1. You had to walk most places (often miles a day).
2. You had to physically labor. Most people didn't have desk jobs or the period's equivalent.
3. Food was relatively scarce, and harder to transport.
4. Social activities (we are social creatures) required physical effort (walking to, dancing, walking around). We can now be social while being remarkably physically passive.
5. Entertainment options were more scarce, so boredom meant you did something. Now, you can entertain yourself by sitting on a couch or at the desk playing a video game or watching a movie. You could make a case for books being similarly physically passive, but that requires widespread literacy and access to books which wasn't true of the general population.
I didn't actually think there was anything informative about the article. It was just a prominent name stuck on what we already knew intuitively.
Plus: no refrigeration.
Given that most people don't make the time to make fresh meals from scratch, they're getting fairly unhealthy food even if they cook at home. (And many folks short-cut with fast-food options, which are usually worse.)
It's not just obesity; people were more fertile. Men had much higher sperm counts 100 years ago.