Vancouver’s focus on healthy living is a clear advantage when it comes to addressing the growing burden of diabetes and obesity. Yet even in Vancouver, the prevalence of multiple chronic conditions is four times higher among people without a high school degree, and three times higher in households with an annual income below CAD 40,000.4
Reducing obesity: an opportunity for change in Vancouver
Without action, the increase of adult obesity in Vancouver will continue along current trends. However, if weight distribution were to remain at 2017 levels and we could reduce the rate of obesity by 25%, Vancouver would see 14,300 fewer cases of type 2 diabetes and save 97 million dollars in healthcare expenditure by 2045. 5
In 2016 Vancouver became the seventh city to join Cities Changing Diabetes. Building on the knowledge generated across other cities, Vancouver is currently piloting the newly developed Urban Diabetes Priority Assessment. The tool is using an innovative, mixed-method approach to expand the global evidence base around the sociocultural drivers of urban diabetes and to generate results that can guide a targeted diabetes intervention and management programme in the city.
2. Statistics Canada: proportion of workers commuting to work by car, truck or van, by public transit, on foot, or by bicycle, census metropolitan areas, 2011
3. Statistics Canada: NHS Focus on Geography series. 2011
4. My Health My Community: Vancouver Community Health Profile. Vancouver Coast-al Health, Fraser health and UBC eHealth Department; 2015.
5. Cities Changing Diabetes. Diabetes Projec-tion Model, Vancouver. Data on file. Novo Nordisk. In: Incentive, ed. Holte, Denmark. 2017.