Obesity as Malnutrition: Exposing the Hidden Nutrient Deficiency Behind Excess Weight
Alok Kumar Saini
*
Department of Food Science and Nutrition, CCAS, MPUAT, Udaipur, Rajasthan, India.
Sarla Lakhawat
Department of Food Science and Nutrition, CCAS, MPUAT, Udaipur, Rajasthan, India.
Prerna Shekhawat
Department of Food Science and Nutrition, CCAS, MPUAT, Udaipur, Rajasthan, India.
Harshita Bordia
Department of Food Science and Nutrition, CCAS, MPUAT, Udaipur, Rajasthan, India.
Khyati Joshi
Department of Food Science and Nutrition, CCAS, MPUAT, Udaipur, Rajasthan, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Malnutrition is no longer confined to undernutrition; it now coexists with obesity, a phenomenon known as the double or triple burden of malnutrition. In this condition, energy-dense but nutrient-poor diets drive both excessive fat accumulation and “hidden hunger” caused by micronutrient deficiencies.
Objectives: To review the prevalence of micronutrient deficiencies (iron, vitamin D, vitamin B12, zinc) among obese individuals; to examine dietary patterns and lifestyle factors linked to obesity-related malnutrition; to explore associated physiological and metabolic consequences; and to evaluate current interventions and policy measures.
Methods: A thematic narrative review has been prepared using peer-reviewed literature from PubMed, Scopus, Web of Science, and Google Scholar published between 2010 and 2024.
Key Findings: Evidence shows high prevalence of vitamin D deficiency (57–94%), along with iron, zinc, and vitamin B12 deficiencies among obese populations. Excessive consumption of ultra-processed foods, physical inactivity, socio-economic shifts, and urbanized lifestyles were major contributing factors. Hormonal dysregulation, insulin resistance, and chronic low-grade inflammation were identified as key metabolic consequences.
Conclusion: Obesity is not merely an issue of excess fat but a complex nutrition–health imbalance. Addressing it requires a paradigm shift from calorie reduction alone to improving diet quality, ensuring micronutrient adequacy, and implementing inclusive, stigma-free public health policies.
Keywords: Diet, malnutrition, metabolic consequences, micronutrient deficiencies, obesity