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Public health experts have known for years that obesity is a multifactorial condition, affected not only by behaviors but by the social determinants of health, including income, access to healthy food and neighborhoods that may discourage walking, to name a few. The focus on diet and exercise alone assumes that weight is always within a person’s control, said Bacon, the Health at Every Size advocate.
“From a global perspective, we know that it’s the social determinants of health that play a much larger role [in weight],” Bacon said. “ … So even our messages of bringing it down to individual behavior, are ignoring the really big issues in health, which is about inequity.
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