Our sample of overweight or obesity women in rural India is concerning, as it is in line with evidence from numerous other LMIC settings. The lack of dietary diversity (especially fruits and vegetables) and high intakes (total fat and sodium) are also concerning, as we know that unhealthy eating behaviors are associated with the onset of nutrition related chronic disease (NCD). The prevalence of obesity and overweight among women, combined with poor dietary intakes, poses a challenge to women’s health in India and to the overall public health response. While this study is small and not intended to be representative, it has provided important knowledge on NCD risk factors in rural women and further work needs to be conducted to explore the potential drivers of obesity and overweight, as well as unhealthy dietary intakes, among rural women in India. There are many complex factors that need to be addressed in order to successfully implement targeted approaches to reduce NCD rates across India.