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> health obsessions also run deep in that country, gym memberships, elite universities with sports programs full of money

Doing elite sport in those competitive teams is not all that much healthy. It is tangential to your main point, but top level leagues are not in opposition to un-health. The healthy thing is moderate amount of sport, where you get yourself to improve performance, but don't push yourself to limit. Cheap casual sport that dont require gym membership but provides some social outlet would be better for average person health.

> How many weird diet fads start basically in the US? Self-help books, alternative gurus, etc.

None of that is healthy and a lot of that contributes to obesity issue. Fad diets lead to yoyo-ing and to weight gain in the long term. It also causes proper health issues on its own.



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