just a choice like anything else. for most people they will just do what they want, think they don't have to worry about it and then something horrible will happen eventually and then they will, usually, turn things around. Some don't and live long lives anyway, others change everything and drop all the same.
All it really does is help your chances of not only living longer but being healthy longer. It's not just an energy thing or psychological thing it can be the difference between you needing two new hips by the time you are in your 50's or possibly never walking again in your 40's because you let your weight go too far.
Either way changing your eating habits is not simple for most people. Eating junk food can be addictive as any drug out there and definitely more socially acceptable.
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