Obesity can be caused by a number of diseases, but many of the cases are 'self-inflicted'. Poor choices in diet (saturated fats and sugar) and little or no exercise quickly allow for a build up of energy in fat reserves.
In the Western world, highly refined foods, often containing a lot of sugar and/or fats, is relatively cheap and easy to acquire. Additionally the use of cars for door-to-door transport, jobs done sitting down, 'couch entertainment' and dedicated delivery services, enable people to spend less and less energy moving around preventing them from burning off excess energy.
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