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Probably the combination of food and moving habits.
When I was a kid in the 90s, one of our tv channels showed Ricky Lake show or some shit. I was always astonished to see how LARGE the average American was. Not just the freaks who were the guests, but the whole fucking studio...full of literally obese people! Up to then I thought you looked "normal" like us 'because of the portrait I got from the TV shows..beautiful people everywhere.
I remember when I visited the States, it was basically impossible to eat something other than fast food or junk. It was everywhere ... but normal grocery stores where you can buy ingredients and make my own meal, you just can't find. I hope they are somewhere.
