Mecklenburg-Vorpommern has the most people living a "completely healthy" life at a rate of 19.8% of the people while Saxony-Anhalt have the fewest people living a "completely healthy" life. Thuringia has the healthiest eating habits while people from North Rhine-Westphalia and Berlin have the worst eating habits. Statistics of people living a "completely healthy" life Causes Food and drinks A high consumption of beer, fatty and processed foods and a lack of exercise are to be blamed for obesity in Germany. Another issue is the lack of fruits, vegetables and fish in the German diet. Children's food products do not contribute to a healthy diet. Die Welt reported that a "balanced diet is practically impossible." The profit margin for fruits and vegetables was below five percent while confectionery, soft drinks and snacks was at 15% or more. Genes Genes partly play a role in obesity. Scientists at the German Institute of Human Nutrition and the University Hospital of Leipzig stated that identified two genes that promote fat accumulation in the abdominal cavity. The increased activity of the genes also promotes the release of an enzyme that is responsible for the formation of cortisol. A permanent increase in cortisol levels contribute to obesity. Marriage Marriage has played a factor. Sixty-nine percent of married men are considered overweight while only 43% of single men are considered overweight. Fifty-eight percent of widowed women are considered overweight and 46% of married women are considered overweight, while only 25% of single women are considered overweight. For children, lifestyle choices such as exercise and enough sleep plays a role in weight. Effects Employment problems A study by the German Sport University Cologne revealed that some industries in Germany have a shortage of qualified trainees due to Germany's obesity epidemic. The industries affected are security and emergency services and skilled manual work sectors. Clothing industry A clothing-related study revealed that many clothing companies plan to adjust their sizing partly due to Germany's obesity epidemic. Physical health Several studies have shown that obese men tend to have a lower sperm count, fewer rapidly mobile sperm and fewer progressively motile sperm compared to normal-weight men. Obesity in Germany has created a cholesterol problem. High cholesterol is known to cause premature death, angina, heart disease and strokes. There has been an increase of children with Type 1 diabetes between 1996 and 2011. Diabetics are at higher risk for complications such