Malnutrition in the elderly is an under-recognized yet significant public health issue in India, with implications for morbidity, mortality, and healthcare costs. Nutritional disorders in geriatric populations include under nutrition, micronutrient deficiencies, sarcopenia, and occasionally, over nutrition or obesity-related complications. This article explores the epidemiology, etiology, clinical manifestations, assessment tools, and evidence-based management strategies for nutritional disorders in India’s aging population. The review also addresses the socio-economic and cultural determinants impacting geriatric nutrition and suggests public health interventions for prevention and management, including dietary counselling, supplementation, policy initiatives, and caregiver support.