Published: 2021-10-27

Prevalence and risk for overweight among employees in a leading auto-mobile industry in India

Runalika Roy, Gautham Melur Sukumar, Kowshik Kupatira


Background: Overweight is a major risk factor for the non-communicable diseases. India is home to nearly 164 million industrial workers (2017) and yet information about prevalence and risk of overweight among them is limited. Being overweight can adversely affect a person's productivity in his workplace and increase the risk of non-communicable diseases. The objective was to assess the prevalence of overweight and association between overweight and employee age, type of work and native origin.

Methods: The longitudinal analysis was conducted using periodical medical examination (PME) data of employees from 2010-2018. Relevant data were collected. Year-wise prevalence of overweight was estimated along with specific prevalence by age, type of work and region.

Results: The mean weight of employees increased from 68.1 kgs to 72.6 kgs (2010-2018). Overweight proportion was significantly higher in non-production departments. Overweight prevalence ranged between 15-29.8% among Karnataka regions in 2010 in production employees but reached 35-55.6% by 2018. Significant association was found between overweight with type of work and region.

Conclusions: The increase in weight over time indicates the trend of overweight and weight reduction interventions are needed in workplaces to prevent the risk of NCDs.


Occupational health, Overweight, Industry, Non-communicable diseases, NCD risk factors, Healthy work place

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Roth GA, Abate D, Abate KH. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2018;392(10159):1736-88.

Stanaway JD, Afshin A, Gakidou E. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study. Lancet. 2018;392(10159):1923-94.

Dandona L, Dandona R, Kumar GA, Shukla DK, Paul VK, Balakrishnan K, et al. Nations within a nation: variations in epidemiological transition across the states of India, 1990-2016 in the global burden of disease study. Lancet. 2017;390(10111):2437-60.

Vos T, Lim SS, Abbafati C, Abbas KM, Abbassi M, Abbasifard M, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the global burden of disease study 2019. Lancet. 2020;396(10258):1204-22.

Pradeepa R, Anjana RM, Joshi SR, Bhansali A, Deepa M, Joshi P, et al. Prevalence of generalized and abdominal obesity in urban and rural India- the ICMR-INDIAB study (phase-I) [ICMR-INDIAB-3]. Indian J Med Res. 2015;142(2):139-50.

Ahirwar R, Mondal PR. Prevalence of obesity in India: A systematic review. Diabetes Metab Syndr Clin Res Rev. 2019;13(1):318-21.

Luharid S, Timaeus IM, Jonesid R. Forecasting the prevalence of overweight and obesity in India to 2040. PLoS One. 2020;15(2):1-17.

Ministry of Labour and Employment. Statistics on Status of Compliance with Statutory provisions of the Factories Act, 1948. DGFASLI. Published online 2018:47-72. Available at:

Ministry of Finance. Economic Survey 2019-20 (Vol-II). Vol 2.; 2020. Available at:

Kar SS, Subitha L, Kalaiselvi S, Archana R. Development and implementation of healthy workplace model in a selected industry of Puducherry, South India. Indian J Occup Environ Med. 2015;19(1):25-9.

Mohan V, Deepa R, Shanthi Rani S, Premalatha G. Prevalence of coronary artery disease and its relationship to lipids in a selected population in South India: The Chennai Urban Population Study (CUPS no. 5). J Am Coll Cardiol. 2001;38(3):682-7.

Sukumar GM, Kupatira K, Gururaj G. Feasibility of integrating mental health and noncommunicable disease risk factor screening in periodical medical examination of employees in industries: An exploratory initiative. Indian J Occup Environ Med. 2015;19(1):19-24.

Wolf J, Prüss-Ustün A, Ivanov I, Mudgal S, Corvalán C, Bos R et al. Preventing disease through a healthier and safer workplace. Geneva: World Health Organization; 2018. Available at:

WHO. Fact sheet: Obesity and overweight, 2020. Available at: Accessed on 5 December 2020.

International Institute for Population Sciences. National Family Health Survey (NFHS 4); 2015.

Kaur P, Rao TV, Sankarasubbaiyan S. Prevalence and distribution of cardiovascular risk factors in an urban industrial population in South India: A cross-sectional study. J Assoc Physicians India. 2007;55:771-6.

Mehan M, Kantharia N, Surabhi S. Risk factor profile of noncommunicable diseases in an industrial productive (25-59 years) population of Baroda. Int J Diabetes Dev Ctries. 2007;27(4).

Reddy KS, Prabhakaran D, Chaturvedi V, Jeemon P, Thankappan KR, Ramakrishnan L, et al. Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations. Bull World Health Organ. 2006;84(6):461-9.

Mohan V, Deepa M, Farooq S, Prabhakaran D, Reddy KS. Surveillance for risk factors of cardiovascular disease among an industrial population in southern India. Natl Med J India. 2008;21(1):8-13.

Kumar SG, Unnikrishnan B, Nagaraj K. Self-reported chronic diseases and occupational health risks among bank employees of southern Karnataka city, India. Indian J Community Med. 2013;38(1):61-2.

Ministry of Law and Justice. The occupational safety, health and working conditions code, 2020 No. 37 of 2020. New Delhi; 2020. Available at:

WHO. Fact sheet: Policy brief: promoting and creating an enabling enviropnment for healthy behaviours among workers. Available at: Accessed on 5 December 2020.

Viester L, Verhagen EA, Hengel KMO, Koppes LL, Beek AJ, Bongers PM. The relation between body mass index and musculoskeletal symptoms in the working population. BMC Musculoskelet Disord. 2013;14:238.