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Fat China

Fat China

Paul French | Matthew Crabbe

(2010)

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Book Details

Abstract

'Fat China' provides an in-depth analysis of the growing problem of obesity and body image in China as urban lifestyles change and a sizeable middle class emerges. Rising obesity rates are examined in relationship to changing diets, modern lifestyles, investment from foreign fast food and supermarket retailers and urban planning. Crucial to this analysis is the likely effects on China's future development and already overburdened healthcare system.


'‘Fat China’ looks at one aspect of the "economic miracle" that had previously escaped attention […] the growing rates of obesity on the mainland. [The] findings are startling.' —Mark O’Neill, ‘South China Morning Post’


'In this remarkably well researched and thought-provoking book, French and Crabbe expose a darker side of globalisation in China… Western multinationalists have submerged the Chinese consumer in a sea of chocolate and ice cream. The consequences for public health are incalculable.' —Tim Clissold, China investment specialist and author of ‘Mr China’


'The two authors open our eyes to the global phenomenon of obesity hitting China...the book ‘Fat China’ brilliantly shows this fast and sudden evolution of China, between the past generation and that of today.' —www.ma-grande-taille.com


'Authors Paul French and Matthew Crabbe have explored “how changing diets, modern lifestyles, investment from foreign fast food and supermarket retailers and urban planning” are lending China a very American problem.' —Evan Osnos, ‘The New Yorker’


Paul French is a founder and the Chief China Representative of Access Asia based in Shanghai. Access Asia specializes in providing information on China's economy and consumer/retail markets. He is the author of a number of books on China's history, development and current society.

As co-founder of Access Asia, Matthew Crabbe has been analysing the consumer economy of China for almost two decades. He has specialist knowledge about the development of China's consumer lifestyles, and the repercussions that such fast change has for Chinese people and society.


China's economy has boomed, but a potentially disastrous side effect - along with pollution and a growing income gap between urban and rural regions - is the effects obesity will have on the country's fragile healthcare system. Today's overweight in China can look to a mixed future of bright economic hopes for their country, and poor and deteriorating health for themselves. From a situation 20 years ago when diets were limited by food availability, and famine was still a recent memory, China's urban centres have seen alarmingly rising rates of obesity. Throughout the country an estimated 200 million people out of a total population of around 1.3 billion were overweight (over 15%).

Why is this issue so important? Taking into account that the recent period of stable world economic growth has in large part been driven by the availability of cheap labour in China, which produces much of the goods that keep the retail tills ringing elsewhere in the world, the issue of China's rising obesity is an issue of potentially global economic significance. Consider a scenario just a few years down the line, where there are so many overweight urban Chinese, suffering from obesity-related illness, that the government, in order to pay for increased healthcare treatments, has to raise the levels of income and other tax to pay for this huge and continual expense.

For more information please see the book website: http://fatchina.anthempressblog.com


‘This eye-opening and pioneering book on obesity in China is based on comprehensive research and statistical data. More important, the authors examine the health problem against global economic, sociocultural, and political backgrounds and in much broader contexts… Highly recommended.’ —A. Y. Lee, George Mason University, ‘Choice’


'When Deng Xiaoping said 'To get rich is glorious', he probably didn't realize that getting wealthy would make many Chinese fat... In an informative and entertaining style, French and Crabbe reveal the dark side of China's growing middle-class: a fast increase in obesity-related illnesses such as diabetes. A great read on an important topic.' —Andy Rothman, China economist, CLSA Asia-Pacific Markets, Shanghai


'While some people around the world agonize about the rapid spread of China’s global influence, others within China are more worried about the spread of the country’s waistlines – or at least they should be, according to this fascinating and exhaustively researched study by Paul French and Matthew Crabbe. By turns colourful, witty and alarming, this book provides fascinating insights into China’s fast-changing society.' —Duncan Hewitt, Shanghai correspondent for ‘Newsweek’ and author of ‘Getting Rich First: Life in a Changing China’

Table of Contents

Section Title Page Action Price
Front Matter iii
Half Title i
Title iii
Copyright iv
TABLE OF CONTENTS vii
LIST OF TABLES xi
PREFACE xiii
INTRODUCTION xvii
How Expanding Waistlines are Changing a Nation xvii
China Gets Fat xviii
Alarm Bells xxii
The Wider Implications xxvi
Chapter 1: CHINA GETS ON THE SCALES 1
Quantifying the Size of the Problem 1
Weighing the Nation 2
From Famine to Feast 8
Obesity and Children 10
China’s Obesity Epidemic 13
Chapter 2: CHINA’S FAT CLASS 17
Defining China’s Middle Class? 17
How Big is China’s Middle Class? 19
What About the Rest of China? 21
More Money – More Temptation to Eat 23
Chapter 3: FAT CITY – OBESITY AND URBANISATION 29
Living an Obeseogenic Life 29
Fat-Creating Cities 30
Instant Noodles, Instant Cities 33
Fat Flats 34
Parks and Privatized Space 36
The Rise of the Chinese Suburb 38
Is There a Link between Urbanization and Obesity? 41
Obese City or Healthy City? 43
Chapter 4: MEGA-WOK – CHINA’S DIET FROM CABBAGE TO CUISINE 45
Economies of Scale – More, More, More 45
Moving Up the Food Chain 49
Pork – The National Meat 51
Poultry – Chickens Die Younger in China Now 51
Eggs – Consumption Pattern May Change Due to Lifestyles 52
Beef – Eating Wealth 53
Rice and Grain – It Ain’t What it Used to Be 54
Potatoes – A Highly Productive Vegetable 55
Aquatic Produce – All the Fish in the Sea 56
Fruit and Vegetables – More Choice, More Availability 57
Dairy – Breaking Down Taboos 57
The Sectors Compared 59
Sugar – China’s Sweet Tooth 59
Salt – Goitres Down, Blood Pressure Up 63
Oils and Fats – The ‘Hidden Ingredients’ 65
Alcoholic Drinks – China’s Beer Belly 66
Soft Drinks – Fizzy China 69
The Hidden Dangers – MSG, Trans Fats and Interesterified Fats 70
Food Poisoning: Bad Practice 74
Going Green…Maybe 78
GM Foods – Frankenstein’s Kitchen? 80
And So in Today’s HFSS World… 81
Identifying the ‘Evil’ 82
Chapter 5: SHELVES OF FAT – FOOD RETAILING IN CHINA 83
Where Has All the Fresh Food Gone? 83
Busier Lifestyles – Changing the Way People Act 85
Shopping: China’s National Sport 87
Supermarket Sweep 91
Selling-Up the Farm 96
Problems of Distribution – Changing the Way Food is Supplied 99
Can Retailers Change the Chinese Diet for the Better? 101
Chapter 6: FAST FAT – THE IMPACT OF FAST-FOOD IN CHINA 105
The Fast Food Nation 105
Like Most Things, the Chinese Invented Fast Food! 107
The Colonel and the Clown: KFC and McDonald’s Compete for China 109
McDonald’s – Beefing Up 110
KFC – Chickening Out 115
Coffee and Pizza: Exotic Imports for an Eclectic New Consumer Class 117
Wonton ‘U’ Like – The Rise of Domestic Fast Food Chains 119
A Plethora of Fast-Food Choices 121
Supersized in China 123
How Much of the Obesity Problem is Related Directly to Fast-Food? 124
Chapter 7: SELLING FAT – PROMOTING FAT IN CHINA 129
Who Persuaded the Chinese that They Like Coffee? 129
Advertising and Obesity 133
Moves on Advertising 136
You Sold Us the Fat, Now Sell Us the Cure 138
Chapter 8: LITTLE FAT EMPERORS – OBESITY AMONG CHINA’S CHILDREN 139
One Family, One Child 139
The Six-Pocket Syndrome and Loaded Teens 143
Hong Kong Offers an Example 146
The Most Important Meal of the Day 147
School Lunches 148
Sport for All? 150
It’s Tough Being a Kid 154
Chapter 9: THE FAT AND THE THIN – CHINA’S BODY IMAGE 155
To Get Thin is Glorious 155
The Fat/Thin Contradiction 157
Wanted: Only the Pretty Need Apply 158
Diets and Dieting 160
Body Beautiful, Courtesy of the Surgeon 161
Suck Out the Fat 166
Pill Popping – Slimming Pills, Laxatives and Anorectics 168
Eating Disorders – Still a Taboo 170
Chapter 10: CHINA’S FAT CLINIC – THE IMPACT OF OBESITY ON CHINA’S HEALTHCARE SYSTEM 173
The Pressures on the Healthcare System 173
Confucian Notions of Protection 175
Nobody to Tell You You’re Obese 177
‘Basically a Failure’ – The Need to Rethink 178
The Dilemma of Reform – Between a Rock and a Hard Place 179
Insuring the Obese 181
The Core Conditions 187
The Cost of Obesity – The Available Evidence 191
Take the Evidence, and Multiply That by China 194
What are the Potential Costs of Obesity to China? 196
Can the Cost be Reduced? 199
Beijing and Big Pharma 201
Nutrition and Nutritionists 203
The Cost of Failure 204
End Matter 211
Conclusion: THE FUTURE OF FAT CHINA – VICTIMS OF THEIR OWN SUCCESS? 207
Lifestyle – The New Threat 207
NOTES 211
ACKNOWLEDGEMENTS 217
INDEX 219