Many of my Eurpoean patients tell me that they are amazed wuth they come to the United States to see the number of overweight prople here. With French known for their pastires, Germans known for their beer, Italians for their pasta etc., then why is it the case that the obesity epidemic is much worse here in the states?A few insights were offered: 1- Europeans tend to walk many more places as opposed to driving their cars. They lay out and mass transit ofntheir cities is such that people get much more time to walk places. 2- Portion control: Although, the above mentioned food sources are high-caloric, Europeans tend to very much limit the portion sizes of these items, so although they are being consummed, limitd sizes are the usual.Perhaps we can all learn from these experiences to alter our approaches and certainly if we can walk somewere as opposed to driving, make that happen.