Well, if you are able to put it in your own words, centuries back, when are ancestors were alive, we didn’t have things like McDonald’s. For a lot of people back then, they wouldn’t eat for a day or two then find a buffalo or something then eat it, and most of the time, they were running all day every day trying to find food. Getting lots of exercise. Nowadays, u can get into your car, and drive to A fast food place and get whatever u want. With no exercise.
Answer:
B. budget cuts at the state level, force schools to do more with less money and resources.
(I'm 90% sure it's B. but it also could be A.)
a combination of specific etiologic factors is the answer.