The food culture is different and there is less brainwashing that pushes people to eat crap.
Growing up in EU, fat demonization wasn't as widespread as in the US, see a lecture about it: https://www.youtube.com/watch?v=hzQAHITIUhg
I think mainstream dietary recommendations are the cause of all our health issues, from obesity to increase in cancer (which will top cardiovascular diseases soon)
https://en.wikipedia.org/wiki/List_of_countries_by_GDP_(PPP)...