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A new stage of the nutrition transition in China

Bibliographic Data

ID15091925
AuthorsShufa Du (0000-0003-1156-0866, University of North Carolina at Chapel Hill), Bing Lu (0000-0003-1217-270X, University of North Carolina at Chapel Hill), Fengying Zhai, Barry M Popkin (0000-0001-9495-9324, University of North Carolina at Chapel Hill, corresponding author)
Year2002
Volume5
Issue1a
Pages169-174
Publication date2002-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1079/phn2001290
PMID12027281
OpenAlexW2098295937
LanguageEN
Citations received98
References cited13

Objective: To fully explore the long-term shifts in the nutrition transition and the full implications of these changes in the Chinese diet. Design: A descriptive, population-based study. Setting: Data come from nationally representative surveys: the China Health and Nutrition Survey (1989–1997), the China National Nutrition Survey (1982 and 1992), the annual household consumption surveys of the State Statistical Bureau, and the Annual Death Report of China. Results: During the first part of the major economic transformation in China (before 1985), cereal intake increased but decreased thereafter. There was also a long-term reduction of vegetable consumption that has now stabilised. Intake of animal foods increased slowly before 1979 and more quickly after the economic reforms occurred. While the total energy intake of residents has decreased, as has energy expenditure, large changes in the composition of energy have occurred. The overall proportion of energy from fat increased quickly, reaching an overall average of 27.3% and 32.8% for urban residents in 1997. Over a third of all Chinese adults and 60.1% of those in urban areas consumed over 30% of their energy from fat in 1997. Large shifts towards increased inactivity at work and leisure occurred. These changes are linked with rapid increases of overweight, obesity and diet-related non-communicable diseases (DRNCDs) as well as total mortality for urban residents. Conclusions: The long-term trend is a shift towards a high-fat, high-energy-density and low-fibre diet. The Chinese have entered a new stage of the nutrition transition

China · Consumption (sociology · Environmental health · Geography · Nutrition transition · Obesity · Overweight · Population · Birth, Development, and Health · Demography · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Gerontology

  • Nutritional Status of Adolescents in the Context of the Moroccan Nutritional Transition

    Open Access•Pilar Montero López, Karim Anzid et al.•Journal of Biosocial Science•2012

  • A Longitudinal Analysis of Internal Migration, Divorce and Well-Being in China

    Open Access•Alok Bhargava, Xiayun Tan•Journal of Biosocial Science•2018

  • Nutrition Transition and the Global Diabetes Epidemic

    Open Access•Barry M Popkin•Current Diabetes Reports•2015

  • The Diet Quality Index-International (DQI-I) Provides an Effective Tool for Cross-National Comparison of Diet Quality as Illustrated by China and the United States

    Open Access•Soowon Kim, Soo-Won Kim et al.•The Journal of Nutrition•2003

  • Is China facing an obesity epidemic and the consequences? The trends in obesity and chronic disease in China

    Open Access•Y Wang, Jie Mi et al.•International Journal of Obesity•2007

  • Global nutrition dynamics

    Open Access•Barry M Popkin•American Journal of Clinical…•2006

  • Trends in the Association between Obesity and Socioeconomic Status in U.S. Adults

    Open Access•Qi Zhang, Youfa Wang•Obesity Research•2004

  • Global obesity

    Open Access•Vasanti S Malik, Walter C Willett et al.•Nature Reviews Endocrinology•2013

  • Cause-specific mortality for 240 causes in China during 1990–2013

    Open Access•Maigeng Zhou, Haidong Wang et al.•The Lancet•2016

  • Dynamics of the Nutrition Transition toward the Animal Foods Sector in China and its Implications

    Open Access•Barry M Popkin, Shufa Du•The Journal of Nutrition•2003

  • Global nutrition transition and the pandemic of obesity in developing countries

    Barry M Popkin, Linda S Adair et al.•Nutrition Reviews•2012

  • Factores que influyen en la dieta y los hábitos alimentarios de la población inmigrante china en Cataluña

    Open Access•Ikram Benazizi, Laia Ferrer et al.•Gaceta Sanitaria•2021

  • The Health Implications of Grandparents Caring for Grandchildren in China

    F Chen, Gang Liu•The Journals of Gerontology…•2011

  • Reversing the gap

    Open Access•Xiaoyun Quan, Ruihua Zhang•SSM - Population Health•2026

  • Drivers of GHG emissions from dietary transition patterns in China

    Open Access•Pan He, Beiming Cai et al.•Journal of Industrial Ecology•2021

  • Determinants of western food adoption among hindu nepalese women living in the Kathmandu valley

    Open Access•Chery Smith•American Journal of Human Biology•2013

  • Intergenerational Ties in Context

    F Chen, Gang Liu et al.•Social Forces•2011

  • Ethnic inequalities and sex differences in body mass index among tibet minorities in China

    Open Access•Dapeng Zhao, Yonglan Li et al.•American Journal of Human Biology•2014

  • Healthy Environment and Healthy Living in Urban China

    Open Access•Lin Lin, Hongwei Jiang•Journal of Contemporary East Asia…•2016

  • Urban developments and health

    Open Access•Toshiaki Aizawa•SSM - Population Health•2019

  • Growth and Weight Status in Chinese Children and Their Association with Family Environments

    Open Access•Xu Tian, Hui Wang•Children•2021

  • Developmental idealism, body weight and shape, and marriage entry in transitional China

    Open Access•H Xu•Chinese Journal of Sociology•2016

  • Has smoking really declined in China

    Open Access•Weixiang Luo, Y Xie•Chinese Journal of Sociology•2015

  • Child and Adolescent Obesity and Employment Sector in Urban China

    Yi Li, Z Zimmer•Asian Population Studies•2013

  • Assessing health lifestyles in contemporary China

    Open Access•Yaxin Lan, L Jin•Global Public Health•2025

  • Meat-egg-dairy consumption and depressive symptoms among Chinese older adults

    Open Access•Boyu Si, Keqing Zhang•Frontiers in Psychiatry•2024

  • Fruit and Vegetable Consumption among Immigrants in Portugal

    Open Access•Liliane Costa, Sonia Maria Ferreira Dias et al.•International Journal of…•2018

  • Shrinking Working-Age Population and Food Demand

    Open Access•Xinru Han, Xue Ping et al.•International Journal of…•2022

  • The Physical Activity Patterns among Rural Chinese Adults

    Open Access•Caicui Ding, Chao Song et al.•International Journal of…•2018

  • New Evidence on the Effect of Medical Insurance on the Obesity Risk of Rural Residents

    Open Access•Jian Zhao, Chang Su et al.•International Journal of…•2018

  • The Trends in Cardiovascular Diseases and Respiratory Diseases Mortality in Urban and Rural China, 1990–2015

    Open Access•Weiwei Sun, Yun Zhou et al.•International Journal of…•2017

  • The Lifestyle of Saudi Medical Students

    Open Access•Khalid A Bin Abdulrahman, Ahmad Mamoun Khalaf et al.•International Journal of…•2021

  • Dietary Patterns in Relation to General and Central Obesity among Adults in Southwest China

    Open Access•Qiang Zhang, Xinguang Chen et al.•International Journal of…•2016

  • Prevalence and Associated Factors of Physical Activity among Medical Students from the Western Balkans

    Open Access•Maja Grujičić, Miloš Ilić et al.•International Journal of…•2022

  • Implicit Messages Regarding Unhealthy Foodstuffs in Chinese Television Advertisements

    Open Access•Angela Chang, Peter J Schulz et al.•International Journal of…•2018

  • Urban–rural disparities of child health and nutritional status in China from 1989 to 2006

    Open Access•Hong Liu, Hai Fang et al.•Economics & Human Biology•2012

  • The intergenerational transmission of BMI in China

    Open Access•Peter Dolton, Mimi Xiao•Economics & Human Biology•2015

  • Leisure Time Physical Activity Levels in Immigrants by Ethnicity and Time Since Immigration to Canada

    Open Access•Bushra Mahmood, Junaid A Bhatti et al.•Journal of Immigrant and Minority…•2018

  • Does Urbanisation Matter? A Temporal Analysis of the Socio‐demographic Gradient in the Rising Adulthood Overweight Epidemic in China, 1989–2009

    Open Access•Qiaomei Fu, K C Land•Population Space and Place•2015

  • Trajectories of middle-aged and elderly people’s chronic diseases Disability Adjusted Life Years (Dalys)

    Open Access•Gangming Zhang, Fang Tang et al.•International Journal for Equity…•2021

  • Childhood meat eating and inflammatory markers

    Open Access•C Mary Schooling, CM Schooling et al.•BMC Public Health•2011

  • Trend on dental caries status and its risk indicators in children aged 12 years in China

    Open Access•Fei Li, Sicheng Wu et al.•BMC Public Health•2021

  • Animal-derived foods, physical activities, and mild cognitive impairment among Chinese older adults

    Open Access•Boyu Si, Keqing Zhang•BMC Public Health•2025

  • Child nutrition to new stage in China

    Open Access•Xinnan Zong, Xin-Nan Zong et al.•BMC Public Health•2019

  • Gender disparities in the education gradient in self-reported health across birth cohorts in China

    Open Access•Bowen Zhu, Yiwan Ye•BMC Public Health•2020

  • Trends in urban/rural inequalities in physical growth among Chinese children over three decades of urbanization in Guangzhou

    Open Access•Yan Hu, Weiqun Lin et al.•BMC Public Health•2020

  • Adherence to 24-hour movement guidelines and its association with the risk of overweight and obesity in Chinese adolescents

    Open Access•Yi Lin, Zeng-Bao Hu et al.•BMC Public Health•2026

  • Re-look at socioeconomic inequalities in stroke prevalence among urban Chinese

    Open Access•Shenghua Li, Fei Xu et al.•BMC Public Health•2018

  • High prevalence of hyperglycaemia and the impact of high household income in transforming Rural China

    Open Access•Chaowei Fu, Yue Chen et al.•BMC Public Health•2011

  • Association between leisure time physical activity preference and behavior

    Open Access•Junmin Zhou, Denise H Britigan et al.•BMC Public Health•2017

  • Association of dietary patterns with general and central obesity among Chinese adults

    Open Access•Zhongyi Zhao, Shihan Zhen et al.•BMC Public Health•2023

  • The evaluation of maternal health in rural western China

    Leilei Pei, Ren Lin et al.•Ethnicity and Health•2013

  • Lifting the lid on geographic complexity in the relationship between body mass index and education in China

    Open Access•Maigeng Zhou, Xiaoqi Feng et al.•Health & Place•2017

  • Income-related health inequality in urban China (1991–2015)

    Open Access•Peng Nie, Andrew E Clark et al.•Health & Place•2022

  • Community context, birth cohorts and childhood body mass index trajectories

    Open Access•Jing Liang, Fang Tang et al.•Health & Place•2020

  • Multilevel socioeconomic differentials in allostatic load among Chinese adults

    Open Access•Hongwei Xu•Health & Place•2018

  • Intergenerational and Urban-Rural Health Habits in Chinese Families

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  • Correlates of Overweight Status in Chinese Youth

    Hsu Yw, Ya-Wen Hsu•American Journal of Health Behavior•2011

  • The great Indian calorie debate

    Open Access•Lisa C Smith•Food Policy•2014

  • Using semiparametric models to study nutrition improvement and dietary change with different indices

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  • Can information intervention improve dietary quality? Evidence from a randomized controlled trial in rural China

    Open Access•Yi Cui, Qiran Zhao et al.•World Development•2024

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  • The prevalence of overweight, obesity and stunting in school children aged 6–19 years in Beijing, China

    Open Access•Hua‐Hong Wu, Hui Li et al.•Annals of Human Biology•2015

  • The obesity pay gap

    Open Access•Chih-Chien Huang, T Yabiku et al.•Journal of Population Research•2016

  • The effects of socio-economic status on BMI, waist

    Open Access•Mansour Shahraki, Touran Shahraki et al.•Public Health Nutrition•2008

  • Prevalence and predictors of malnutrition in elderly Chinese adults

    Open Access•Jun-Min Wei, Junmin Wei et al.•Public Health Nutrition•2018

  • Eating and physical activity behaviours among ethnic groups in Queensland, Australia

    Open Access•Danielle Gallegos, Hong Do et al.•Public Health Nutrition•2020

  • Mortality attributable to higher-than-optimal body mass index in New Zealand

    Open Access•Cliona Ni Mhurchu, Maria Turley et al.•Public Health Nutrition•2005

  • Identification of Chinese dietary patterns and their relationships with health outcomes

    Open Access•Xue Feng Hu, Rui Zhang et al.•Public Health Nutrition•2024

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    Open Access•Geoffrey Cannon•Public Health Nutrition•2004

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    Open Access•Soo-Kyung Lee, Soo‐kyung Lee et al.•Public Health Nutrition•2003

  • BMI percentile curves for Chinese children aged 7–18 years, in comparison with the WHO and the US Centers for Disease Control and Prevention references

    Open Access•Jun Ma, Zhiqiang Wang et al.•Public Health Nutrition•2010

  • Family average income and body mass index above the healthy weight range among urban and rural residents in regional Mainland China

    Open Access•Fei Xu, Xiao-Mei Yin et al.•Public Health Nutrition•2005

  • Sugar consumption and global prevalence of obesity and hypertension

    Open Access•Mario Siervo, Concetta Montagnese et al.•Public Health Nutrition•2014

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    Open Access•Colleen M Doak, Colleen Doak et al.•Public Health Nutrition•2002

  • Chinese Children at a Crossroads

    Hilary Ong, Mao Meng et al.•Ecology of Food and Nutrition•2010

  • Do children and their parents eat a similar diet? Resemblance in child and parental dietary intake

    Y Wang, M A Beydoun et al.•Journal of Epidemiology and…•2011

  • Obesity trends and determinants in Indonesia

    Open Access•Cornelia Roemling, Gabriel Lacerda et al.•Appetite•2012

  • Food choice and food consumption frequency of Cape Verde inhabitants

    Open Access•Diva Cabral, Luís Miguel Cunha et al.•Appetite•2019

  • Caregiver perceptions of the neighborhood food environment and their relationship with the home food environment and childhood obesity in Northeast China

    Open Access•Yang Liu, J Gittelsohn et al.•Appetite•2020

  • Portion size variably affects food intake of 6-year-old and 4-year-old children in Kunming, China

    Lynn G Smith, Lindsey Smith et al.•Appetite•2013

  • The Effects of Household Technology on Body Mass Index among Chinese Adults

    Open Access•Chih-Chien Huang, Chih Chien Huang et al.•Population Research and Policy…•2015

  • Does childhood meat eating contribute to sex differences in risk factors for ischaemic heart disease in a developing population

    Michelle Heys, C Q Jiang et al.•Journal of Epidemiology and…•2011

  • Interplay of regional economic development, income, gender and type 2 diabetes

    Kun Tang, Hanyu Wang et al.•Journal of Epidemiology and…•2019

  • Prevalence of Physical Activity Among Chinese Adults

    Paul Muntner, Donfeng Gu et al.•American Journal of Public Health•2005

  • For Better or Worse

    Open Access•Feinian Chen, Hui Liu et al.•Demography•2015

  • The shifting burden of obesity

    Open Access•Min Zhou•International Sociology•2019

  • Social Change and Socioeconomic Disparities in Health over the Life Course in China

    Open Access•Feinian Chen, Feinian Chen Feinian Chen et al.•American Sociological Review•2010

  • Rapid income growth adversely affects diet quality in China-particularly for the poor

    Open Access•Shufa Du, Tom A Mroz et al.•Social Science & Medicine•2004

  • Social class and body weight among Chinese urban adults

    Open Access•Céline Bonnefond, Matt Clement et al.•Social Science & Medicine•2014

  • A multi-level analysis of urban/rural and socioeconomic differences in functional health status transition among older Chinese

    Open Access•Z Zimmer, Ming Wen et al.•Social Science & Medicine•2010

  • China's transition

    Open Access•Keri L Monda, Penny Gordon‐larsen et al.•Social Science & Medicine•2007

  • Impacts of China's edible oil pricing policy on nutrition

    Open Access•Shu Wen Ng, Fengying Zhai et al.•Social Science & Medicine•2008

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    Open Access•Angus Deaton•The Journal of Economic…•2010

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    Open Access•Zhun Xu, Wei Zhan et al.•Journal of Agrarian Change•2015

  • How Does Socioeconomic Status Affect Chinese Adolescents' Weight Status

    Li Zhang, Liya Qiu et al.•Chinese Sociological Review•2018

  • Chinese Rural Health-Seeking Behaviour and the Dilemma of Sufferers of Chronic Sickness

    Honge Zheng, Fei Liu•Canberra Anthropology•2019

  • The end of alternatives? Capitalist transformation, rural activism and the politics of possibility in China

    Alexander F Day, M Schneider•The Journal of Peasant Studies•2018

  • Overweight and Underweight Coexist within Households in Brazil, China and Russia

    Open Access•Colleen M Doak, Linda S Adair et al.•The Journal of Nutrition•2000

  • The Nutrition Transition

    Adam Drewnowski, Barry M Popkin•Nutrition Reviews•2009

  • Food Consumption and Nutritional Status in the P.R.C.

    Vaclav Smil, Alan Piazza•Pacific Affairs•1987

  • The nutrition transition and its health implications in lower-income countries

    Open Access•Barry M Popkin•Public Health Nutrition•1998

  • Understanding the nutrition transition

    Open Access•Barry M Popkin, Bing Lu et al.•Public Health Nutrition•2002

  • Body weight patterns among the Chinese

    Barry M Popkin, Sahasporn Paeratakul et al.•American Journal of Public Health•1995

  • Nutritional Patterns and Transitions

    Barry M Popkin•Population and Development Review•1993

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Citations per year4,08
Citation span2002 - 2026 (25)
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