That is actually not very surprising. If you consider all the people in India, poverty and malnoursihment is still incredibly high. But there is much prosperity

That is actually not very surprising. If you consider all the people in India, poverty and malnoursihment is still incredibly high. But there is much prosperity in the cities ... but healthy habits (like exercises, gym) have only recently started taking root. So obesity is more common amongst well to do Indians which in turn leads to cardiovascular diseases.