Resources / Around the World in 80 Diets

Around the World in 80 Diets · Chapter 4 of 8

Asia

India, China, Japan, Okinawa, Korea, the Philippines, Thailand and Vietnam: rice, fermented foods, fresh herbs, and how modern changes have shaped health.

No. 33Indian Diet

India and Indian communities worldwideCulturalEveryday family eating, heritage

Not one diet but many; India is a subcontinent, not a set menu. The north eats wheat breads such as roti; the south and east eat rice, plus dosa and idli made from fermented rice and lentil batter. Meals bring together dal (lentils), vegetables, yogurt and spices such as turmeric, cumin and ginger, often cooked in ghee, mustard oil or coconut oil. Many Hindu and Jain households are vegetarian; others eat chicken, mutton, fish or eggs.

Strengths

  • Home cooking is built on whole foods (lentils, vegetables, yogurt, spices), with fiber to spare.
  • Dal with rice or roti is protein on a budget, and idli, dosa and homemade yogurt are fermented foods people eat every day.
  • Turmeric has been studied for anti-inflammatory effects, though the evidence at food amounts is limited. Enjoy it in the curry and skip the miracle headlines.

Watch out for

  • South Asians face a higher risk of type 2 diabetes and heart disease, often at lower body weights and younger ages. A "normal" number on the scale does not rule this out.
  • Modern diets lean on white rice, maida (refined wheat), fried snacks like samosas, sweets like jalebi, and chai with more sugar than tea.
  • Vanaspati (a hydrogenated fat) and refined seed oils have replaced ghee in many kitchens and most street food. Progress, they called it.
  • Vegetarians who eat little dairy can run low on vitamin B12, and iron deficiency is common, especially in women.

Eating well within it

  • Fill half the plate with sabzi (vegetables) and dal, a quarter with rice or roti, and add yogurt or raita.
  • Swap some white rice for millets (ragi, jowar, bajra), and use whole wheat atta instead of maida.
  • Healthier favorites: chana masala with extra vegetables, tandoori chicken instead of butter chicken, roasted chana instead of fried namkeen, and less sugar in the chai.

Possible supplement needs

Vitamin B12 for vegetarians who eat little dairy or eggs (essential for vegans). Vitamin D and iron are worth checking.

Who should be careful

People with diabetes or prediabetes (rice, roti and sweets). People with celiac disease: northern staples use wheat, and hing (asafoetida) is often mixed with wheat flour, a sneaky place for gluten to hide.

No. 34Chinese Diet

China and Chinese communities worldwideCulturalEveryday family eating, balance

China has many regional cuisines, from mild Cantonese steamed dishes to Sichuan cooking that sets your eyebrows on fire. Broadly, the south eats rice and the north eats wheat as noodles, buns and dumplings. A traditional meal pairs the grain with shared dishes of vegetables, tofu, pork or fish, often with soup and tea. Traditional Chinese medicine sees food as part of health, describing foods as "warming" or "cooling" and seeking balance.

Strengths

  • Home meals are vegetable-heavy, with meat often used in small amounts for flavor, more seasoning than star.
  • Steaming, stir-frying and slow-simmered soups use whole ingredients with little added sugar.
  • Tofu gives affordable protein, and unsweetened tea is the everyday drink for many (no corn syrup required). Food-as-medicine habits encourage self-care, though most specific claims are untested.

Watch out for

  • American-Chinese takeout (General Tso's chicken, sweet-and-sour pork, egg rolls) is deep-fried, sugary and oversized, very unlike home cooking in China. Your fortune cookie will not mention this.
  • Sodium is high from soy sauce, oyster sauce, pickles and seasoning powders. MSG, the usual suspect, has less sodium than table salt and is considered safe by the FDA; the sauces supply most of the salt.
  • Diabetes has risen sharply as diets shifted toward white rice, refined noodles, oil, meat and sugar. China now has more adults with diabetes than any other country.
  • Many Chinese adults are lactose intolerant, so calcium can run low.

Eating well within it

  • Choose steamed dishes, clear soups and stir-fried greens (bok choy, gai lan) over anything battered and fried.
  • Use reduced-sodium soy sauce, and build flavor with ginger, garlic, scallions, black vinegar and chili. They do the heavy lifting without the salt bill.
  • Mix brown rice or millet into white rice, and keep it a smaller portion than the vegetables.
  • Healthier favorites: steamed vegetable or chicken dumplings, steamed fish with ginger, and stir-fried tofu with greens.

Possible supplement needs

Calcium and vitamin D if dairy rarely shows up on the table.

Who should be careful

People with high blood pressure, heart failure or kidney disease (sodium). People with celiac disease, since most soy sauce contains wheat, which surprises a lot of people.

No. 35Japanese Diet

JapanCulturalLongevity, heart health

Washoku, the traditional Japanese way of eating, was listed by UNESCO as an Intangible Cultural Heritage in 2013. Not many cuisines have that on their résumé. A classic meal follows "ichiju sansai," one soup and three dishes: rice and miso soup with fish and small sides of vegetables, seaweed, tofu or natto (fermented soybeans), plus pickles and green tea. Portions are modest; "hara hachi bu" means eating until you are about 80 percent full, a phrase the all-you-can-eat buffet has never heard.

Strengths

  • Japan has one of the world's longest life expectancies. Researchers believe diet is one reason, along with health care and active daily life.
  • Rich in fish (omega-3 fats), soy, seaweed, vegetables and fermented foods like miso and natto.
  • Many foods per meal, small portions, little added sugar, and unsweetened green tea instead of a vase-sized soda.

Watch out for

  • Traditional food is salty (miso, soy sauce, pickles, salted fish). Japan has long had high rates of stroke and stomach cancer; salt and a common stomach infection (H. pylori) are thought to contribute.
  • White rice is the main staple, which matters for blood sugar.
  • Modern diets include more meat, bread, fried food and convenience-store meals. Western sushi rolls often pile on mayonnaise, cream cheese and tempura, a long way from ichiju sansai.
  • Kombu is extremely high in iodine, and hijiki can contain arsenic; some governments advise limiting it.

Eating well within it

  • Keep the structure: rice, soup, a protein and two vegetable sides, and stop at hara hachi bu, not at "I need to lie down."
  • Use reduced-sodium soy sauce and miso, and go easy on pickles.
  • Mix barley (mugi gohan) or brown rice into white rice.
  • Choose sashimi, grilled fish and nimono (simmered dishes) over tempura and specialty rolls.

Possible supplement needs

Usually few. Vitamin D if fish and sun are both in short supply.

Who should be careful

People taking warfarin should avoid natto, which is very high in vitamin K and works against the drug. Also people with high blood pressure or thyroid conditions, and pregnant women, who should avoid raw fish and limit high-mercury tuna.

No. 36Okinawan Diet

Okinawa, Japan (traditional, mid-1900s)CulturalLongevity, healthy aging

The traditional diet of Okinawa, islands in southern Japan, as eaten in the mid-1900s. The main food was sweet potato (purple and orange), not rice, along with green and yellow vegetables, bitter melon (goya), tofu, seaweed and some fish. Pork was prized but eaten mostly at festivals, slow-cooked with the fat skimmed off. Elders practiced "hara hachi bu," eating until about 80 percent full, which is portion control without an app.

Strengths

  • Okinawa became famous for its centenarians and is one of the original Blue Zones described by Dan Buettner. The Okinawa Centenarian Study found low rates of heart disease and some cancers among elders.
  • High in vegetables and fiber, low in sugar and refined grains.
  • Eating to 80 percent full kept calories modest without counting a single one.

Watch out for

  • The diet partly reflected poverty and scarcity, and was low in protein and fat. Long life also came from hard physical work and strong social ties (moai groups). Food was only part of the story.
  • After World War II, American bases brought Spam, fast food, white bread and soda, not the most useful exports. Champuru (stir-fry) is now often made with Spam and plenty of oil.
  • Today's Okinawans no longer lead Japan in longevity, and Okinawa has some of Japan's highest obesity rates. What is eaten there now is not the diet that made it famous.
  • Some "Okinawa diet" books and products add ideas that were never part of the tradition. Marketing travels faster than sweet potatoes.

Eating well within it

  • Make sweet potatoes, especially purple ones, a regular staple in place of some white rice or bread.
  • Cook goya champuru with tofu and egg instead of Spam. The goya won't miss it.
  • Eat plenty of seaweed, tofu, greens and fish.

Possible supplement needs

Vitamin B12 if little fish, meat or eggs are eaten. Vitamin D if sun exposure is low.

Who should be careful

People who need more protein (older adults losing muscle, athletes, pregnant women) should not copy the low-protein traditional pattern, which was shaped by scarcity, not by choice. People with diabetes may need to watch sweet potato portions.

No. 37Korean Diet

Korea and Korean communities worldwideCulturalEveryday family eating, gut health

A traditional Korean meal (hansik) centers on rice, a soup or stew (guk or jjigae) and many small shared side dishes called banchan, such as kimchi, seasoned vegetables (namul), tofu and fish. Probably more little bowls than your cupboard holds. Fermented foods are central: kimchi, plus pastes such as doenjang (soybean paste), gochujang (red chili paste) and ganjang (soy sauce). Grilled meats like bulgogi and samgyeopsal (pork belly) are popular today, though meat was once eaten less often.

Strengths

  • One meal often includes many different vegetables, giving a wide range of fiber and plant nutrients. Variety, served in small bowls.
  • Unpasteurized kimchi contains live bacteria. Supporters say fermented foods aid digestion, though research on specific benefits is limited.
  • Grilled meat is often wrapped in lettuce or perilla leaves (ssam) with garlic, a salad sneaking in through the side door.

Watch out for

  • Sodium is very high from kimchi, salted fish, pastes and soups. Korea has a history of high stomach cancer and blood pressure rates, and the government has run campaigns to cut salt.
  • White rice has largely replaced the mixed-grain rice (japgokbap) common in the past.
  • Charring meat creates compounds linked to cancer in laboratory studies. Those crispy edges come with fine print.
  • Soju is often part of work and social dinners, which can lead to heavy drinking. Modern diets add fried chicken, instant ramyeon and sugary drinks, the global junk-food trio.

Eating well within it

  • Load up on namul and vegetable banchan; take smaller portions of kimchi and salted fish.
  • Choose japgokbap made with brown rice, barley or beans.
  • Eat the vegetables and tofu in soups, leave some broth in the bowl, and go lighter on gochujang and ganjang.
  • Healthier favorites: bibimbap with extra vegetables, doenjang jjigae with tofu and zucchini, and grilled fish some nights instead of pork belly.

Possible supplement needs

Calcium and vitamin D, since dairy is not traditional.

Who should be careful

People with high blood pressure, kidney disease or heart failure (sodium), and anyone who should limit alcohol. Some people with histamine sensitivity react to fermented foods, kimchi included.

No. 38Filipino Diet

The Philippines and Filipino communities worldwideCulturalEveryday family eating, heritage

Filipino food blends native island cooking with Spanish, Chinese and American influences, and you can taste all three. Rice is eaten at nearly every meal, breakfast included, with fish, pork, chicken, vegetables and coconut. Signature dishes include adobo (meat braised in vinegar, soy sauce, garlic and bay leaf), sinigang (sour tamarind soup), pancit (noodles), lumpia and lechon (whole roast pig) for celebrations. Meals are shared generously.

Strengths

  • Traditional cooking uses plenty of fish, vegetables such as kangkong (water spinach), malunggay (moringa) and squash, and coconut, a traditional fat.
  • Tinola (chicken ginger soup with green papaya), sinigang made with fish, and vegetable dishes are nourishing and vegetable-rich: comfort in a bowl.
  • Vinegar, calamansi, ginger and garlic give big flavor without a spoonful of added sugar.

Watch out for

  • Modern diets are salty (soy sauce, fish sauce, bagoong shrimp paste), and studies find high rates of high blood pressure among Filipinos and Filipino Americans.
  • Processed meats are everyday foods: Spam, hotdogs, corned beef, sweet longganisa and tocino, often in "silog" breakfasts with garlic fried rice. Breakfast of champions it is not.
  • Sugar comes from soft drinks, sweet breads (ensaymada), sweet-style spaghetti and desserts like halo-halo. Even the spaghetti has a sweet tooth.
  • Large rice portions and deep-fried dishes (lechon kawali, crispy pata) are common.

Eating well within it

  • Fill the plate with gulay (vegetables): ginisang kangkong (water spinach sautéed with garlic), and extra vegetables in fish sinigang and chicken tinola.
  • Make adobo with skinless chicken or fish, less soy sauce, more vinegar and garlic, and skim the fat. The vinegar carries the flavor anyway.
  • Eat one cup of rice instead of two, or mix in brown or red rice; choose water or salabat (ginger tea) over soft drinks.
  • For breakfast, try eggs with grilled bangus (milkfish) and tomatoes instead of hotdogs or tocino.

Possible supplement needs

Usually few with a varied diet. Calcium and vitamin D if dairy and sun are limited.

Who should be careful

People with high blood pressure, kidney disease or diabetes (salt, sugar and rice). People prone to gout may need to limit organ meats, shellfish and sugary drinks.

No. 39Thai Diet

ThailandCulturalEveryday eating, heritage

Thai cooking aims to balance sweet, sour, salty and spicy across a meal, a juggling act that keeps every bite interesting. Rice is the center: jasmine rice in most regions and sticky rice in the north and northeast (Isan). It comes with shared dishes rich in fresh herbs (lemongrass, galangal, makrut lime leaves), vegetables, fish, chilies, fish sauce and coconut milk. Signature dishes include tom yum soup, green curry, larb (minced meat salad with herbs) and som tam (green papaya salad).

Strengths

  • Fresh herbs, chilies, garlic and lime give bold flavor, and many dishes are full of vegetables. Who needs a flavor packet?
  • Tom yum, larb and som tam are light and lean, and fish is a common protein.
  • Coconut milk is a traditional whole-food fat, not something dreamed up in a lab.

Watch out for

  • Sodium is high from fish sauce, shrimp paste and seasoning powders, and sugar is added to many dishes and sauces.
  • Street food is everywhere, but much of it is fried or sweet, like Thai iced tea with condensed milk, which is closer to dessert than tea.
  • Pad Thai and many Thai restaurant dishes abroad are high in sugar, oil and refined noodles. Rich coconut curries add up in large portions.
  • White jasmine and sticky rice are refined staples, and obesity and diabetes have risen in Thailand as diets modernized.

Eating well within it

  • Choose clear soups, salads, grilled fish and stir-fried vegetables over fried dishes and noodles.
  • Ask for less sweet ("waan noi") and less fish sauce; add lime, herbs and chili instead. Two little words, a lot less sugar.
  • Try brown or riceberry rice, and keep rice a smaller share of the plate.
  • Healthier favorites: curry with more vegetables and half the coconut milk replaced by broth; pad Thai with chicken or tofu, extra bean sprouts and less sugar.

Possible supplement needs

Calcium, since dairy is not traditional. Vitamin B12 for anyone keeping a strict vegetarian (jay) diet over the long term.

Who should be careful

People with high blood pressure or diabetes, and people with peanut or shellfish allergies. Raw freshwater fish dishes, such as koi pla in the northeast, can carry liver flukes, an ingredient nobody ordered.

No. 40Vietnamese Diet

Vietnam and Vietnamese communities worldwideCulturalEveryday eating, light and fresh meals

Vietnamese cooking is known for fresh herbs, light broths and balanced flavors, with Chinese and French influences (hello, baguette). Rice is the staple, eaten steamed or as rice noodles and rice paper, with vegetables, fish, pork, chicken and a plate of raw herbs (mint, Thai basil, perilla) that is practically a salad. Most meals come with nuoc cham, a dipping sauce of fish sauce, lime, chili and sugar. Signature dishes include pho (beef or chicken noodle soup), goi cuon (fresh spring rolls), bun (vermicelli bowls) and banh mi.

Strengths

  • Generally light: raw herbs and vegetables, broth-based soups, and grilled proteins rather than heavy sauces.
  • Pho broth is traditionally simmered for hours from bones and whole spices. No bouillon cube would dare.
  • Fresh spring rolls wrap herbs, noodles and fish, chicken or tofu in rice paper with no frying at all.

Watch out for

  • Pho broth, fish sauce and nuoc cham are high in sodium, and hoisin and sriracha pile on more salt and sugar.
  • Rice noodles, rice paper, white rice and baguettes are refined starches, and restaurant portions are large.
  • Ca phe sua da (iced coffee with sweetened condensed milk) and sweet desserts like che add a lot of sugar. That coffee is dessert in a glass.
  • Fried spring rolls (cha gio) and sugar-caramelized dishes (ca kho, thit kho) are common.

Eating well within it

  • At a pho shop, ask for extra herbs, bean sprouts and lime, go light on hoisin, and leave some broth.
  • Choose fresh rolls over fried, and bun bowls with plenty of greens and grilled chicken, beef or tofu.
  • Use nuoc cham as a dip, not a pour, and make it at home with less sugar.
  • Order coffee with less condensed milk, or try ca phe den (black coffee), the old-school wake-up call.

Possible supplement needs

Calcium and vitamin D, since dairy is not traditional. Vitamin B12 for strict Buddhist vegetarians.

Who should be careful

People with high blood pressure, kidney disease or heart failure (sodium), and people with diabetes (refined noodles, sweet coffee). People with celiac disease, since banh mi and hoisin both contain wheat.

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