# Assessing Dietary Patterns, Lifestyle Practices, and Forest Foods with Bioactive Potential to Address Micronutrient Deficiencies and Noncommunicable Diseases in Northeast India

## TL;DR

This study explores how dietary patterns and forest foods in Mizoram, India, can help combat micronutrient deficiencies and noncommunicable diseases.

## Contribution

The study identifies dietary transitions and the potential of local forest foods to address health challenges in Mizoram.

## Key findings

- Over 85% of participants had inadequate intake of milk, fruits, pulses, and nuts.
- Younger women had the lowest intake of nutrient-dense foods compared to other groups.
- Local forest foods contain bioactives that may help prevent diabetes and cancer.

## Abstract

Background: Natural solutions, such as locally available food resources (LAFRs) and nontimber forest products (NTFPs), are recognized for their bioactive potential in addressing health challenges. Despite Mizoram’s rich biodiversity, the population faces increasing risks of noncommunicable diseases (NCDs) and micronutrient deficiencies (MNDs). Methods: This cross-sectional study assessed priority dietary preferences, food group consumption, dietary diversity score, and lifestyle practices, alongside a review of the nutraceutical potential of LAFRs and NTFPs. A three-day dietary recall was analyzed using t-tests at a 5% significance level against standards from the Indian Council of Medical Research (ICMR). One-way ANOVA was further employed to examine potential differences in food group consumption among occupational, gender, and age groups. Results: Results revealed strong cultural preferences for carbohydrate-rich breakfasts and meat-based dinners, with lunch often skipped or replaced by snacks. Over 85% of participants reported inadequate intake of milk, fruits, pulses, and nuts. Compared with older and high-income women, younger women exhibited the lowest intake of food groups and nutrient-dense foods. Occupation significantly influenced dietary patterns, with heavy workers consuming more cereals but fewer micronutrient-rich foods. A shift from traditional to modern dietary and lifestyle practices was observed, influencing overall diet quality and long-term health outcomes. The mean Dietary Diversity Score (0–10) was 5.6 ± 1.3, indicating significant gender differences in diet variety (males: 5.8 ± 1.2; females: 5.4 ± 1.4; p = 0.04). The review highlights that LAFRs and NTFPs serve as valuable sources of antioxidants, anti-inflammatory compounds, and bioactives with antidiabetic and anticancer properties while also providing essential micronutrients. Conclusions: The findings reveal a marked dietary transition in Mizoram and underscore the urgent need for food-based strategies to address nutrient gaps and the growing burden of NCDs.