I hope I'm just misreading sarcasm there, but they are very much choices and that itself should be empowering because people can just as easily make a different choice. If choice is so easy, anyone can pick up a textbook about mathematics, barring deficiency in cognitive capacity, become knowledgeable about mathematics. That doesn't happen not because people are stupid, but because the task is genuinely hard.
If choice is so easy, you would be able to able to choose to not to eat for three days and achieve that. For some people, it is extremely difficult. For others, that is easy. I have experienced both situations.
Real freedom, then, is to understand that your own mind has their own cause and effect and how to manipulate that to achieve 'freedom of choice', and the corresponding training to be able to do so.
To have whole societies exercising, then, is to understand the causal factors involved and the knobs needed to achieve that, and the organizational capacity to do so.
That is why to say that you 'have a choice' to not exercise or exercise is a defeatist attitude and to consign whole group of people to early death. What people need is not 'choices' but solutions to achieve those choices.
I myself continue to struggle. I have lost weight and then regained. There are time in which I can exercise for hours. There are times in which I achieved physical fitness that I at time I never thought I could. I will keep trying, but clearly I do not yet have mastery of my own mind.