Joined the programme in 2020

Turin has been experiencing a slow demographic decline for over twenty years, with an old age index higher than other cities in Northern Italy. At the same time, the metropolitan city is very fragmented, and the prevalence of diabetes varies a lot from neighbourhood to neighbourhood. With the Cities Changing Diabetes programme, the city hopes to promote interventions taking into account socio-economic and cultural aspects to improve the health of its residents.

The diabetes challenge in Turin


Diabetes prevalence is 6,8% (increased from 3.8% to 6.8% from 2003 to 2018).


of people between the ages of 18 and 69 are overweight and 7% are obese.

Quantitative studies have shown that diabetes prevalence is not the same in all neighbourhoods of the city. The districts of North and West Turin, in addition to some areas of South Turin, have the highest prevalence is recorded, while the entire area beyond the Po river and some neighbourhoods of the old town register the lowest values. Part of the difference can be explained by socio-economic factors with overweight and obesity for example being 35% higher in people with low school education.

The Cities Changing Diabetes programme will conduct further data analysis to strengthen the knowledge base and inform new intervention strategies considering both treatment and prevention of diabetes. Socio-economic considerations and cultural aspects related to urban life will be crucial to understand how to strengthen healthy lifestyles among the population.

One possible future action is to promote urban health by rediscovering the city as a natural gym. Turin is well suited for this with a variety of pedestrian paths, 21 square kilometers occupied by green areas with 320 kilometres of tree-lined avenues with 160,000 trees, along with 207 km of cycle paths, bike to schools and to work programmes as well as walking groups. This has led Turin to be the headquarters of the To-Walk Lab, the national laboratory that aims to study and provide recommendations for urban health promotion, movement and well-being.

  • Turin City Municipality
  • Turin Metropolitan City
  • IRES Economic and Social Research Institute
  • Parliamentary Intergroup on QoL in Cities
  • Health City Institute
  • Italian Municipalities Association (ANCI) 
  • IBDO Foundation
  • University of Turin
  • Censis Foundation
  • National Institute of Statistics (ISTAT)
  • Institute for Competitiveness (I-COM)
  • Centre for Outcomes Research and Clinical Epidemiology (CORESEARCH)
  • Medipragma 
  • Italian Diabetes Society (SID)
  • Italian Diabetologist Association (AMD)
  • Italian Society of GPs (SIMG)
  • Caped Associations of people with diabetes in Piedmont
  • Diabete Italia
  • C14+
  • Cittadinanzattiva
  • CONI
  • Italian Society of Paediatric Endos (SIEDP)
  • Italian Obesity Association (SIO)
  • Italian Association of Dietetics and Clinical Nutrition (ADI) 
  • Fitwalking Association TO Walk LAB