Your age, vitality, and any number of things are responsible for you not feeling the effects. But remember, just because you don't feel sick doesn't mean you aren't. Alot of people, too many people in fact, assume they are fine just because nothing has given away or broken down. The human body is strong. It can withstand tremendous stress, pressure and pain, especially during youth and in one's prime. But one thing it cannot stand is prolonged, internal sickness.
As I said, your body has adjusted to this unhealthy lifestyle. And as such, you don't physically feel the ramfications of that. But you are no the more stronger or heathier for it. Your body is essentially running on stored energy and working overtime to keep stability. This is what makes disease so simple to infect a host. If your systems are too taxed, disease is more likely. If your systems aren't developed enough or are weak, that same disease gets in and has it's way.
Eventually, if this goes on for the entire cycle of a person's lifetime, the abnormalities penetrate your very genes. And its for reasons like this that disease is and can be passed down to children. I'm not telling you something you don't already know, but you are asking. Unless of course it was a rhetorical question.
This is all whats so scary about disease. You don't necessarily feel it until it's culminated to the point of outbreak. Its there naturally, but benign, or its introduced later. Its like a ticking time bomb. This is why taking care of yourself early on is so important. You eliminate or reduce the chance of sickness. And the danger is in far too many children not being taken care of properly and then when they're teens shrugging proper health because they bounce back all the time from sickness. Or when people refuse to take vitamins or essential nutrients because they feel they don't need them (or they're indifferent), when their body is crying for it.
Its that kind of mentality and irresponsibility which break down genetics, weakens them, changes them, and perpetuates disease and disorder.
We're spawning societies dependant on drugs to maintain health, when thats something the body can/could do for free if we'd just help it. The damage is so great that generations are feeling the pinch. It doesn't have to be that way.