It's just not that hard. The food that most of us (slightly) older people grew up eating was quite healthful. We usually had a protein, a vegetable and a couple of starches at each meal. All of that crap is available at SAVE A LOT for God's sake, not to mention every other damned grocer in the state.
People don't work themselves to death anymore, most of us anyway, so it's just a matter of eating the same stuff, but a little less.
The real problem is that, since about 1964, the advent of the welfare state and the destruction of heavy industry in the U.S., people have gotten lazy as hell. The welfare leeches, which are a HUGE portion of the WV population, are the laziest of all (I include a major percentage of Social Security Disability people in that crowd, by the way). These people lack the initiative to even cook a decent meal. So what do they do? The buy junk on their EBT or they use their damned welfare check to eat at McDonalds twice a day. For most of them, drawing breath is the hardest work they do (especially after half a flight of stairs), so they don't burn off any of those calories, and viola, they are fat. They are also too damned lazy to care for themselves, so their teeth fall out. Half of them are on drugs, which doesn't help.
It's really as easy as this: end all welfare transfer payments made by any level of government. These "Wall-E Types," as I like to call them will have to get up off their fat (@/:; and do something. Initiative begets initiative. Before you know it, the 300 pound welfare queen is a "svelte" 200. All is well.
I hate to say it, but the stereotypes of West Virginians are absolutely based in reality. Sure, it's Idiocracy in every state, but WV leads the pack. I've traveled most of the US and a good portion of the world and have seen it with my own eyes. And it will NEVER end, until the governments stop subsidizing these sorry (@/:; with my tax money and yours.