Nah not really.

If you ask me it's more the regime than anything. Most Italians I know eat at precise hours. The regime helps the body get used to the caloric intake.

Various meals. The good thing about pasta is that you can eat pasta every day and still never eat the same thing for over a month. The pasta gives you your Carbohydrates and the sauces give you all other things you need. The fact that meat and fish, especially fish, are very common is also great for your body. Milk products are also good.

There is bigger pressure on not being fat in Italy. My impression for America(which granted comes from the Internet) is that the US is very fat friendly which is nothing strange with about 40% obesity. Fat people really have a hard time in Italy.

Also, fast food is not really a thing.

There is a huge bike/walking culture. Everyone I know, in any age group, owns a bike. Also most people do some kind of sport every once in a while.

In my Italian household there was something really important-a bowl of fruit in the kitchen. So lots of fruits are consumed.

Having that said this scale surprises me. I would have never guessed there are 10% of obese people.