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nicetriangle ,

It's definitely a bigger thing in some parts of the country and those areas for sure seem to line up with economic factors. When I lived in the US I spent most of my life in the southeast. Then when I moved to a bigger west coast city I was really struck by how much thinner the population as a whole was there. Same with states like Colorado.

When you compare these maps

https://stateofchildhoodobesity.org/demographic-data/ages-10-17/

https://www.cdc.gov/obesity/data/prevalence-maps.html

To this one

https://www.americanprogress.org/data-view/poverty-data/poverty-data-map-tool/

There's some obvious correlation happening

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