This. Metabolic syndrome encompasses a large array of problems. As you put it, it's more than just disease states because those are just systemic, diagnosable manifestations of problems that exist and got started earlier moving from inside cells, the bloodstream, etc. to, cells to tiisues to organs to systems to pretty much the entire body. It's an absolute motherf*cker that terminates badly, even with congestive heart failure.

What really bothers me is the fact that they're still plugging away about how the only possible culprit for all of our endemic diseases is diet. What the fuck about exercise? We're developing new tech all the time and have made so many things automated that we used to have to do manually. People have just gotten fucking lazy and neglect their intense physical strains. I can't tell you how many people at the hospital tell me they don't like exercise because it makes them sweaty and uncomfortable. People these days need to stop being little pussies and do some exercise.

Precisely. Think evolutionarily and they should realize we weren't meant to live such cushy lives sitting and doing nothing. Whenever your technological advancement outpaces the evolution of your species, deleterious effects are sure to occur. This is one of the reasons, along with abstract thinking inability, that I believe the human species is still evolving and will continue to for some time.