West Virginia often ends up at the bottom of national health reports — the rates of obesity and diabetes, conditions that can lead to cardiac and kidney disease. The region’s legacy of active, manual mining work has given way to a more sedentary lifestyle that relies on processed food to feed families quickly and cheaply. More than a decade ago, Huntington, WV made headlines as the “fattest city in the nation.” That spotlight led to some changes with doctors and dieticians focusing more on health and nutrition. On the new episode of Us & Them, host Trey Kay looks at continuing efforts around the Mountain State to teach new dietary habits and train the next generation a healthy approach to cooking and eating. In some counties without close access to full-service grocery stores, new farmer’s markets have sprung up and health clinics offer produce boxes with fresh fruits and vegetables.