1. Role of Nutritionists in Strengthening the Nutritional Scenario @ Base of Pyramid Rekha Sharma R.D. President Indian Dietetic Association, Director, Nutrition and Dietetics, Diabetes Foundation (INDIA) Former Chief Dietician, All India Institute of Medical Sciences, New Delhi.

8. Coronary Risk Factors in Urban Underprivileged New Delhi, India Misra et al., Eur J Clin Nutr, 2001 Misra et al., Int J Obesity, 2001 Misra et al., Diab Res Clin Pract, 2002 High W-HR High BMI High body fat Hypertension Diabetes

10. Other side

14. India has unacceptably high level of malnutrition (NFHS-III ) 45.9% Underweight Children (Under 3 years) 22.0% Low Birth Weight Babies ( for whom birth weight reported) 33.0% Women with Chronic Energy Deficiencies (30% in Men) 70.0% Children (6-59 months) with anaemia 55.0% , 24.0% Women and Men respectively were anaemic Vitamin A deficiency & Iodine Deficiency Disorders continue to be public health problems

15. The picture (as per UNICEF and MI VM global progress report) Iodine deficiency Estimated to have lowered the Intellectual capacity by 10-15 percentage points Iron deficiency in 6-24 m olds Mental development impaired by 40-60% Vitamin A deficiency Impaired the immune system leading to an estimated one million children not reaching their 5 th birthday Iodine deficiency in mothers 18 million babies being born mentally impaired

16. The picture [as per UNICEF and MI VM global progress report Folate deficiency Approximately 200,000 babies with severe birth defects and 1in 10 deaths from heart disease in adults Severe Iron deficiency Causes loss of life more than 60,000 young women in pregnancy and child birth and loss of 2% GDP. This is high economic cost on virtually every developing nation---world bank

30. Thank you