I don't believe health (obesity) status is dependent on economic status. There's an agenda when it comes to the less fortunate and making excuses for them to pass the blame due to their lack of control, laziness, and poor decision making.
Smart people will eat healthy, just happens a lot of smart people also make good decisions, are not lazy, will educate themselves and bring more value to society thus making more money. You don't need be rich to be smart enough to eat a salad vs McDonalds.
Lower economic status people tend to make a lot of mistakes and bad decisions which is why they are in a lower economic status. Same goes for driving records and credit reports reflecting these poor decisions, who's fault are those?
Walking is free and veggies are cheaper than fast food, welfare covers both gyms and food, which is designed to help the lower classes out of poverty. Just happens they live on it forever, eat crap food, and do not exercise beyond walking to the bus stop. So now there are excuses that this is an economic gap, no it's a brain / willpower gap. You can't welfare or spend your way out of that hole.
I know many people, including my self, that came from borderline poverty and we never were ashamed of being poor or let it bother us in anyway. It was motivational. We didn't always have batteries for our toys or have the latest things but it all turned out okay. My parents, mostly my mom, did the cooking and it was all healthy home made from scratch and on a tight budget. We never ate out. I can eat out every day now but I don't, I stick to horrible kale salads and bland lentil soups because I can see the future benefit.
Obesity is a function of calories in and genetics to a point. Exercise really doesn't make much of a dent.
How does
equality make any difference here?
Europe being healthier has more to do with their culture of eating healthier and genetics. White people are not as genetically predispositioned to be obese as Latinos or African Americans, there are more white people in Europe. I bet if you proportionately transposed our Latino and Black obesity numbers into Europe you'd get a closer match to US obesity levels.
Eating healthy can happen at any income, even cheaper when the government pays for your groceries. One should understand that some people are more likely to become fatter than others when exposed to the same food. Evolutionary pressures of feast vs famine and ancestral diets are responsible for these genetics, not socioeconomic issues. This can be solved with willpower, which many can't handle, so they blame others.
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Trends in overweight, obesity, and severe obesity for children, adolescents, and adults.
www.niddk.nih.gov