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Why Do Chinese Not Drink Milk? Explaining Cultural and Biological Factors

4 min read

According to the US National Library of Medicine, up to 92% of adults in China suffer from lactose malabsorption, a key factor behind historically low dairy consumption. Beyond biology, a confluence of deep-seated cultural, historical, and dietary factors has shaped China's complex relationship with milk, although consumption has been rising in recent decades.

Quick Summary

Investigate the primary biological and cultural reasons behind low dairy consumption in China, including widespread lactose intolerance, the traditional use of cattle for labor, and alternative protein sources. The synopsis examines how historical and modern trends, like Western influence, affect shifting dietary patterns and the growing dairy market.

Key Points

  • Lactose Intolerance: Up to 92% of Chinese adults have lactose malabsorption, meaning their bodies struggle to digest the main sugar in milk, which can cause discomfort.

  • Agricultural History: Historically, cattle were used for plowing fields and labor in China's agrarian society, making them too valuable to raise for dairy production.

  • Cultural Perception: For centuries, milk was considered a food of nomadic outsiders by many Han Chinese and was not part of the traditional cuisine.

  • Rise of Alternatives: Indigenous alternatives like soy milk have been staples for over 2,000 years and remain popular today, providing protein and calcium without the digestive issues of dairy.

  • Modern Health Trends: Government campaigns and increasing Western influence have promoted dairy for health, leading to a recent surge in consumption, especially yogurt and shelf-stable milk.

  • Evolving Market: The Chinese market is seeing rapid growth in plant-based milk alternatives and a wider variety of low-lactose or lactose-free dairy options to cater to consumers.

In This Article

For centuries, milk was not a staple in the traditional Chinese diet. The reasons for this are a blend of biological predispositions, cultural values, and agricultural history. While modern-day China is seeing a significant increase in dairy consumption, understanding the historical context reveals a complex and fascinating story.

The Biological Barrier: High Rates of Lactose Intolerance

Perhaps the most significant and straightforward reason is the high prevalence of lactose intolerance among East Asian populations.

  • Genetic predisposition: Lactose intolerance is the inability to digest lactose, the main sugar in milk, due to a deficiency of the enzyme lactase. While all human infants produce lactase, its production typically declines after weaning. A genetic mutation for 'lactase persistence,' which allows adults to continue digesting milk, is common in populations with a history of pastoralism, such as Northern Europeans. This mutation is far less common in East Asian populations.
  • Unpleasant symptoms: For those with lactose malabsorption, consuming dairy can cause uncomfortable gastrointestinal issues like bloating, gas, cramps, and diarrhea. These symptoms naturally discourage regular milk consumption.

Historical and Cultural Context

Beyond biology, centuries of cultural and historical practices cemented milk's exclusion from the daily diet for most of the population.

The Role of Agriculture and Livestock

China has historically been an agricultural society focused on crop cultivation, particularly rice and millet, rather than pastoralism.

  • Cattle as laborers: In the traditional agricultural system, cattle and water buffalo were highly valued as working animals for plowing fields, not as a source of food or milk. Their primary value was in the labor they provided, making it economically inefficient to consume their milk.
  • Limited grasslands: Much of China's fertile land was dedicated to farming crops to feed a large, settled population. There was less incentive to develop a dairy-based livestock culture compared to nomadic, pastoral societies like the Mongols, who have a long history of dairy consumption.

Philosophical and Medicinal Perceptions

Traditional Chinese Medicine (TCM) and cultural beliefs also influenced perceptions of milk.

  • Traditional Medicine views: In some TCM schools of thought, milk was considered a medicinal substance rather than a daily dietary item. It was used sparingly for specific purposes, often reserved for the very young or the very old.
  • Cultural association with 'barbarians': In ancient times, the consumption of milk and beef was sometimes associated with the nomadic "barbarian" tribes to the north. This social stigma further discouraged the Han Chinese, the country's majority ethnic group, from adopting dairy products.

The Modern Shift: Increasing but Still Low Consumption

In recent decades, urbanization and Western influence have spurred a dramatic increase in China's dairy consumption, though per capita intake remains low compared to the global average.

Reasons for the modern increase:

  • Growing health awareness: The government and public health campaigns have promoted milk for its nutritional benefits, particularly for calcium.
  • Western influence: The popularity of Western foods like pizza, coffee culture, and milk tea, especially among younger generations, has introduced dairy into new contexts.
  • Product innovation: Companies offer a wider range of dairy products, including UHT (ultra-high-temperature) milk, which has a long shelf life suitable for areas with limited refrigeration, and lactose-free options.

Dairy Milk vs. Plant-Based Alternatives

Feature Traditional Dairy Milk in China Traditional Plant-Based Milk (e.g., Soy Milk)
Historical Use Limited to specific regions or medicinal purposes; often seen as foreign. Staple beverage for over 2,000 years, deeply integrated into cuisine.
Availability Historically limited due to lack of pastoral land and refrigeration. Widely available and affordable, often sold by street vendors for breakfast.
Digestion High prevalence of lactose intolerance causes discomfort for most adults. Naturally lactose-free, making it easily digestible for a vast majority.
Cultural Perception Historically associated with nomadic cultures; more recently seen as a health supplement. Long-standing cultural tradition; perceived as a familiar and wholesome food.
Modern Popularity Increasing, especially with Western food trends and health marketing. Steadily popular, with new plant-based options like oat and almond milk gaining ground.

Conclusion: A Complex Story of Adaptation and Change

The long-standing reasons why Chinese not drink milk are rooted in a combination of biological realities, historical agricultural practices, and cultural norms. The widespread genetic predisposition to lactose intolerance made dairy consumption uncomfortable for a majority of the population. Concurrently, the use of cattle for fieldwork rather than milk production, combined with cultural views associating dairy with nomadic peoples, further suppressed its integration into the mainstream diet.

However, this narrative is not static. China's rapid economic development, urbanization, and exposure to global food trends have significantly altered dietary habits. Today, dairy products are increasingly consumed for their perceived health benefits, and companies are adapting by offering lactose-free and plant-based alternatives. The history of Chinese milk consumption is a powerful example of how deep-seated biological and cultural factors can influence a national diet, and how modern forces can drive profound change.

For more on how culture and biology interact to shape dietary habits, visit the National Center for Biotechnology Information.

Frequently Asked Questions

No, while lactose intolerance is a major biological factor, cultural, historical, and agricultural reasons have also contributed significantly to low dairy consumption. These include the traditional use of cattle for farm labor and cultural norms that historically viewed dairy as a food for nomadic peoples.

Dairy consumption in ancient China was not widespread but did exist, particularly among nomadic groups like the Mongols. In certain historical periods, especially during the Tang dynasty, dairy products like yogurt and cheese were consumed by the elite, but they did not become a staple for the majority of the population.

Traditional Chinese diets obtained calcium from other sources, including leafy green vegetables, tofu and other soy products, and small fish consumed with bones.

Yes, milk consumption in China has been on the rise for decades due to increased incomes, government promotion of dairy for health, and Western culinary influence. However, per capita consumption still remains well below the global average.

Dairy alternatives, particularly soy milk, are extremely popular in China and have been for centuries. Other options like oat milk and nut milks are also gaining significant traction, especially among younger, health-conscious consumers.

Not all Chinese people are lactose intolerant, but the genetic predisposition is very high within East Asian populations, with some studies suggesting a prevalence of over 90% in adults. Many may experience symptoms only with larger quantities of milk.

The Chinese government has actively promoted dairy consumption through dietary guidelines and public health campaigns to address nutritional deficiencies, particularly for calcium. This has driven market growth and shifted attitudes towards dairy.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.