Obesity in China

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A McDonald's Chinese New Year meal. American fast food outlets have been blamed for the increase in obesity in China. McDonald's Chinese New Year set meal.jpg
A McDonald's Chinese New Year meal. American fast food outlets have been blamed for the increase in obesity in China.

Obesity in China is a major health concern according to the WHO, with overall rates of obesity between 5% and 6% for the country, [2] but greater than 20% in some cities where fast food is popular. [3]

Contents

Issues

Share of adults that are obese, 1975 to 2016 Obesity in China.svg
Share of adults that are obese, 1975 to 2016

Since 1954, rapid economic growth has transformed China from a destitute nation to one of largest economies in the world. Malnutrition, previously a persistent problem, has declined from 30% of the population in 1980 to less than 12% in 2014. However, these rapid improvements in living standards have come with rising rates of obesity that threaten to reverse some of the gains in overall health.

These changes are especially pronounced in Chinese cities, where increase caloric intake has combined with increased automation and transport that has reduced daily physical labor for the average citizen. Rapid motorization has drastically reduced levels of cycling and walking in China. Reports in 2002 and 2012 have revealed a direct correlation between ownership of motorized transport by households in China and increasing obesity related problems in children and adults. [4] [5]

Growth in obesity in children has been especially brisk. Between 1985 and 2014, obesity in rural Chinese boys grew from 0.03% to 17.2%, and the obesity rate for girls went from 0.12% to 9.1%. [6] Statistics from the Chinese Health Ministry have revealed that urban Chinese boys age 6 are 2.5 inches taller and 6.6 pounds heavier on average than Chinese city boys 30 years ago. A leading child-health researcher, Ji Chengye, has stated that, "China has entered the era of obesity. The speed of growth is shocking." [1]

Response and prospects

A KFC outlet in Hohhot, China KFC in Hohhot.jpg
A KFC outlet in Hohhot, China

According to Wang Longde, Chinese Vice Minister of Health, the problem is that the population does not have enough awareness and lacks knowledge of nutrition and what constitutes a reasonable diet. [7] The government is attempting to reduce the problem with building more playgrounds and passing a law which requires students to exercise or play sports for an hour a day at school. [1] Chen Chunming, an expert at the Chinese Center for Disease Control and Prevention has warned against the rapid growth of American fast-food outlets in China saying, "Don't take children to eat fast food like McDonald's and KFC." [1]

De-emphasis on sports also plays an important part in the rise of obesity in China. Many Chinese people believe the way they advance in life is getting a better education so they can get a better job. The emphasis on schoolwork and the pressure to do so much into that direction keeps children away from play and from physical activity. [8]

Fat farms, where overweight children try to lose their excess weight, have grown since the 1990s. In 2000, 100 million people were reported to suffer from high blood pressure and 26 million with diabetes. These figures were expected to double within a decade, with doctors warning that obesity could become China's biggest health threat for future generations. [9] [10]

Action and policy

Due to the current cultural views on obesity there is a significant need for anti-obesity education. Obesity is often associated with prosperity, thus there is a need for a widespread attitude shift to decrease the current rising rates. Perhaps resulting from the famines of generations past, food, specifically high-fat foods, are now seen as a luxurious item. With growing incomes in Chinese society, families are now able to afford these unhealthy but highly desired foods resulting in increasing rates of consumption of high-fat diets. [11] As a major contributor to the spread of obesity, these high-fat diets are creating a major public health problem across the country. There are currently a few initiatives in place that could help combat this problem, but because of its magnitude, it is likely that more improvements are needed.

The Chinese Nutrition Society is providing nutrition education by creating dietary guidelines to help consumers make more healthy lifestyle choices. These guidelines become useful in assisting the population in adopting healthy eating habits which can be an important preventative measure against obesity. Additionally, the Chinese government is currently mandating programs in schools to deal with the growing problem of obesity in the younger generations. "Eat Smart at School" is a campaign that was launched during the 2006–2007 school year, which aims to cultivate healthy eating practices to promote lifestyle changes in the educational setting. This program is also an important key in teaching healthy lifestyle strategies that can promote long-term changes in these children's lives. [12]

Localizing community based interventions could help address the large, diverse population in China. China is currently trying to utilize community based interventions through The National Plan of Action for Nutrition in China. This demonstrates an extensive framework organizing food-based policies relating to the country's nutrition and health issues. Some of the policies work towards promoting healthy diets and lifestyles while also providing incentives to food growers. Implementing nationwide social programs on public nutrition through mass media, public campaigns and community based promotions are potentially effective mediums towards combating obesity in China.

China's centralized government has a unique ability to make rapid policy changes where they can enforce public nutrition policy and regulate food supply. The rapid growing market of fast food chains is a huge contributor to the increase in obesity rates in China. Potentially, a price policy could be a strategic model for raising the price on “unhealthy” foods in an attempt to shift food consumption patterns to accomplish health objectives and reduce the consumption of high fat foods. Through price policy, China can focus on controlling the external influence of international products on traditional Chinese dietary patterns and help manage the obesity trends and patterns due to the increase of Westernized foods and fast food chains.[ citation needed ][ clarification needed ]

See also

Related Research Articles

Dieting is the practice of eating food in a regulated way to decrease, maintain, or increase body weight, or to prevent and treat diseases such as diabetes and obesity. As weight loss depends on calorie intake, different kinds of calorie-reduced diets, such as those emphasising particular macronutrients, have been shown to be no more effective than one another. As weight regain is common, diet success is best predicted by long-term adherence. Regardless, the outcome of a diet can vary widely depending on the individual.

<span class="mw-page-title-main">Obesity</span> Medical condition in which excess body fat harms health

Obesity is a medical condition, sometimes considered a disease, in which excess body fat has accumulated to such an extent that it can potentially have negative effects on health. People are classified as obese when their body mass index (BMI)—a person's weight divided by the square of the person's height—is over 30 kg/m2; the range 25–30 kg/m2 is defined as overweight. Some East Asian countries use lower values to calculate obesity. Obesity is a major cause of disability and is correlated with various diseases and conditions, particularly cardiovascular diseases, type 2 diabetes, obstructive sleep apnea, certain types of cancer, and osteoarthritis.

<span class="mw-page-title-main">Junk food</span> Unhealthy food high in sugar or fat

"Junk food" is a term used to describe food that is high in calories from sugar and/or fat, and possibly sodium, making it hyperpalatable, but with little dietary fiber, protein, vitamins, minerals, or other important forms of nutritional value. It is also known as HFSS food. The term junk food is a pejorative dating back to the 1950s. Many different kinds of junk food can be easily found in most supermarkets and fast food restaurants. Because of such easy access to it, people are most likely to consume it.

<span class="mw-page-title-main">Diet (nutrition)</span> Sum of food consumed by an organism

In nutrition, diet is the sum of food consumed by a person or other organism. The word diet often implies the use of specific intake of nutrition for health or weight-management reasons. Although humans are omnivores, each culture and each person holds some food preferences or some food taboos. This may be due to personal tastes or ethical reasons. Individual dietary choices may be more or less healthy.

<span class="mw-page-title-main">Childhood obesity</span> Obesity in children

Childhood obesity is a condition where excess body fat negatively affects a child's health or well-being. As methods to determine body fat directly are difficult, the diagnosis of obesity is often based on BMI. Due to the rising prevalence of obesity in children and its many adverse health effects it is being recognized as a serious public health concern. The term overweight rather than obese is often used when discussing childhood obesity, as it is less stigmatizing, although the term overweight can also refer to a different BMI category. The prevalence of childhood obesity is known to differ by sex and gender.

A fat tax is a tax or surcharge that is placed upon fattening food, beverages or on overweight individuals. It is considered an example of Pigovian taxation. A fat tax aims to discourage unhealthy diets and offset the economic costs of obesity.

Nutrition transition is the shift in dietary consumption and energy expenditure that coincides with economic, demographic, and epidemiological changes. Specifically the term is used for the transition of developing countries from traditional diets high in cereal and fiber to more Western-pattern diets high in sugars, fat, and animal-source food.

Obesity in Mexico is a relatively recent phenomenon, having been widespread since the 1980s with the introduction of ultra-processed food into much of the Mexican food market. Prior to that, dietary issues were limited to under and malnutrition, which is still a problem in various parts of the country. Following trends already ongoing in other parts of the world, Mexicans have been foregoing the traditional Mexican diet high in whole grains, fruits, legumes and vegetables in favor of a diet with more animal products and ultra-processed foods. It has seen dietary energy intake and rates of overweight and obese people rise with seven out of ten at least overweight and a third clinically obese.

<span class="mw-page-title-main">Obesity in the United States</span> Overview of obesity in the United States of America

Obesity is common in the United States and is a major health issue associated with numerous diseases, specifically an increased risk of certain types of cancer, coronary artery disease, type 2 diabetes, stroke, and cardiovascular disease, as well as significant increases in early mortality and economic costs.

<span class="mw-page-title-main">Obesity in the United Kingdom</span> Overview of obesity in the United Kingdom

Obesity in the United Kingdom is a significant contemporary health concern, with authorities stating that it is one of the leading preventable causes of death. In February 2016, former Health Secretary Jeremy Hunt described rising rates of childhood obesity as a "national emergency". The National Childhood Measurement Programme, which measures obesity prevalence among school-age pupils in reception class and year 6, found obesity levels rocketed in both years groups by more than 4 percentage points between 2019–20 and 2020–21, the highest rise since the programme began. Among reception-aged children, those aged four and five, the rates of obesity rose from 9.9% in 2019–20 to 14.4% in 2020–21. By the time they are aged 10 or 11, more than a quarter are obese. In just 12 months, the rate is up from 21% in 2019–20 to 25.5% in 2020–21.

<span class="mw-page-title-main">Obesity in Germany</span> Overview of obesity in Germany

Obesity in Germany has been increasingly cited as a major health issue in recent years. The federal government has declared this to be a major issue.

Obesity in France is a growing health issue. Obesity in children is growing at a faster rate than obesity in adults.

<span class="mw-page-title-main">Obesity in the Middle East and North Africa</span> Overview of the causes for and prevalence of obesity in the Middle East and North African countries

Obesity in the Middle East and North Africa is a notable health issue. Out of the fifteen fattest nations in the world as of 2014, 5 were located in the Middle East and North Africa region.

<span class="mw-page-title-main">Criticism of fast food</span> Overview about the criticism of fast food

Criticism of fast food includes claims of negative health effects, animal cruelty, cases of worker exploitation, children-targeted marketing and claims of cultural degradation via shifts in people's eating patterns away from traditional foods. Fast food chains have come under fire from consumer groups, such as the Center for Science in the Public Interest, a longtime fast food critic over issues such as caloric content, trans fats and portion sizes. Social scientists have highlighted how the prominence of fast food narratives in popular urban legends suggests that modern consumers have an ambivalent relationship with fast food, particularly in relation to children.

<span class="mw-page-title-main">Sweetened beverage</span> Type of beverage

A sweetened beverage is any beverage with added sugar. It has been described as "liquid candy". Consumption of sweetened beverages has been linked to weight gain, obesity, and associated health risks. According to the CDC, consumption of sweetened beverages is also associated with unhealthy behaviors like smoking, not getting enough sleep and exercise, and eating fast food often and not enough fruits regularly.

Barry Michael Popkin is an American nutrition and obesity researcher at the Carolina Population Center and the W.R. Kenan Jr. Distinguished Professor of Nutrition at the University of North Carolina at Chapel Hill School of Public Health, where he is the director of the Global Food Research Program. He developed the concept of "nutrition transition". He is the author of over 650 journal articles and a book, The World is Fat, translated into a dozen languages.

<span class="mw-page-title-main">Obesity and the environment</span> Overview of environmental factors affecting the incidence of obesity

Obesity and the environment aims to look at the different environmental factors that researchers worldwide have determined cause and perpetuate obesity. Obesity is a condition in which a person's weight is higher than what is considered healthy for their height, and is the leading cause of preventable death worldwide. Obesity can result from several factors such as poor nutritional choices, overeating, genetics, culture, and metabolism. Many diseases and health complications are associated with obesity. Worldwide, the rates of obesity have nearly tripled since 1975, leading health professionals to label the condition as a modern epidemic in most parts of the world. Current worldwide population estimates of obese adults are near 13%; overweight adults total approximately 39%.

Nutrition is the intake of food, considered in relation to the body's dietary needs. Well-maintained nutrition includes a balanced diet as well as a regular exercise routine. Nutrition is an essential aspect of everyday life as it aids in supporting mental as well as physical body functioning. The National Health and Medical Research Council determines the Dietary Guidelines within Australia and it requires children to consume an adequate amount of food from each of the five food groups, which includes fruit, vegetables, meat and poultry, whole grains as well as dairy products. Nutrition is especially important for developing children as it influences every aspect of their growth and development. Nutrition allows children to maintain a stable BMI, reduces the risks of developing obesity, anemia and diabetes as well as minimises child susceptibility to mineral and vitamin deficiencies.

<span class="mw-page-title-main">Childhood obesity in Australia</span> Overview of childhood obesity in Australia

Obesity is defined as the excessive accumulation of fat and is predominantly caused when there is an energy imbalance between calorie consumption and calorie expenditure. Childhood obesity is becoming an increasing concern worldwide, and Australia alone recognizes that 1 in 4 children are either overweight or obese.

<span class="mw-page-title-main">Preventive nutrition</span> Branch of nutrition science

Preventive Nutrition is a branch of nutrition science with the goal of preventing, delaying, and/or reducing the impacts of disease and disease-related complications. It is concerned with a high level of personal well-being, disease prevention, and diagnosis of recurring health problems or symptoms of discomfort which are often precursors to health issues. Preventive nutrition may assist in prolonging the onset of non-communicable diseases and may allow adults to experience more "healthy living years" later in life. The need for preventive nutrition continues to grow as the overweight and obese population numbers steadily rise within the childhood to adult populous, as the numbers have increased over the last 40 years. To educate the public about preventive nutrition, each social structure has its own way of communicating what preventive nutrition is within its own society, this is done through either a public health forum, government programs and policies or nutritional education. In the United States, preventive nutrition is taught to the public through the use of the food pyramid or MyPlate initiatives.

References

  1. 1 2 3 4 MacLeod, Calum (1 August 2007). "Obesity of China's kids stuns officials". USA Today. Archived from the original on 3 April 2009. Retrieved 8 August 2009.
  2. "One third of global population overweight or obese according to new study". Archived from the original on 18 February 2019. Retrieved 2 March 2019.
  3. "www.who.int" (PDF). WHO. Archived (PDF) from the original on 13 July 2017. Retrieved 22 February 2009.
  4. Bell A.C., Ge K., Popkin B.M., The road to obesity or the path to prevention: motorized transportation and obesity in China. Obesity Research 2002: 10: 277-83.
  5. Motorized transportation, social status, and adiposity: the China Health and Nutrition Survey. Qin L, Stolk RP, Corpeleijn E.Am J Prev Med. 2012 Jul;43(1):1-10. doi: 10.1016/j.amepre.2012.03.022
  6. "Explosion in childhood obesity in China 'worst ever', expert says of new study findings". South China Morning Post. 27 April 2016. Archived from the original on 6 March 2019. Retrieved 2 March 2019.
  7. "Chinese concern at obesity surge". BBC. 12 October 2004. Archived from the original on 27 August 2007. Retrieved 8 August 2009.
  8. Patterson, Sky. "Obesity in China: Waistlines are Expanding Twice as Fast as GDP". US-China Today. Retrieved 22 April 2011.
  9. Hewitt, Duncan (23 May 2000). "China battles obesity". BBC. Archived from the original on 7 May 2004. Retrieved 8 August 2009.
  10. Wu, Yangfeng, Department of Epidemiology, Cardiovascular Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences, #167, Beilishilu, Xicheng, Beijing 100037, People's Republic of China
  11. Fuzhi Cheng (2007). "Nutrition Transition". Food Policy for Developing Countries: Case Studies. Archived from the original on 7 January 2014. Retrieved 7 January 2014.
  12. "EatSmart@school.hk". school.eatsmart.gov.hk. Archived from the original on 26 January 2019. Retrieved 17 March 2019.

Further reading