BackgroundWith India going through a nutrition transition evaluating food consumption of children is important. The present analysis was done to cross-sectionally examine the diets of school-aged children by sex and weight status. MethodsUrban school-going children 8-15 years of age, representing all strata of socio-economic status were recruited through stratified quota sampling. Dietary intake was assessed by three interviewer-administered 24-hour dietary recalls. The proportion with inadequate intakes for macro- and micro-nutrients and percentage energy intake of macronutrients below and above the Acceptable Macronutrient Distribution Range (AMDR) were compared between sexes. Association of dietary intake with weight status were examined by multinomial logistic regression in boys and girls separately with the reference category being the highest tertile of each food group intake. ResultsTotally, 634 children were recruited (13.7% boys, 15.6% girls underweight;18.8% boys, 18.5% girls overweight). In general, boys had significantly higher mean intakes of all nutrients (p<0.05) except for vitamin B 12 (0.96 µg in boys versus 0.87 µg in girls, p=0.055) and vitamin A (225.4 µgRAE in boys and 222.2 µgRAE in girls, p=0.073). The prevalence of inadequate intake was the highest for vitamin A (96.8% in boys vs 94.8% in girls, p=0.152). The proportions of inadequacy were significantly higher in girls for all nutrients (p<0.05), except for folate and vitamin A. High carbohydrate intake (OR:3.11; 95% CI:1.55, 6.24, p=0.002) and low fat intake (OR:2.15; 95% CI:1.06, 4.35, p=0.041) were significantly associated with underweight in girls but not for boys. After adjusting for age and total energy intake, lower intake of vegetables and higher intake of fruits were significantly associated with underweight boys while, lower intake of root vegetables, nuts, milk products and added sugar were associated with underweight girls. A higher proportion of overweight boys was observed in the lowest tertile of pulse intake and lower proportion in the lowest tertile of nut intake. Overweight girls were more likely to be in the lowest tertile of meat intake. ConclusionsChildren’s diets need to be improved to meet nutrient requirements. Promotion of healthy diets in children which reduce prevalence of underweight and arrest increase in overweight is required.