Thailand, similar to most developing countries, has undergone significant economic and health transitions. It has gradually changed from a traditional agricultural base to that of a flourishing industrialized system. The shift from a predominantly rural community to an urbanized one has changed many lifestyle preferences as well. As a result, diet and physical activities have undergone complete transformations from healthy diets consisting of mainly rice and vegetables to more westernized diets that are rich in fat and sugar. Moreover, urbanization has led to greater competition in the community and less time at home. Family roles have shifted and traditional home cooked meals have been replaced by the convenience of fast food. Physical activity of the population has also progressively declined giving way to increased time of sedentary activities.2,3 As a result, the incidence of cardiovascular diseases, particularly stroke, has increased.