and seeds, such as almonds and sesame seeds, are
rich in calcium. Tofu, a popular vegetarian protein
source, can also be an excellent source of calcium,
particularly if it has been fortified. By incorporating
these alternative sources of calcium into a vegetarian
Indian diet, individuals can ensure they are meeting
their calcium needs and supporting optimal bone
health.
Iron Deficiencies
To increase iron intake, consume iron-rich plant
foods like spinach, legumes, nuts, seeds, and fortified
cereals. Pairing these foods with vitamin C-rich foods,
such as tomatoes, citrus fruits, or bell peppers, can
enhance iron absorption.
Zinc
This can be found in whole grains, legumes, and
nuts, while calcium is abundant in dairy products,
green leafy vegetables, and fortified plant-based milk
alternatives.
Essential Fatty Acids
This is important for maintaining good health, as
they provide the building blocks for many important
hormones and help to reduce inflammation. A
vegetarian Indian diet may be low in omega-3 fatty
acids while high in omega-6 fatty acids. To balance the
intake of these essential fats, incorporate omega-3
rich foods like flaxseeds, chia seeds, walnuts, and
algae-based supplements. Simultaneously, reduce the
consumption of vegetable oils high in omega-6 fatty
acids.
Fibre
A vegetarian Indian diet is typically low in whole
grains and fibre, as these are found primarily in
processed grains and refined carbohydrates. To ensure
adequate intake of whole grains and fibre, we should
focus on eating foods such as oats, barley, brown rice,
quinoa, whole wheat bread, and legumes. Additionally,
incorporating foods such as fruits and vegetables can
help to meet fibre needs.
A fibre-rich diet promotes digestive health and
helps prevent chronic diseases. Incorporate whole
Calcium is a crucial nutrient for
building and maintaining strong bones
and teeth, and it is often associated
with dairy products. There are several
plant-based sources of calcium that
can be easily incorporated into a
vegetarian Indian diet.
Kurukshetra August 2023 28
grains, legumes, fruits, vegetables, nuts, and seeds
into your meals to maximise fibre intake and support
overall health. Whole grains like brown rice, whole
wheat, and millets are packed with fibre, vitamins,
and minerals. Including these in the diet can improve
digestion, regulate blood sugar levels, and lower
cholesterol.
Vitamin B12
This is predominantly found in animal
products, making it difficult for vegetarians
to meet their daily requirements. Fortified
foods, such as plant-based milk and breakfast
cereals, or B12 supplements can help.
Vitamin D is essential for calcium absorption,
and exposure to sunlight, fortified foods, or
supplements can be beneficial. Riboflavin is
present in dairy products, fortified cereals,
and certain vegetables like spinach and
mushrooms.
Micro-Nutrients
India is in a stage of nutrition transition. Being
overweight and underweight are two common
predicaments, but irrespective of them, micronutrient
deficiency is another glaring reason for nutritional
deficiencies. The Government of India has launched
several schemes and programmes in the wake of
micronutrient deficiency. Food fortification, dietary
diversification, nutritional education, micronutrient
supplementation, maintenance of environmental
sanitation, and hygiene are the various available
measures taken to tackle the problem of micronutrient
malnutrition.
Blue foods
Blue food, sourced from aquatic environments,
can reduce nutritional deficiencies and contribute
to employment and export revenue in India. Blue
foods are important for the economies, livelihoods,
nutritional security, and cultures of people in many
countries. Compared to terrestrial meat, blue foods
generate lower emissions. They can also contribute
to the health, well-being, and livelihoods of rural
communities. India can use aquatic foods to address
B12 and omega-3 deficiencies, the data showed.
Government Initiatives
The Indian Council of Agricultural Research
(ICAR) developed 79 biofortified varieties of various
crops that are nutritionally rich and also launched two
programmes, Nutri-sensitive Agricultural Resources
and Innovations (NARI) and Value Addition and
Technology Incubation Centres in Agriculture (VATICA),
for upscaling biofortified varieties of crops through
Krishi Vigyan Kendras.
Today, there is a kind of revolution occurring
in the wonder cereal--Millets — often called 'nutri-
cereals' due to their high nutritional value. Millets are
a group of small-seeded grasses grown mainly in dry
zones of Asia and Africa. These include sorghum (or
great millet), pearl millet, finger millet, fonio, proso
millet, foxtail millet, teff, and other smaller varietals.
Millets are a good source of energy, carbohydrates, fats,
proteins, soluble and insoluble fiber, antioxidants, iron,
zinc and vitamins, and can help eliminate micronutrient
deficiency in India and other developing nations.
The resurgence of this cereal could be gauged
from the fact that the United Nations has declared the
year 2023 as “the International Year of Millets.” The
Indian Government’s efforts to mark the International
Year of Millets (2023) was endorsed by the members
of the Food and Agriculture Organization (FAO)
governing bodies, as well as by the 75
th
Session of the
United Nations General Assembly. India also launched
the ‘Mainstreaming Millets for Nutrition Security’
programme in 2021. It provides a detailed framework
for strengthening the entire value chain by addressing
the gaps and calling for replicating scalable models
across states for millet promotion in the country. The
Indian Ministry of Agriculture and Farmers Welfare has
made elaborate plans to promote millets.
Extensive use of millets could also help attain
the sustainable developmental goals (SDGs) of the
United Nations and could just be the crucial link in
the sustainable food supply chain. Across rural India,
the Indian government, through various grassroots
institutions, is encouraging farmers to cultivate a mix
of crops that improve their own food security and
nutrition requirements. India’s agriculture and food
security policies, thus, are now going beyond the
calorie sufficiency approach towards ensuring access
to a nutritionally balanced and diverse diet and help
bring positive change in the nutrition profile of India’s
undernourished millions. ?
Kurukshetra August 2023 30
* The author is a Freelance Writer.
** The author is Principal Scientist, Biochemistry ICAR-Indian Institute of Millets Research Rajendra Nagar Hyderabad.
Email: ssujatha1512@gmail.com and ratnavathi@millets.res.in
Millets
Future Food
illet is a cereal grain that belongs
to the Poaceae family, commonly
known as the grass family. It is
widely consumed in developing countries throughout
Africa and Asia. While it may look like a seed, millet's
nutritional profile is similar to that of sorghum and
other cereals.
Millet is no longer promoted as mota anaj; instead,
it will be called shree anna, or nutri- cereal, a superfood
high in iron and calcium. The resilient grain also fits
in well with the current global climatic concerns – it
consumes little water, has low carbon footprint, and
grows in arid conditions.
They are smart foods- good for you, the planet, and
the farmer. Rich in calcium, iron, zinc, protein, and fiber,
and with a low-glycemic index, they are nutricereals.
They allow multiple farm-revenue streams as they can
be food, fodder, a source of sugar production, and even
biofuels. They can be grown at high temperatures,
with less rainfall or water, in nutrient-poor and saline
soils. They have a smaller environmental footprint. They
can be eaten in many ways, including the ones we are
accustomed to.
Efforts to bring Indian millets to the international
forefront began in October 2017, during the Committee
on Food Security event in Rome. A series of meetings
involving the Government of India (GOI), the agricultural
research body International Crops Research Institute for
the Semi-Arid Tropics (ICRISAT), and other stakeholders
were organised at the Food and Agriculture Organization
(FAO) of the UN to identify the process of promoting the
idea with FAO departments and the Indian Embassy in
Rome. Following this initial step, in November 2017, the
M
*
S. Sujatha
**
Dr. CV Ratnavathi
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