You'd think it would be clean living, hard work, clean air and water, etc., which was true of the traditional lifestyle in Hawaii. But now, obesity and diabetes run rampant, they eat tons of Spam and other highly processed foods. Plus, when it comes to exercise, I never saw the natives climbing coconut trees, except at tourist centers. So who knows??? And Minnesota... That's just about as far from the Hawaiian lifestyle as you can get (which leads me to believe it has little to do with lifestyle)!
I think we'd have to look at the numbers to tell.