America leads most of the world in life expectancy as well.
The heyday of diner culture was the 1930's, 1940's and 1950's. Many of the places guy visits have been in business for 50, 60, even 90 years, serving the same food. Most of the food has been standard American fare for decades or even centuries.
Look at any cookbook or restaurant menu from 50, 100 years ago or more and you'll see that what most people ate was a pile of meat with some sort of starch, usually covered with sauce (often cream based) or cheese. Usually, saturated in salt and deep fried in lard. Then for desert, it was a hunk of cake or pie made with roughly equal parts of sugar, flour, butter and lard.
If people were thinner back then than they are now, it's partially because they moved around a lot more. A professional athlete could polish off half a dozen of those DDD plates a day and maintain 3% body fat. A couch potato could drink an extra soy milk latte per day for 10 years and gain 50 pounds.
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