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Deviation of Chinese Adults’ Diet from the Chinese Food Pagoda 2016 and Its Association with Adiposity

College of Economics and Management, China Center for Food Security Studies, Nanjing Agricultural University, Nanjing 210095, China
College of Economics and Management, Nanjing Agricultural University, Nanjing 210095, China
Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China
Author to whom correspondence should be addressed.
Nutrients 2017, 9(9), 995;
Received: 14 July 2017 / Revised: 18 August 2017 / Accepted: 6 September 2017 / Published: 8 September 2017
(This article belongs to the Special Issue Dietary Patterns, Diet Quality and Human Health)
PDF [670 KB, uploaded 11 September 2017]


Changing diet in China contributes to a raising prevalence of overweight and obesity. This study aimed to evaluate the dietary status of Chinese adults (20–59 years old) using the China Food Pagoda (CFP) proposed in the Chinese Dietary Guidelines 2016 (CDG), and investigate the association between adiposity and deviation of real diet from CFP using an ordered logistic regression. Results showed that the consumption of fruits, eggs, meat, and poultry increased significantly during 2004–2011, while the consumption of cereal, potatoes, and beans dropped down significantly during the same period (all p < 0.05). Meanwhile, great disparity was detected between real consumption and recommended intake in CFP. In particular, a deficient intake was found for milk and milk products, eggs, and fruit, while over-consumption was observed for cereal, potatoes and beans, meat and poultry, legumes and nuts, oil, and salt. In addition, over-consumption of cereal, legumes and nuts, and salt, as well as under-consumption of vegetables, and meat and poultry, were associated with a higher risk of having high body mass index (BMI), while lower consumption of cereal, potatoes and beans, eggs, and higher consumption of vegetables contributed to low hazard of overweight/obesity (all p < 0.05). The huge disparity between real consumption and the CFP calls for specific health education campaigns. View Full-Text
Keywords: dietary status; Chinese dietary guidelines; China food pagoda; adiposity; adults dietary status; Chinese dietary guidelines; China food pagoda; adiposity; adults

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Tian, X.; Huang, Y.; Wang, H. Deviation of Chinese Adults’ Diet from the Chinese Food Pagoda 2016 and Its Association with Adiposity. Nutrients 2017, 9, 995.

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