Symptom-Based Healthcare is not the only indicator of a country’s health: A New Era of Preventive Care is Emerging, says Apollo Hospitals’ Health of the Nation 2025 Report

~ Apollo ProHealth Preventive Health Checks have gone up by almost 150% in 5 Years~

~ Shows increase in fatty liver, menopause-linked risks, nutritional deficiencies, childhood obesity and other NCDs amongst the people screened across the Apollo ecosystem ~

Bengaluru, April 7, 2025: Apollo Hospitals today launched the fifth edition of its Health of the Nation 2025 (HoN-2025) report with a clear message: “Don’t wait for symptoms—make preventive health your priority.” Based on health screenings from over 2.5 million individuals across the Apollo ecosystem in India, the report reveals a silent epidemic—millions are living with undiagnosed chronic conditions despite showing no visible symptoms. Notably, 26% were found hypertensive and 23% diabetic despite being asymptomatic, underlining that a symptom-led healthcare model is no longer viable.

Preventive health checks have grown exponentially as recorded by Apollo Hospitals, rising from 1 million in 2019 to over 2.5 million in 2024 — a 150% increase in just five years. This reflects a growing shift in public awareness and proactive engagement with preventive healthcare.

The insights in HoN 2025 are drawn from de-identified electronic medical records (EMRs of preventive health checks), structured clinical evaluations, and AI-driven risk stratification across Apollo’s hospitals, clinics, diagnostics labs, and wellness centers.

The report zeroes in on three urgent health challenges: fatty liver diseasepost-menopausal health decline, and childhood obesity, emphasizing the need for early personalized interventions and lifestyle-based care models.

Dr. Prathap Reddy, Chairman, Apollo Hospitals said, “India must rise to the opportunity of creating healthy, happy families by placing health at the heart of every household. Preventive healthcare is no longer a future ambition—it is the cornerstone of a nation’s well-being today. This report affirms our collective responsibility to act early, screen deeply, and empower every citizen with knowledge and access. It is time to integrate preventive care into every educational curriculum, corporate benefits, and family routines. Only then, can we shift from treating illness to preserving health and ensure a resilient, healthier India for generations to come.”

Dr. Suneeta Reddy, Managing Director, Apollo Hospitals added, “The Health of the Nation Report reaffirms Apollo’s long-standing philosophy that the future of healthcare is early, data-led, and personalized. When 66% of people screened have fatty liver, 85% of them being non-alcoholic; it signals the urgency for new diagnostics and early detection at scale. Traditional screening is no longer enough. Apollo’s ProHealth program is not just empowering individuals to take control of their health; it is laying the foundation for scalable and predictive healthcare. The results from ProHealth show that with consistent follow-up and nudges and real-time data, we can create measurable population-level impact. Prevention is India’s most scalable healthcare solution and Apollo’s mission is to democratize preventive health.”

Key Findings at a Glance

Category Key Insight
Fatty Liver 65% of 257,199 screened had fatty liver; 85% were non-alcoholic
Silent Heart Risks 46% of asymptomatic individuals had signs of early atherosclerosis
Post-Menopausal Health Diabetes jumped from 14% to 40%; Obesity rose from 76% to 86%
Children & Students 28% of college students overweight or obese; 19% are pre-hypertensive
Hypertension Found in 26% of over 4,50,000 individuals
Nutrient Deficiencies 77% of women and 82% of men had Vitamin D deficiency
Mental Health 6% of 47,424 individuals screened showed signs of depression
Sleep Disorders (OSA) 24% of 53,000 screened were at high risk of Obstructive Sleep Apnea (OSA)
ProHealth Program Outcomes 59% reduced HbA1C (diabetes marker), 51% reduced BP, 47% lost weight through behavioral nudging

Hidden Disease, Visible Numbers: Fatty Liver as India’s New Metabolic Signal

Once seen as a concern only for those who consumed alcohol, fatty liver appears to emerge as an important health issue linked to obesity, diabetes, and hypertension. Of the 257,199 individuals screened, a staggering 65% had fatty liver, and 85% of those were non-alcoholic. More than half had normal blood tests—meaning traditional diagnostics alone are not enough for a thorough evaluation.

Women’s Health: A Critical Turning Point Post-Menopause

The HoN 2025 report highlights a dramatic escalation in health risks for women post-menopause. Diabetes rates spike from 14% pre-menopause to 40% post-menopause, obesity climbs sharply from 76% to 86%, and fatty liver prevalence rises from 54% to 70%. These significant shifts underline hormonal changes’ profound impact on women’s long-term health, emphasizing the necessity for proactive, personalized health strategies for women as they approach menopause.

Rising Cases of Obesity in Kids’: The Truth We Can’t Ignore Anymore!

Obesity among students is rising rapidly, posing serious long-term health threats. The report found that 8% of primary school students were already overweight or obese—an early indicator. This prevalence increases significantly through adolescence, reaching 28% among college students, highlighting the compounding impact of lifestyle and dietary changes. Additionally, 19% of college students were found to be pre-hypertensive, showing that non-communicable diseases (NCDs) are taking root much earlier than previously recognized.

Dr. Preetha Reddy, Executive Vice Chairperson, Apollo Hospitals said, “The Health of the Nation 2025 report highlights the critical issues that we must address, particularly regarding women’s health and childhood obesity. The rise in metabolic risks post-menopause is a clear indicator that we need more than just routine screenings. It is essential to have age-appropriate, gender-sensitive protocols that can truly address the unique needs of women. At Apollo, we are committed to integrating these findings into a life-stage-based care model, offering support for women at every phase of their health journey. The report also underscores the increasing rates of obesity and pre-hypertension among children, which is deeply concerning. These are not just statistics but signs that we must act swiftly. As a pioneering institution, Apollo is determined to make a difference in the lives of individuals and communities across the nation.”

Beyond the Obvious: A Deeper Look at India’s Evolving Health Landscape

Hypertension: A Quiet but Persistent Risk

Screening around 450000 individuals in 2024 revealed that 26% were hypertensive, often without any symptoms. Hypertension continues to be a key contributor to India’s cardiovascular burden and remains underdiagnosed and undertreated. The report calls for standardized blood pressure monitoring and public health campaigns that make BP check a routine part of wellness.

Heart Disease Hiding in Plain Sight

Among asymptomatic individuals who underwent coronary calcium scoring, 46% had calcium deposits, which are early signs of atherosclerosis. Of these, 25% had obstructive coronary artery disease (CAD). Even more striking, 2.5% of those with calcium deposits were under the age of 40. These figures reinforce the importance of advanced imaging techniques like calcium scoring and CT angiography for detecting early risk.

Mental Health: A Growing but Under-Recognized Challenge

Mental health has long lingered in the shadows of India’s public health conversation, but the latest data shines a much-needed spotlight. Of the 47,424 individuals screened for depression using the PHQ-9 scale, 7% of women and 5% of men exhibited signs of clinical depression, with the burden peaking in the middle-age bracket (40–55). These figures highlight not just a growing prevalence but also the deep societal stigma that continues to hinder early intervention. Apollo Hospitals is advocating for integrated mental health assessments in routine check-ups, wider use of digital mental health platforms, and community-level awareness to foster openness and timely care.

Obstructive Sleep Apnea (OSA): The Sleep Disorder India Can’t Ignore

The Health of the Nation 2025 report reveals a startling trend: 1 in 4 Indians are at high risk for Obstructive Sleep Apnea (OSA)—a disorder closely linked to obesity, cardiovascular disease, and daytime fatigue. Based on screenings of 53,000 individuals33% of men and 10% of women were identified as high-risk. Risk levels rise sharply with age, affecting 68% of men and 22% of women over 55. Despite its high prevalence, OSA remains underdiagnosed, often mistaken for general fatigue or stress. Apollo is calling for routine sleep risk assessments in metabolic screenings, stronger public awareness about OSA symptoms, and workplace wellness programs that address sleep hygiene as a core pillar of preventive care.

Cancer Detection: Age Trends Offer New Insights

In 2024, the median age for cervical cancer diagnosis was 49, for breast cancer 57, and lung cancer 61—a full decade earlier than global averages. The report advocates lowering the age threshold for routine screening and driving awareness in urban and rural populations alike.

Micronutrient Deficiencies: A Foundation Health Issue

Anemia affected 45% of women and 26% of men, while Vitamin D deficiency impacted 77% of women and 82% of men. Vitamin B12 deficiency was also significant, with 38% of men and 27% of women showing low levels. Among those under 40, the deficiency was even more pronounced—49% of men and 35% of women were vitamin B12 deficient. These gaps, if left unaddressed, can impair energy, cognition, and metabolic function. Apollo recommends widespread education as an essential first step towards improving national nutrition and long-term health.

Obesity and Metabolic Dysfunction: The Cascade Continues

The report highlights that 61% of individuals screened were obese, with another 18% overweight. Obesity continues to act as the root cause of a range of NCDs. Apollo supports expanding physical literacy in schools and workplaces and making BMI and metabolic screenings part of every annual health check.

Aim Toward a Preventive, Data-Led Healthcare System

Apollo Hospitals’ ProHealth program aims to advocate for a paradigm shift in India’s healthcare approach—from curative to preventive, and from symptom-led to data-driven. The organization’s ProHealth program has been setting the precedence and proven its effectiveness by integrating advanced diagnostics, expert doctor driven path to wellness, AI-powered predictive risk scores, personalized health nudges, and early interventions. The program tracks key health metrics in real time and provides actionable recommendations tailored to each individual, enabling proactive management of chronic conditions.

  • 59% of diabetics reduced HbA1C levels
  • 51% of hypertensive participants lowered their blood pressure
  • 47% of overweight participants achieved weight loss

By addressing health risks early and guiding individuals with personalized interventions, the program aims to reduce the progression of diseases before they require complex treatment. Overall, the findings of HoN-2025 build a strong case for embedding preventive healthcare into public health policy, health insurance coverage, and workplace wellness. The way forward lies in early risk identification, lifestyle modification, and equitable access to diagnostics.

State-wise microcosm representation based on screenings conducted across Apollo Hospitals over the past year.

Karnataka

  • Vitamin D Deficiency: 84% of individuals screened had low Vitamin D levels—affecting immunity, metabolism, and bone health.
  • Obesity & Overweight: 56% were obese and 21% overweight, linked to sedentary routines and diet choices.
  • Hypertension: 28% were hypertensive, with 50% in the pre-hypertensive range.
  • Diabetes: 20% diabetic and 25% pre-diabetic—signaling metabolic stress in early stages.
  • Flexibility Issues: 64% showed reduced flexibility—impacting movement, posture, and musculoskeletal wellness.

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