The food consumption pattern in India is diversifying towards high value commodities. The decline in per capita consumption of cereals, in particular, coarse cereals, has worsened the nutritional status of the rural poor. On the basis of National Sample Survey data on dietary patterns and consumer expenditure, this article examines empirical evidence on the nature and extent of long-term changes in consumption patterns and nutritional status of various socio-economic groups at the household level in rural and urban India.