Abstract
Developed countries are struggling with rising chronic disease epidemics that may rival the infectious diseases of the past century for their impacts on population level health. Inactivity related disease is not just an affliction of wealthy nations; even developing countries are experiencing distressing increases in overweight and obesity in their populations. Education and behavior change programs have not stemmed the rising tide of inactivity and poor nutrition driving these epidemics, because the roots of this scourge are systemic.
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