Introduction The existence of a socio-demographic patterns of cardiovascular disease (CVD) in India has been suggested, with a higher CVD risk in individuals: from urban areas, the south, higher socio-economic status (SES), and in the elderly. Whether this pattern is replicated in physical activity (PA) is unknown. We aimed to examine the socio-demographic pattern of PA in India using the Indian Migration Study (IMS); a cross-sectional sib-pair designed survey. Methods The IMS included a PA questionnaire (IMS-PAQ). We recruited 6995 participants (41% female, 37% rural) whose PA was characterised over the last month. We estimated (1) total activity (MET hr/day), (2) PA Level defined as inactive Results Total activity decreased with age and SES, and was lower in women, among urban participants and in the south (p Conclusion PA patterning broadly mirrors that of CVD in India. Further studies should investigate how PA patterns may modify risk of CVD in India.