This study examines underweight and overweight factors among Indian women aged 15 to 49, using 1999 and 2019 Demographic and Health Survey data. Univariate summary stats, visualizations, and logistic regressions analyze changing dynamics. Education's influence shifts from protective in 1999 to complex associations in 2019. Age consistently impacts both conditions. Physical work correlates with lower overweight odds. Rural residency's impact changes, reflecting healthcare improvements. Access to amenities consistently affects health outcomes. Findings inform adaptable policies for India's evolving health landscape.