I guess this shouldn’t be that big of a surprise considering the health of the general population.
The structure of our cities, food choices and habits, and general culture are not conducive to good health. Our cities are built around cars and usually not safe for biking and walking. I am lucky in the sense that everything I need I can bike and walk to, but most neighborhoods in his city are not like that.
Eating out, unless you are in some upscale neighborhood with a fancy farm-to-table restaurant, is generally an unhealthy experience. Fast food garbage is still going strong.
Our grocery stores focus on pre-packaged or frozen garbage, and eating fresh, healthy food can be very expensive. Many people in remote rural areas were healthy food is very far away or in food deserts in cities where getting to a decent grocery store is near impossible without a reliable car.
And add in cultural elements, like heavy consumption of unhealthy foods, our addiction to screens rather than getting out in the world, and a general culture of not being active. It’s take more extra effort than people are willing to put forth to be healthy, and a lot of people don’t have much time between working, raising families, and other life demands.
But you know what? I live in a city with poor health statistics but have stayed completely healthy by modifying my eating habits, and incorporating more walking, biking and generally moving around into my daily routine. You have to craft your lifestyle around health, not make it a once a day practice. Most people don’t understand this, and it shows.