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The way we build civilization has an impact on people's health and of course, how much they weigh...
If people in a country are dependent on car use - because there is less or no cycling infrastructure -, or if healthy food is expensive, then most people, especially the poor, will be forced to choose the unhealthy lifestyle options out of necessity. Not to mention, the fast food is available everywhere in some countries..
Many place in Europe don't have these issues as much. Europe's cities are easy to navigate on foot, there's no sharp distinction between living space and business activity. Nobody here who lives in the city actually needs a car!! It works more organically because that's how people build the cities..
There's issues of course, it's often poor knowledge of food or specific communities, like those with a migration background, that may have an ''all you can eat'' attitude. Then you have people who eat loads of animal food, and don't exercise!
Reducing obesity becomes a matter of (1) Education, (2) Infrastructure, and (3) Making healthy food affordable..
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