--- title: "Dietary pattern change and acculturation of Chinese Americans in Pennsylvania. | Sutter Health" description: "To obtain information about dietary pattern change of Chinese Americans in Pennsylvania and its relationship with demographic characteristics and acculturation indicators." url: "https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Dietary pattern change and acculturation of Chinese Americans in Pennsylvania. # Dietary pattern change and acculturation of Chinese Americans in Pennsylvania. Lv N & Cason KL. _J Am Diet Assoc. 104(5):771-8._ 2004-05-01 ## Abstract OBJECTIVE: To obtain information about dietary pattern change of Chinese Americans in Pennsylvania and its relationship with demographic characteristics and acculturation indicators. DESIGN: A cross-sectional self-administered survey. SUBJECTS: A convenience sample of 399 Chinese Americans. Statistical analyses performed t Tests, analysis of variance with Tukey post-hoc tests, Spearman rank correlation, and chi(2) test. RESULTS: After immigration, Chinese Americans increased consumption frequency of all seven food groups (grains, vegetables, fruits, meat/meat alternatives, dairy products, fats/sweets, and beverages) and Western foods while consumption frequency of traditional Chinese foods decreased. Dietary variety also increased after immigration. Higher education and higher income levels were associated with a larger increase in consumption frequency of grains, vegetables, and fruits. Persons who resided in the United States for a longer period of time shared a greater increase in their consumption frequencies of vegetables, fats/sweets, and beverages. Persons with better English proficiency had a greater increase in their consumption frequency of grains, fruits, meat/meat alternatives, and fats/sweets. CONCLUSIONS: This study can help nutrition educators design appropriate educational programs for first-generation Chinese Americans that can facilitate the adoption of more healthful dietary practices. Nutrition educators should consider the dietary changes of Chinese-American participants, such as skipping breakfast and increased consumption frequency of fats, sweets, and soft drinks, which were observed in this study. For example, acculturated first-generation Chinese Americans should be encouraged to decrease fats, sweets, and soft-drink consumption. Less-acculturated persons should be encouraged to maintain their healthful dietary pattern and increase consumption of vegetables and fruits. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/?term=lv%2C+cason+k) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Food and Nutrition](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Food+and+Nutrition%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Nutrition myths and healthy dietary advice in clinical practice.](https://www.sutterhealth.org/research/publications/nutrition-myths-dietary-advice-clinical-practice-1055312828) Lesser LI, Mazza MC, Lucan SC. Am Fam Physician. 91(9):634-8. 2015 May 01 - Publication ### [Festival foods in the immigrant diet.](https://www.sutterhealth.org/research/publications/festival-foods-in-the-immigrant-diet-1055312568) Azar KM, Chen E, Holland AT, Palaniappan LP J Immigr Minor Health. 15(5):953-60. doi: 10.1007/s10903-012-9705-4 2013 Oct 15 - Publication ### [Effect of pretreatment of food gluten with prolyl endopeptidase on gluten-induced malabsorption in celiac sprue.](https://www.sutterhealth.org/research/publications/prolyl-endopeptidase-gluten-malabsorp-celiac-sprue-1055312496) Pyle GG, Paaso B, Anderson BE, Allen DD, Marti T, Li Q, Siegel M, Khosla C, Gray GM. Clin Gastroenterol Hepatol. 3(7):687-94. 2005 Jul 01 - Publication ### [Use of dietary supplements among US adults with asthma.](https://www.sutterhealth.org/research/publications/dietary-supplements-adults-asthma-1055312968) Ma J, Xiao L. Nutr Dietary Suppl. 2011(3):9—18. 2011 Jan 12 - Publication ### [Low-dose gluten challenge in celiac sprue: malabsorptive and antibody responses.](https://www.sutterhealth.org/research/publications/gluten-challge-celiac-sprue-response-1055312499) Pyle GG, Paaso B, Anderson BE, Allen D, Marti T, Khosla C, Gray GM. Clin Gastroenterol Hepatol. 3(7):679-86. 2005 Jul 01 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Dietary pattern change and acculturation of Chinese Americans in Pennsylvania."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864#medicalscholarlyarticle","name":"Dietary pattern change and acculturation of Chinese Americans in Pennsylvania.","headline":"Dietary pattern change and acculturation of Chinese Americans in Pennsylvania.","abstract":"OBJECTIVE: To obtain information about dietary pattern change of Chinese Americans in Pennsylvania and its relationship with demographic characteristics and acculturation indicators. DESIGN: A cross-sectional self-administered survey. SUBJECTS: A convenience sample of 399 Chinese Americans. Statistical analyses performed t Tests, analysis of variance with Tukey post-hoc tests, Spearman rank correlation, and chi(2) test. RESULTS: After immigration, Chinese Americans increased consumption frequency of all seven food groups (grains, vegetables, fruits, meat/meat alternatives, dairy products, fats/sweets, and beverages) and Western foods while consumption frequency of traditional Chinese foods decreased. Dietary variety also increased after immigration. Higher education and higher income levels were associated with a larger increase in consumption frequency of grains, vegetables, and fruits. Persons who resided in the United States for a longer period of time shared a greater increase in their consumption frequencies of vegetables, fats/sweets, and beverages. Persons with better English proficiency had a greater increase in their consumption frequency of grains, fruits, meat/meat alternatives, and fats/sweets. CONCLUSIONS: This study can help nutrition educators design appropriate educational programs for first-generation Chinese Americans that can facilitate the adoption of more healthful dietary practices. Nutrition educators should consider the dietary changes of Chinese-American participants, such as skipping breakfast and increased consumption frequency of fats, sweets, and soft drinks, which were observed in this study. For example, acculturated first-generation Chinese Americans should be encouraged to decrease fats, sweets, and soft-drink consumption. Less-acculturated persons should be encouraged to maintain their healthful dietary pattern and increase consumption of vegetables and fruits.","description":"To obtain information about dietary pattern change of Chinese Americans in Pennsylvania and its relationship with demographic characteristics and acculturation indicators.","keywords":["Disease Management","Food and Nutrition"],"datePublished":"2004-05-01","url":"https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864","inLanguage":"en-US","isPartOf":{"@type":"Periodical","name":"J Am Diet Assoc"},"author":[{"@type":"Person","name":"Lv N"},{"@type":"Person","name":"Cason KL"}],"sourceOrganization":{"@type":"MedicalOrganization","name":"Palo Alto Medical Foundation Research Institute"},"about":[{"@type":"DefinedTerm","name":"Disease Management","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Disease+Management%22%5D%7D%5D&verticalKey=research_publication"},{"@type":"DefinedTerm","name":"Food and Nutrition","url":"https://www.sutterhealth.org/research-search-results?facets=%5B%7B%22i%22%3A%22c_researchTopics.name%22%2C%22v%22%3A%5B%22Food+and+Nutrition%22%5D%7D%5D&verticalKey=research_publication"}],"mainEntityOfPage":{"@type":"WebPage","@id":"https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864","breadcrumb":{"@id":"https://www.sutterhealth.org/research/publications/diet-changes-and-acculturation-chinese-ams-in-pa-1055312864#breadcrumblist"}}} ```