Obesity

Sleep, lipids, and metabolic health in the Indian obesity epidemic: an integrative review of mechanisms, burden, and breakthroughs

Diabetes Res Clin PractPublished Integrative review

Authors' conclusion

Sleep health disturbances appear to be important and potentially modifiable contributors to metabolic dysfunction in India.

Study context

Population
Indian population facing obesity epidemic amid persistent undernutrition (Asian Indian phenotype)
Outcome
Sleep health, lipid dysregulation and metabolic dysfunction in India
Methodological detailsPubMed-indexed literature 2015 through February 2026, prioritizing India-specific epidemiologic studies, national reports and policy-relevant publications
  • PubMed-indexed literature 2015 through February 2026, prioritizing India-specific epidemiologic studies, national reports and policy-relevant publications

Main finding

As reported in the abstract

  • Obesity in India shows substantial regional and urban-rural variation
  • Dyslipidemia highly prevalent and inadequately controlled, particularly in T2D
  • Sleep disturbances (short sleep, circadian misalignment, shift work, obstructive sleep apnea) increasingly recognized as contributors to metabolic dysfunction
  • Mechanistic evidence suggests sleep disruption may impair metabolic health via clock gene dysregulation, bile acid-lipid desynchronization, microbiome-derived short-chain fatty acid signaling, inflammation and neuroendocrine stress pathways
  • India-specific lipidomic, longitudinal and sleep-focused interventional data remain limited

Original publication

Sleep, lipids, and metabolic health in the Indian obesity epidemic: an integrative review of mechanisms, burden, and breakthroughs. Diabetes Res Clin Pract. Published 11 May 2026. doi:10.1016/j.diabres.2026.113319

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