Objectives: The geographical environment, dietary culture, food patterns, and obesity rates are substantially different between the North and South of China. Determining the geographical distribution and local dietary patterns involved in being overweight or obese is useful for designing intervention strategies. Methods: Residents between 18 and 65 years old (n=10,863) from 11 Chinese provinces (five Northern provinces and six Southern provinces) were selected to compare dietary patterns, BMI, and health-related information from the China Health and Nutrition Survey packages in 2011. Linear and logistic regression analyses were performed to assess the strength of the association among geographic variables, the obesity problem, and dietary patterns. Results: The overall prevalence of being overweight or obese was 10.51% higher in the North than in the South. Northern dietary patterns feature a high intake of wheat and soybeans, whereas Southern dietary patterns feature a high intake of rice, vegetables, meat, and poultry. The estimated coefficient of regional variables surrounding dietary score is 1.494; surrounding the odds ratio for being overweight is 1.681, whereas surrounding the odds ratio for obesity is 2.035. Multivariate logistic regression including both the variable of South–North areas and Northern dietary patterns showed a significant correlation with being overweight or obese. Conclusion: Northern areas and their local dietary patterns are more likely to contribute to being overweight or obese. These findings provide support for tracking the progression of obesity, epidemics, and policies that target the ‘‘obesogenic’’ environment, promoting opportunities for persons to access healthy dietary patterns and nutritional balance.