The
Asian Diet
The
Asian Diet as described here represents a cultural model for healthy eating. Its
design is based on: - (a)
observations and epidemiological studies of dietary patterns in Asia linking nutrition
and chronic disease patterns;
- (b)
results of current experimental research worldwide; and
- (c)
epidemiological studies linking nutrition and chronic disease patterns in other
regions of the world, especially the Mediterranean.
In
some instances, healthy traditional dietary patterns are in decline in Asia (the
proliferation of fast food hamburger restaurants in Japan and China are symptomatic).
Increasing industrialization and urbanization have led to increasing wealth and
a tendency to pursue diets higher in foods of animal origin. These trends are
closely followed by increasing rates of cancer, heart diseases, and other diseases
which chiefly affect Western populations. In other instances, Asian dietary trends
have enhanced the health status of the region, as in the case of Japan where variety
in the diet has increased over the last several decades, consumption of fresh
fruits and vegetables has risen and the use of highly salted and pickled foods
has declined. Often these positive and negative trends co-exist, making the task
of establishing diet and health links more challenging.
This pyramid
together with these accompanying notes should be considered preliminary and subject
to revision. They are intended to stimulate further thinking and dialogue worldwide
about what constitutes healthy diets, and how we can learn from the Asian experience.
An
Abundance of Plant Foods
In
traditional Asian diets, plant food contributes the core of the daily intake,
whereas food from animals is more peripheral. Plant-based foods commonly consumed
in Asia include rice and other grains, noodles, flatbreads, potatoes, fruits and
vegetables (including sea vegetables), nuts, seeds, beans, various soy foods,
other legumes, vegetable and nut oils, herbs and spices, and plant-based beverages
including tea, wine and beer.
This
diet, when consumed in sufficient amounts, provides all of the known essential
micronutrients (i.e., vitamins and minerals), fiber and other plant food substances
believed to promote health. Because these substances are numerous and complex,
are found in differing proportions in food, and interact in ways that are incompletely
understood, virtually all contemporary dietary guidelines around the world emphasize
a large and varied intake of these foods.
Minimal
processing and freshness of foods would be expected to maximize contents of dietary
fiber, antioxidants, other micronutrients, and nonnutritive substances found in
foods from plants.
Low
Saturated and Total Fat
The
healthy Asian diet is characteristically low in both saturated and total fat.
Future
research is needed to clarify the impacts on health of the highly saturated fats
and oils (e.g. coconut and palm oils and ghee) which are used in some Asian culinary
traditions.
In
comparing the Asian and Mediterranean diets, two notable cultural models for healthy
eating, research suggests that both diets benefit from being low in saturated
fat and high in plant-based foods. However, since the Mediterranean diet is not
also low in total fat, future research needs to clarify what independent value,
if any, the Asian diet may provide by being low in total fat as well (i.e., over
and above the value of being low in saturated fat and plant-based).
Absence
of Dairy Products, Except in India
Dairy
products such as milk and cheese are generally absent in the diets of East and
South Asia. The major exception to this is India, where moderate amounts of dairy
foods are consumed in various forms including yogurt and simple cheese.
This general lack
of dairy products in the diet may raise concerns in the United States and Europe
where dairy foods are well regarded for their calcium and are thought by many
to inhibit the development of osteoporosis. However, the plant-based, dairy-free
diets of much of Asia are associated with low incidence of osteoporosis. In fact,
it is in the diets of Western countries where calcium intake in the form of dairy
products is the highest that osteoporosis is the highest.
Dairy
foods should be considered optional in an Asian-style diet. If consumed, they
should be generally low fat and used in low to moderate amounts.
Fish
in Low to Moderate Amounts
Fish
is generally consumed in low to moderate amounts in Asia, except in those areas
where fish is not available or vegetarian traditions prevail. Current research
suggests that weekly consumption of low to moderate amounts of fish would be compatible
with excellent health, though such consumption should be considered optional in
an Asian-style diet. It is imporant to note the wide variations in consumption
of fish and seafood in traditional Asian diets between large land mass areas,
such as the interior of China, Korea and India, and the seacoast and island areas,
where fish is a daily staple.
Poultry
and Eggs Used in Low Amounts; Red Meat Used Sparingly
Traditional
Asian diets included food from land animals in limited amounts. Evidence increasingly
supports a positive association between moderate to high consumption of meat --
especially red meats such as beef and pork -- and the incidence of chronic diseases
such as coronary heart disease and some cancers. Meat contains no dietary fiber
and virtually no antioxidant nutrients; its energy displaces that from plant foods
that do contain these essential nutrients.
Generations
of home cooks in Asia have developed healthy, highly palatable recipes and techniques
to flavor large amounts of plant-based food -- noodles, rice, vegetables, fruit,
legumes, nuts and seeds -- with very small amounts of meat and other food from
animal sources. In much of Asia this flavor is supplied by as little as one ounce
or less of meat per person per day.
In
other parts of Asia, most notably India, cooks have created healthy, appealing
vegetarian traditions that use no meat to flavor dishes, but rather utilize various
spices to create flavor and excitement in their meals. Current experimental and
epidemiological research continues to confirm the healthfulness of vegetarian
diets that emphasize variety and are adequate in energy intake.
Tea,
Wine, Beer and other Alcoholic Beverages Enjoyed in Moderation
Recent
research on black and green tea, with their various antioxidants, suggests this
Asian tradition may contribute to the low rates of certain chronic diseases in
the region.
Japan
and other Asian countries consume wine, beer and other alcoholic beverages on
a moderate per capita basis. Experimental research as well as research on the
Mediterranean diet suggest that this also may be a healthy Asian habit when practiced
in moderation.
From
a contemporary public health perspective, alcoholic beverages should be avoided
whenever consumption would put an individual or others at risk, such as during
pregnancy or before driving. Alcoholic beverages are considered optional in Asian-style
diets, and individuals should make personal decisions about alcoholic beverage
consumption based on many factors, including family history and other health and
social considerations.
Physical
Activity and Other Lifestyle Factors
Regular
physical activity and other lifestyle factors -- such as the social support and
pleasure that accompanies the sharing of food with family and friends -- may also
contribute to the high adult life expectancy and low chronic disease rates found
in many parts of Asia.
Definition
of "Asia"
"Asia"
represents an enormous land mass that contains a large variety of peoples, cultures
and cuisines. The Healthy Traditional Asian Diet Pyramid was inspired by the cuisines
of South and East Asia, including such countries as China, Japan, South Korea,
India, Thailand, Vietnam, Cambodia, Indonesia, Malaysia, Philippines, and other
related Pacific Rim areas.
Page
and graphic from The OldWays Preservation and
Exchange Trust.
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