Adherence

A higher ratio of fast-food restaurants to full-service restaurants in one's local food environment is positively associated with an increased risk of obesity.

If you live in an area with many fast-food places but few sit-down restaurants, your risk of obesity is higher. This isn't just about your choices; it's about what is easily available to you. Look for neighborhoods with a better mix of food options, or be aware that your local food environment may be working against your health goals.