Objective: This study aims to assess the Double Burden of Malnutrition (DBM) and its associated factors among reproductive age group women in Assam, India. Methods: Based on a multistage sampling procedure, a total of 736 reproductive age group women from four districts of Assam were selected as the final sample unit. The sample units are grouped as rural (total 310 samples) and urban (total 426 samples) and data is collected from June to December 2022 based on a structured questionnaire. The classical measure of anthropometry is used to collect data on the height and weight of the respondents. The anthropometric rod to the nearest 0.1 cm is used to measure women’s height and a portable weighing machine is used to measure their weights. The Body Mass Index (BMI) of sample women is calculated to assess the existing double burden of malnutrition. Findings: It is found that around 40 % of women in the study area are at risk of DBM. The risk of underweight is higher among rural women (29.4%). On the other hand, the severity of overweight is higher among urban women (20.2%) as compared to their rural counterparts (14.2%). The multinomial logistic regression analysis shows that women belonging to food-insecure households are at a 0.674 % higher risk of being underweight. Women’s employment and availability of basic amenities reduce the risk of being underweight by 47.2% and 80.9% respectively. Women’s dietary diversity, employment, and their age significantly affect their overweight status. Novelty: The socioeconomic and demographic factors considered in the study are based on household level as well as women’s individual status and quantify the potential qualitative issues affecting women’s DBM. This study will certainly provide a basis for further research on DBM in different settings and thereby to adopt strategic interventions. Keywords: Underweight, Overweight, Body Mass Index, Reproductive women, Assam