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Most of you people are misunderstanding the aim of this thread. He isn't asking how people reverse the trend of obesity - I think it's pretty fucking obvious that regular exercise and moderate consumption are good ways to reverse the trend, thanks for letting us all know again though. He is asking whether it is realistic or not to expect people to listen to the facts and be more observant of what foods they eat. In that case, I would say that it is quite unrealistic to expect people, as a whole, to have any real logic when it comes to this.
Individuals keep themselves healthy anymore because of the benefits - I would say that the most common benefit is attraction of the opposite (or sometimes same) sex. Though it's a fact that healthier people simply look better, you do not necessarily have to be healthy to be considered "good-looking", and I think that this particular trend is likely to gradually change as more and more people become, well, larger. I mean, beauty is only skin-deep, right? Right. 
People know the facts - they KNOW that exercise and proper eating habits will make them healthy, they may not necessarily know how to go about this, but the information for improving oneself is readily available, especially in America. People know all this. But the aim of a species is self-preservation, on many different levels, and the more proliferative will almost always be partaken by the most amount of people, regardless of "logic" or whatever warnings that people like to issue just so they can say "I told ya so" later on.
When copious amounts of food are available for a great amount of people, the people will eat. There is definitely something to be said about the health trend as far as the substance of the food many people eat though - and yeah, the corporate aspect of it is quite significant as well. People eat like shit because it's easy and it's cheap. A lot of people say that eating healthy is "easy" and it "costs less" but really, the calorie:$ ratio you get from a numberfourwithcheeseandasupersizecokeandfries is way larger than with tofu and soy milk. And so, the people will eat.
It would seem that we no longer have to fight to survive anymore - not in middle America, at least. Pretty much not anyone who has internet access and a computer who is reading this right now. I think that the trend will continue until people must really, truly survive in every sense of the word once more. When will that happen? No idea.
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