In America, it is no surprise to see obese people. They know they are obese, they just don't care. In Britain, you see just as many obese people, but they don't care because they don't think they are obese. They don't even think they are 'very overweight'.
Fewer than 10 percent of clinical obese Brits think they have a weight problem.
In results from a 2012 survey of around 2000 adults published in
BMJ Open, only 11 percent of obese women acknowledged they were "obese", with most describing themselves as "very overweight" or "just right". At least they know those positive body image campaigns are working.