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Obviously it's hard to get data on this, but my intuition would say that it's not not-wearing-helmets that contributes to their active lifestyle. Rather I think it's more about:

- Pedestrian- and bike-friendly design of cities. Not just bike lanes, but everything else -- water, food, restrooms, aesthetics, compactness.

- Overall healthy food culture to begin with

- General social/cultural values for physical activity

The US, in contrast, embraces a culture of fast food, fried food, lounging on couches watching TV, massive parking lots and strip malls, and getting from point A to point B via a freeway. Cities are terribly designed for pedestrians and bikers, often lacking even simple amenities such as adequate public restrooms, drinking water, healthy food options within walkable distance, and public transportation for when you get tired.

Biking or walking across most European cities is a pleasant experience.



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