Much of it is malnutrition.
If you look at the typical chinese menu of families in China many years ago, the diet consisted of boiled vegetables (that are later stir fryed), white rice and very little meat.
There are barely any vitamins left in boiled vegetables. White Rice is all carbs without the whole grains for fiber. Tofu, arguably, is only a partial protein. It doesn't form a full protein unless paired with something else (which i don't remember, but Bill Nye taught me this a long time ago).
I mean, i'm not saying that all thin asians are like this, but eating disorders are definately not foreign to any culture in the world, but it is definately more prominent and less spoken of in other countries
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