1. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 The Nutrition Transition and the Underweight/Overweight Household in China Colleen Doak Department of Nutrition, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA

2. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Nutrition Transition: Underweight Decreases as Overweight Increases Overweight and obesity Underweight and under-nutrition Nutrition Transition (Carlos Monteiro)

3. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002

4. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Methods: International Obesity Task Force BMI Reference for Chinese Children 2-18 years old  Overweight: 83% Sensitivity 99% Specificity compared to Must BMI reference, 85th percentile  Underweight: 99% Sensitivity 98% Specificity compared to Must BMI reference, 5th percentile  IOTF is based on the BMI percentile equivalent to adult BMI values for over and underweight

5. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Methods: Household Types OverUnderNormal Under/Over XXX Underweight XX Overweight XX Normal Weight X % 8.3% 26.4% 37.6% 27.6%

6. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Under/Over Households Differed from Underweight and Normal Weight Households by Urban Residence, Income, and Assets *Comparing under/over with the other household types, logistic results significant at.005 level

7. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Under/Over Households Differed from Underweight and Normal Weight Households by Diet *Comparing under/over with the other household types, logistic results significant at.05 level

8. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Methods: Main Pair Combinations Child 2-10 yrs Adolescent 10-18 yrs Adult 18-40 yrs Adult 40-60 yrs Child 2-10 yrs Adult 40-60 yrs UnderweightOverweightPercent 14% 23% 8% 17%

9. The Nutrition Transition Program The University of North Carolina at Chapel Hill Doak, Public Health Nutrition, Feb 2002 Main Pair Combinations Showed Few Significant Differences from Other Under/Over Households *Comparing under/over types with each other, logistic results significant at.05 level