Report cardCanada

1

Contents Page

Obesity prevalence 2

Trend Adults living with obesity in Canada 1970-2017 4

Trend Adults living with overweight or obesity in Canada 1970-2017 6

Overweightobesity by education 8

Overweightobesity by age 10

Overweightobesity by region 12

Overweightobesity by socio-economic group 15

Insufficient physical activity 18

Estimated per capita fruit intake 24

Estimated per-capita processed meat intake 25

Estimated per capita whole grains intake 26

Mental health - depression disorders 27

Mental health - anxiety disorders 28

Oesophageal cancer 29

Breast cancer 31

Colorectal cancer 32

Pancreatic cancer 34

Gallbladder cancer 36

Kidney cancer 38

Cancer of the uterus 40

Raised blood pressure 41

Raised cholesterol 44

Raised fasting blood glucose 47

Diabetes prevalence 49

Health systems 50

Obesity prevalence

Adults 2017

Adults Men Women0

10

20

30

40

50

60

Obesity Overweight

Survey type Measured

Age 18-79

Sample size 5071

Area covered National

References Canadian Health Measures Survey (CHMS) 2017 Available from

httpswww150statcangccat1tbl1entvactionpid=1310037301amppickMembers5B05D=33 [Accessed 21

February 2019]

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

2

Obesity prevalence

Adults 2017

Adults Men Women0

10

20

30

40

50

60

Obesity Overweight

Survey type Measured

Age 18-79

Sample size 5071

Area covered National

References Canadian Health Measures Survey (CHMS) 2017 Available from

httpswww150statcangccat1tbl1entvactionpid=1310037301amppickMembers5B05D=33 [Accessed 21

February 2019]

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

2

Children 2017

Children Boys Girls0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 5-17

Sample size 5071

Area covered National

References Canadian Health Measures Survey (CHMS) 2017 Available from

httpswww150statcangccat1tbl1entvactionpid=1310037301amppickMembers5B05D=33 [Accessed 6

March 2019]

Notes WHO cut-offs used

Cutoffs WHO

3

Adults living with obesity in Canada 1970-2017

Women

1970 1980 1990 2000 20100

5

10

15

20

25

Obesity

o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

4

Men

1970 1980 1990 2000 20100

5

10

15

20

25

Obesity

o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

5

Adults living with overweight or obesity in Canada 1970-2017

Women

1970 1980 1990 2000 20100

10

20

30

40

50

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

6

Men

1970 1980 1990 2000 20100

10

20

30

40

50

60

70

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

7

Overweightobesity by education

Adults 2004

Primarybasic education Secondary Post-secondary University graduate (3yr or 4yr programs)0

10

20

30

40

50

60

70

Obesity Overweight

Survey type Measured

Age 25-64

Sample size 8383

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

8

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Men

1970 1980 1990 2000 20100

5

10

15

20

25

Obesity

o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

5

Adults living with overweight or obesity in Canada 1970-2017

Women

1970 1980 1990 2000 20100

10

20

30

40

50

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

6

Men

1970 1980 1990 2000 20100

10

20

30

40

50

60

70

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

7

Overweightobesity by education

Adults 2004

Primarybasic education Secondary Post-secondary University graduate (3yr or 4yr programs)0

10

20

30

40

50

60

70

Obesity Overweight

Survey type Measured

Age 25-64

Sample size 8383

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

8

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Adults living with overweight or obesity in Canada 1970-2017

Women

1970 1980 1990 2000 20100

10

20

30

40

50

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

6

Men

1970 1980 1990 2000 20100

10

20

30

40

50

60

70

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

7

Overweightobesity by education

Adults 2004

Primarybasic education Secondary Post-secondary University graduate (3yr or 4yr programs)0

10

20

30

40

50

60

70

Obesity Overweight

Survey type Measured

Age 25-64

Sample size 8383

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

8

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Men

1970 1980 1990 2000 20100

10

20

30

40

50

60

70

Overweight or obesity

o

verw

eigh

t or o

besi

ty

Survey type Measured

References For full details of references visit httpsdataworldobesityorg

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

Different methodologies may have been used to collect this data and so data from different surveys may not be strictly comparable Please

check with original data sources for methodologies used

7

Overweightobesity by education

Adults 2004

Primarybasic education Secondary Post-secondary University graduate (3yr or 4yr programs)0

10

20

30

40

50

60

70

Obesity Overweight

Survey type Measured

Age 25-64

Sample size 8383

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

8

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Overweightobesity by education

Adults 2004

Primarybasic education Secondary Post-secondary University graduate (3yr or 4yr programs)0

10

20

30

40

50

60

70

Obesity Overweight

Survey type Measured

Age 25-64

Sample size 8383

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

8

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Children 2004

Secondary or less Some post secondary Post-secondary0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Post Secondary Obese figure with caution IOTF International Cut off used

Cutoffs IOTF

9

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Overweightobesity by age

Adults 2008

Men Women Men Women Men Women Men WomenAge 20-34 Age 35-44 Age 45-64 Age 65+

0

10

20

30

40

50

60

70

80

Obesity Overweight

Survey type Measured

Area covered National

References httpwww5statcangccaaccess_accesalternative_alternatifl=engampkeng=223ampkfra=223ampteng=Download20file

20from20CANSIMamptfra=Fichier20extrait20de20CANSIMamploc=httpwww20statcangccatables-

tableauxcansimcsv01050507-engzipampdispext=CSV

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

10

Children 2009-2011

Age 5-11 Age 12-170

5

10

15

20

25

Obesity Overweight

Survey type Measured

Sample size 2123

Area covered National

References Roberts KC Shields M de Groh M Aziz A and Gilbert JA Overweight and obesity in children and adolescents Results

from the 2009 to 2011 Canadian Health Measures Survey Statistics Canada Catalogue no 82-003-XPE AcircnotAtildemacr Health

Reports Vol 23 no 3 September 2012

Notes IOTF International Cut-off Points

Cutoffs IOTF

11

Overweightobesity by region

Men 2014

AlbertaBritish Colombia

CanadaManitoba

New Brunswick

New Foundland amp Labrador

Northwest Territory

Nova Scotia

Nunavut

OntarioPrince Edward Island

QuebecSaskatchewan

Yukon

0

10

20

30

40

50

60

70

Overweight or obesity

Survey type Self-reported

Age 18+

Area covered National

References Canadian Community Health Survey 2014 Statistics Canada httpwwwstatcangccatables-tableauxsum-

soml01cst01health84b-enghtm (accessed 27th Feb 2018)

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

12

Overweightobesity by region

Men 2014

AlbertaBritish Colombia

CanadaManitoba

New Brunswick

New Foundland amp Labrador

Northwest Territory

Nova Scotia

Nunavut

OntarioPrince Edward Island

QuebecSaskatchewan

Yukon

0

10

20

30

40

50

60

70

Overweight or obesity

Survey type Self-reported

Age 18+

Area covered National

References Canadian Community Health Survey 2014 Statistics Canada httpwwwstatcangccatables-tableauxsum-

soml01cst01health84b-enghtm (accessed 27th Feb 2018)

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

12

Women 2014

AlbertaBritish Colombia

CanadaManitoba

New Brunswick

New Foundland amp Labrador

Northwest Territory

Nova Scotia

Nunavut

OntarioPrince Edward Island

QuebecSaskatchewan

Yukon

0

10

20

30

40

50

60

Overweight or obesity

Survey type Self-reported

Age 18+

Area covered National

References Canadian Community Health Survey 2014 Statistics Canada httpwwwstatcangccatables-tableauxsum-

soml01cst01health84b-enghtm (accessed 27th Feb 2018)

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

13

Children 2014

AlbertaBritish Colombia

CanadaManitoba

New Brunswick

New Foundland amp Labrador

OntarioQuebec

0

10

20

30

40

Overweight or obesity

Survey type Self-reported

Age 12-17

Area covered National Survey

References Canadian Community Health Survey 2014 Statistics Canada httpwwwstatcangccatables-tableauxsum-

soml01cst01health84b-enghtm (accessed 27th Feb 2018)

Notes IOTF International Cut Offs Applied Some regions supplied but results considered unreliable as sample too small

Cutoffs IOTF

14

Overweightobesity by socio-economic group

Men 2002-2003

1st quintile (lowest) 2nd quintile 3rd quintile 4th quintile 5th quintile (highest)0

5

10

15

20

Obesity

Survey type Self-reported

Age 18+

Sample size 2221

Area covered National

References Siddiqi A Brown R Nguyen QC Loopstra R Kawachi I Cross-national comparison of socioeconomic inequalities in

obesity in the United States and Canada International Journal for Equity in Health 201514116 doi101186s12939-

015-0251-2

Notes SELF REPORTED DATA

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

15

Women 2002-2003

1st quintile (lowest) 2nd quintile 3rd quintile 4th quintile 5th quintile (highest)0

2

4

6

8

10

12

14

16

Obesity

Survey type Self-reported

Age 18+

Sample size 2221

Area covered National

References Siddiqi A Brown R Nguyen QC Loopstra R Kawachi I Cross-national comparison of socioeconomic inequalities in

obesity in the United States and Canada International Journal for Equity in Health 201514116 doi101186s12939-

015-0251-2

Notes SELF REPORTED DATA

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

16

Children 2004

Low Low middle Middle Upper middle High0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Low income figures with caution (see paper for full details) IOTF International Cut off used

Cutoffs IOTF

17

Insufficient physical activity

Adults 2016

Dominica

UruguayChile

EcuadorCanada

GrenadaMexico

Venezuela

St Kitts amp Nevis

JamaicaCuba

Guatemala

Paraguay

Trinidad amp Tobago

Dominican Republic

St LuciaUnited States

Argentina

Barbados

Bahamas

Colombia

Suriname

Costa Rica

Brazil

0

5

10

15

20

25

30

35

40

45

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

18

Women 2002-2003

1st quintile (lowest) 2nd quintile 3rd quintile 4th quintile 5th quintile (highest)0

2

4

6

8

10

12

14

16

Obesity

Survey type Self-reported

Age 18+

Sample size 2221

Area covered National

References Siddiqi A Brown R Nguyen QC Loopstra R Kawachi I Cross-national comparison of socioeconomic inequalities in

obesity in the United States and Canada International Journal for Equity in Health 201514116 doi101186s12939-

015-0251-2

Notes SELF REPORTED DATA

Unless otherwise noted overweight refers to a BMI between 25kg and 299kgmsup2 obesity refers to a BMI greater than 30kgmsup2

16

Children 2004

Low Low middle Middle Upper middle High0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Low income figures with caution (see paper for full details) IOTF International Cut off used

Cutoffs IOTF

17

Insufficient physical activity

Adults 2016

Dominica

UruguayChile

EcuadorCanada

GrenadaMexico

Venezuela

St Kitts amp Nevis

JamaicaCuba

Guatemala

Paraguay

Trinidad amp Tobago

Dominican Republic

St LuciaUnited States

Argentina

Barbados

Bahamas

Colombia

Suriname

Costa Rica

Brazil

0

5

10

15

20

25

30

35

40

45

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

18

Children 2004

Low Low middle Middle Upper middle High0

5

10

15

20

25

30

Obesity Overweight

Survey type Measured

Age 2-17

Sample size 8661

Area covered National

References Canadian Community Survey 2004

Notes Treat Low income figures with caution (see paper for full details) IOTF International Cut off used

Cutoffs IOTF

17

Insufficient physical activity

Adults 2016

Dominica

UruguayChile

EcuadorCanada

GrenadaMexico

Venezuela

St Kitts amp Nevis

JamaicaCuba

Guatemala

Paraguay

Trinidad amp Tobago

Dominican Republic

St LuciaUnited States

Argentina

Barbados

Bahamas

Colombia

Suriname

Costa Rica

Brazil

0

5

10

15

20

25

30

35

40

45

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

18

Insufficient physical activity

Adults 2016

Dominica

UruguayChile

EcuadorCanada

GrenadaMexico

Venezuela

St Kitts amp Nevis

JamaicaCuba

Guatemala

Paraguay

Trinidad amp Tobago

Dominican Republic

St LuciaUnited States

Argentina

Barbados

Bahamas

Colombia

Suriname

Costa Rica

Brazil

0

5

10

15

20

25

30

35

40

45

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

18

Men 2016

Dominica

UruguayGrenada

St Kitts amp Nevis

ChileEcuador

MexicoCanada

St LuciaTrinidad amp Tobago

JamaicaBarbados

Venezuela

Bahamas

CubaUnited States

Dominican Republic

Guatemala

Argentina

Costa Rica

Paraguay

Suriname

Colombia

Brazil

0

5

10

15

20

25

30

35

40

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

19

Women 2016

UruguayChile

EcuadorDominica

CanadaMexico

Venezuela

GrenadaJamaica

Paraguay

Guatemala

St Kitts amp Nevis

CubaDominican Republic

Argentina

United States

Trinidad amp Tobago

Colombia

Suriname

St LuciaBrazil

Costa Rica

Barbados

Bahamas

0

10

20

30

40

50

in

suffi

cien

t phy

sica

l act

ivity

References Guthold R Stevens GA Riley LM Bull FC Worldwide trends in insufficient physical activity from 2001 to 2016 a pooled

analysis of 358 population-based surveys with 19 million participants Lancet 2018 httpdxdoiorg101016S2214-

109X(18)30357-7

20

Children 2010

United States

Canada

Antigua amp B

arbuda

Belize

Suriname

Trinidad amp Tobago

Barbados

Costa R

ica

St Kitts amp Nevis

Argentina

Dom

inica

Honduras

Uruguay

Guyana

Baham

as

Guatem

ala

St Lucia

Grenada

Peru

Chile

Colom

bia

Bolivia

El Salvador

Brazil

St Vincent amp G

ren

Ecuador

Venezuela

0

20

40

60

80

in

suffi

cien

t phy

sica

l act

ivity

Age 11-17

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA893lang=en

Notes of school going adolescents not meeting WHO recommendations on Physical Activity for Health ie doing less

than 60 minutes of moderate- to vigorous-intensity physical activity daily

Definitions Adolescents insufficiently active (age standardised estimate)

21

Boys 2010

United States

Antigua amp B

arbuda

Canada

Belize

Barbados

Costa R

ica

Uruguay

Suriname

Argentina

St Kitts amp Nevis

Trinidad amp Tobago

Chile

Honduras

Guatem

ala

Baham

as

Guyana

Brazil

Grenada

Dom

inica

Bolivia

Colom

bia

El Salvador

Peru

St Lucia

St Vincent amp G

ren

Ecuador

Venezuela

0

10

20

30

40

50

60

70

80

90

in

suffi

cien

t phy

sica

l act

ivity

Age 11-17

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA893lang=en

Notes of school going adolescents not meeting WHO recommendations on Physical Activity for Health ie doing less

than 60 minutes of moderate- to vigorous-intensity physical activity daily

Definitions Adolescents insufficiently active (age standardised estimate)

22

Girls 2010

Canada

Belize

United States

Antigua amp B

arbuda

Suriname

Dom

inica

Trinidad amp Tobago

St Kitts amp Nevis

St Lucia

Peru

Guyana

Barbados

Colom

bia

Grenada

Honduras

Argentina

Baham

as

Guatem

ala

Costa R

ica

St Vincent amp G

ren

Bolivia

El Salvador

Chile

Uruguay

Brazil

Ecuador

Venezuela

0

20

40

60

80

100

in

suffi

cien

t phy

sica

l act

ivity

Age 11-17

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA893lang=en

Notes of school going adolescents not meeting WHO recommendations on Physical Activity for Health ie doing less

than 60 minutes of moderate- to vigorous-intensity physical activity daily

Definitions Adolescents insufficiently active (age standardised estimate)

23

Estimated per capita fruit intake

Adults 2017

Nicaragua

Guyana

Guatem

ala

Haiti

Honduras

Chile

El Salvador

Bolivia

Paraguay

Trinidad amp Tobago

Venezuela

Uruguay

Suriname

United States

Belize

Panama

Mexico

Barbados

Peru

Jamaica

St Vincent amp G

ren

Dom

inica

St Lucia

Argentina

Grenada

Canada

Brazil

Colom

bia

Costa R

ica

Antigua amp B

arbuda

Cuba

Ecuador

Dom

inican Republic

Baham

as

0

50

100

150

200

250

gda

y

Survey type Measured

Age 25+

References Global Burden of Disease the Institute for Health Metrics and Evaluation httpghdxhealthdataorg

Definitions Estimated per-capita fruit intake (gday)

24

Estimated per-capita processed meat intake

Adults 2017

Haiti

Bolivia

Peru

Honduras

Nicaragua

Guyana

Belize

Jamaica

Guatem

ala

Cuba

El Salvador

Paraguay

St Vincent amp G

ren

Dom

inica

St Lucia

Grenada

Colom

bia

Dom

inican Republic

Suriname

Venezuela

Barbados

Costa R

ica

Antigua amp B

arbuda

Baham

as

Panama

Brazil

Trinidad amp Tobago

Argentina

Ecuador

Uruguay

Mexico

Chile

Canada

United States

0

5

10

15

20

gda

y

Survey type Measured

Age 25+

References Global Burden of Disease the Institute for Health Metrics and Evaluation httpghdxhealthdataorg

Definitions Estimated per-capita processed meat intake (g per day)

25

Estimated per capita whole grains intake

Adults 2017

Uruguay

Baham

as

Trinidad amp Tobago

Argentina

Chile

Jamaica

Belize

Barbados

Dom

inica

St Vincent amp G

ren

St Lucia

Costa R

ica

Grenada

Haiti

Antigua amp B

arbuda

Ecuador

United States

Bolivia

Canada

Cuba

Guyana

Dom

inican Republic

Colom

bia

Guatem

ala

Suriname

Peru

El Salvador

Paraguay

Honduras

Brazil

Nicaragua

Venezuela

Panama

Mexico

0

10

20

30

40

50

60

70

80

gda

y

Survey type Measured

Age 25+

References Global Burden of Disease the Institute for Health Metrics and Evaluation httpghdxhealthdataorg

Definitions Estimated per-capita whole grains intake (gday)

26

Mental health - depression disorders

Adults 2015

Guatem

ala

Honduras

Mexico

Nicaragua

Venezuela

Haiti

Belize

Bolivia

El Salvador

Panama

Guyana

Ecuador

Argentina

Canada

Colom

bia

Costa R

ica

Dom

inican Republic

Grenada

Jamaica

Peru

Suriname

St Lucia

St Vincent amp G

ren

Chile

Uruguay

Antigua amp B

arbuda

Baham

as

Paraguay

Trinidad amp Tobago

Barbados

Cuba

Brazil

United States

0

1

2

3

4

5

6

o

f pop

ulat

ion

References Prevalence data from Global Burden of Disease study 2015 (httpghdxhealthdataorg) published in Depression and

Other Common Mental Disorders Global Health Estimates GenevaWorld Health Organization 2017 Licence CC BY-

NC-SA 30 IGO

Definitions of population with depression disorders

27

Mental health - anxiety disorders

Adults 2015

Mexico

Guatem

ala

Honduras

Venezuela

Nicaragua

Panama

Costa R

ica

El Salvador

Canada

Bolivia

Haiti

Ecuador

Belize

Dom

inican Republic

Grenada

Guyana

Jamaica

Peru

Colom

bia

St Vincent amp G

ren

Suriname

St Lucia

Antigua amp B

arbuda

Barbados

Cuba

Trinidad amp Tobago

Baham

as

Argentina

United States

Uruguay

Chile

Paraguay

Brazil

0

2

4

6

8

o

f pop

ulat

ion

References Prevalence data from Global Burden of Disease study 2015 (httpghdxhealthdataorg) published in Depression and

Other Common Mental Disorders Global Health Estimates GenevaWorld Health Organization 2017 Licence CC BY-

NC-SA 30 IGO

Definitions of population with anxiety disorders

28

Oesophageal cancer

Men 2018

Nicaragua

Guyana

Suriname

Mexico

Belize

Honduras

Guatem

ala

El Salvador

Peru

Ecuador

Barbados

Costa R

ica

Trinidad amp Tobago

Bolivia

Panama

Haiti

Colom

bia

St Lucia

Dom

inican Republic

Chile

Venezuela

Jamaica

Baham

as

Argentina

Canada

United States

Uruguay

Paraguay

Brazil

Cuba

0

2

4

6

8

10

12

14

16

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 oesophagus adults ages 20+ ASR (World) per

100000

29

Women 2018

Belize

St Lucia

Suriname

Nicaragua

Trinidad amp Tobago

Baham

as

Barbados

Mexico

Panama

Guyana

Ecuador

Venezuela

Bolivia

Costa R

ica

El Salvador

Guatem

ala

Colom

bia

Peru

Honduras

Jamaica

Dom

inican Republic

United States

Cuba

Paraguay

Canada

Brazil

Argentina

Chile

Uruguay

Haiti

0

05

1

15

2

25

3

35

4

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 oesophagus adults ages 20+ ASR (World) per

100000

30

Breast cancer

Women 2018

Haiti

Guatem

ala

Bolivia

Honduras

Ecuador

Nicaragua

Belize

Mexico

El Salvador

Peru

Chile

Panama

Colom

bia

Cuba

Guyana

Costa R

ica

Paraguay

St Lucia

Venezuela

Suriname

Jamaica

Dom

inican Republic

Brazil

Baham

as

Uruguay

Trinidad amp Tobago

Barbados

Argentina

Canada

United States

0

20

40

60

80

100

120

140

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 breast females ages 20+ ASR (World) per

100000

31

Colorectal cancer

Men 2018

Guyana

Guatem

ala

Bolivia

El Salvador

Honduras

Belize

Haiti

Nicaragua

Ecuador

Mexico

St Lucia

Dom

inican Republic

Peru

Venezuela

Paraguay

Cuba

Colom

bia

Costa R

ica

Panama

Suriname

Brazil

Jamaica

Trinidad amp Tobago

Chile

Baham

as

United States

Argentina

Canada

Uruguay

Barbados

0

10

20

30

40

50

60

70

80

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 colorectum adults ages 20+ ASR (World) per

100000

32

Women 2018

Guyana

Bolivia

Guatem

ala

Honduras

El Salvador

Mexico

Belize

Ecuador

Haiti

Nicaragua

Peru

Paraguay

Venezuela

Suriname

Dom

inican Republic

Panama

Colom

bia

Costa R

ica

St Lucia

Trinidad amp Tobago

Chile

Brazil

Cuba

Baham

as

Argentina

United States

Canada

Uruguay

Jamaica

Barbados

0

10

20

30

40

50

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 colorectum adults ages 20+ ASR (World) per

100000

33

Pancreatic cancer

Men 2018

Belize

Guatem

ala

Baham

as

Bolivia

Ecuador

Jamaica

El Salvador

Guyana

Mexico

St Lucia

Nicaragua

Panama

Suriname

Colom

bia

Costa R

ica

Haiti

Cuba

Venezuela

Dom

inican Republic

Peru

Brazil

Paraguay

Honduras

Chile

Trinidad amp Tobago

Canada

Barbados

Argentina

United States

Uruguay

0

5

10

15

20

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 pancreas adults ages 20+ ASR (World) per

100000

34

Women 2018

Baham

as

St Lucia

Guatem

ala

Guyana

Bolivia

Panama

Haiti

El Salvador

Jamaica

Ecuador

Nicaragua

Mexico

Costa R

ica

Dom

inican Republic

Colom

bia

Cuba

Honduras

Belize

Venezuela

Brazil

Trinidad amp Tobago

Peru

Paraguay

Suriname

Chile

Barbados

Canada

Argentina

United States

Uruguay

0

2

4

6

8

10

12

14

16

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 pancreas adults ages 20+ ASR (World) per

100000

35

Gallbladder cancer

Men 2018

Belize

Guyana

Haiti

Dom

inican Republic

Jamaica

Panama

Guatem

ala

Suriname

Honduras

St Lucia

Venezuela

Paraguay

Barbados

Cuba

Trinidad amp Tobago

Costa R

ica

El Salvador

Mexico

Brazil

Nicaragua

United States

Colom

bia

Canada

Argentina

Baham

as

Ecuador

Peru

Uruguay

Chile

Bolivia

0

5

10

15

20

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 gallbladder adults ages 20+ ASR (World) per

100000

36

Women 2018

Guyana

Suriname

St Lucia

Haiti

Trinidad amp Tobago

Belize

Dom

inican Republic

Guatem

ala

Venezuela

Barbados

Panama

Baham

as

Cuba

United States

Brazil

Jamaica

Costa R

ica

Paraguay

Canada

Argentina

Uruguay

Mexico

Nicaragua

Ecuador

Colom

bia

Honduras

El Salvador

Peru

Chile

Bolivia

0

5

10

15

20

25

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 gallbladder adults ages 20+ ASR (World) per

100000

37

Kidney cancer

Men 2018

St Lucia

Dom

inican Republic

Haiti

Guatem

ala

Belize

Guyana

Jamaica

Honduras

Nicaragua

El Salvador

Suriname

Baham

as

Bolivia

Trinidad amp Tobago

Colom

bia

Ecuador

Paraguay

Mexico

Panama

Costa R

ica

Cuba

Brazil

Venezuela

Peru

Barbados

Chile

Argentina

Canada

United States

Uruguay

0

5

10

15

20

25

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 kidney adults ages 20+ ASR (World) per 100000

38

Women 2018

Belize

Suriname

Haiti

Dom

inican Republic

Jamaica

Nicaragua

Guatem

ala

El Salvador

Guyana

Honduras

Paraguay

St Lucia

Baham

as

Trinidad amp Tobago

Colom

bia

Ecuador

Costa R

ica

Barbados

Bolivia

Mexico

Panama

Brazil

Cuba

Peru

Venezuela

Chile

Argentina

Canada

United States

Uruguay

0

2

4

6

8

10

12

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 kidney adults ages 20+ ASR (World) per 100000

39

Cancer of the uterus

Women 2018

Canada

United States

Baham

as

Mexico

Costa R

ica

Brazil

Chile

Uruguay

Colom

bia

St Lucia

Cuba

Trinidad amp Tobago

Barbados

Argentina

Dom

inican Republic

Haiti

Ecuador

El Salvador

Panama

Honduras

Guatem

ala

Nicaragua

Peru

Venezuela

Suriname

Belize

Jamaica

Paraguay

Guyana

Bolivia

0

10

20

30

40

50

60

Inci

denc

e pe

r 100

000

Age 20+

References Global Cancer Observatory Cancer incidence rates httpgcoiarcfr (last accessed 30th June 2020)

Definitions Estimated age-standardized incidence rates (World) in 2018 cervix uteri females ages 20+ ASR (World) per

100000

40

Raised blood pressure

Adults 2015

United States

Canada

Peru

Bolivia

Ecuador

Venezuela

Costa R

ica

El Salvador

Cuba

Colom

bia

Mexico

Panama

Uruguay

Nicaragua

Baham

as

Chile

Guatem

ala

Honduras

Dom

inican Republic

Jamaica

Suriname

Dom

inica

Argentina

Belize

Guyana

Brazil

St Vincent amp G

ren

Antigua amp B

arbuda

Grenada

Barbados

Haiti

Paraguay

St Kitts amp Nevis

Trinidad amp Tobago

St Lucia

0

5

10

15

20

25

ra

ised

blo

od p

ress

ure

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA875lang=en

Definitions Age Standardised estimated Raised blood pressure 2015 (SBPgt=140 OR DBPgt=90)

41

Men 2015

United States

Canada

Peru

Bolivia

Ecuador

El Salvador

Cuba

Costa R

ica

Colom

bia

Venezuela

Nicaragua

Guatem

ala

Mexico

Panama

Honduras

Dom

inican Republic

Belize

Guyana

Jamaica

Suriname

Uruguay

Baham

as

Haiti

Chile

Dom

inica

St Vincent amp G

ren

Antigua amp B

arbuda

Brazil

Grenada

Barbados

Argentina

Trinidad amp Tobago

Paraguay

St Kitts amp Nevis

St Lucia

0

5

10

15

20

25

30

ra

ised

blo

od p

ress

ure

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA875lang=en

Definitions Age Standardised estimated Raised blood pressure 2015 (SBPgt=140 OR DBPgt=90)

42

Women 2015

United States

Canada

Peru

Venezuela

Ecuador

Bolivia

Costa R

ica

Chile

Baham

as

Uruguay

Colom

bia

Cuba

El Salvador

Mexico

Panama

Argentina

Dom

inican Republic

Jamaica

Dom

inica

Brazil

Nicaragua

Suriname

Honduras

Antigua amp B

arbuda

Guatem

ala

St Vincent amp G

ren

Belize

Paraguay

Guyana

Grenada

Barbados

St Kitts amp Nevis

Haiti

Trinidad amp Tobago

St Lucia

0

5

10

15

20

25

ra

ised

blo

od p

ress

ure

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA875lang=en

Definitions Age Standardised estimated Raised blood pressure 2015 (SBPgt=140 OR DBPgt=90)

43

Raised cholesterol

Adults 2008

Haiti

Guyana

Guatem

ala

Nicaragua

Honduras

Jamaica

Cuba

Dom

inican Republic

Belize

Grenada

El Salvador

Suriname

Bolivia

St Vincent amp G

ren

St Lucia

Dom

inica

Paraguay

Venezuela

Peru

Trinidad amp Tobago

Ecuador

Costa R

ica

St Kitts amp Nevis

Uruguay

Colom

bia

Barbados

Panama

Antigua amp B

arbuda

Brazil

Chile

Argentina

Mexico

Baham

as

Canada

United States

0

10

20

30

40

50

ra

ised

cho

lest

erol

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA885

Definitions Raised total cholesterol (gt= 50 mmolL) (age-standardized estimate)

44

Men 2008

Haiti

Guyana

St Vincent amp G

ren

Guatem

ala

Honduras

Nicaragua

Jamaica

Cuba

Dom

inican Republic

Grenada

Belize

El Salvador

Dom

inica

Suriname

Venezuela

Bolivia

St Lucia

Paraguay

Trinidad amp Tobago

Costa R

ica

Peru

Ecuador

St Kitts amp Nevis

Barbados

Panama

Antigua amp B

arbuda

Colom

bia

Uruguay

Brazil

Mexico

Chile

Baham

as

Argentina

United States

Canada

0

10

20

30

40

50

ra

ised

cho

lest

erol

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA885

Definitions Raised total cholesterol (gt= 50 mmolL) (age-standardized estimate)

45

Women 2008

Haiti

Guyana

Guatem

ala

Nicaragua

Honduras

Jamaica

Cuba

Dom

inican Republic

Belize

Grenada

Bolivia

El Salvador

Suriname

St Vincent amp G

ren

Peru

Paraguay

St Lucia

Uruguay

Trinidad amp Tobago

Ecuador

Venezuela

Colom

bia

Dom

inica

Brazil

St Kitts amp Nevis

Costa R

ica

Barbados

Panama

Antigua amp B

arbuda

Chile

Argentina

Canada

Mexico

Baham

as

United States

0

10

20

30

40

50

ra

ised

cho

lest

erol

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA885

Definitions Raised total cholesterol (gt= 50 mmolL) (age-standardized estimate)

46

Raised fasting blood glucose

Men 2014-2019

Canada

United States

Peru

Paraguay

Ecuador

Brazil

Colom

bia

Haiti

Bolivia

Costa R

ica

Venezuela

Argentina

Cuba

Panama

Uruguay

Honduras

Guatem

ala

El Salvador

Chile

Nicaragua

Dom

inican Republic

Mexico

St Vincent amp G

ren

Guyana

Antigua amp B

arbuda

Trinidad amp Tobago

Grenada

Suriname

Dom

inica

Baham

as

Barbados

Jamaica

St Lucia

Belize

St Kitts amp Nevis

Age 18-69

0

10

20

30

40

50

60

70

ra

ised

fast

ing

bloo

d gl

ucos

e

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA869lang=en

Definitions Age Standardised raised fasting blood glucose (gt= 70 mmolL or on medication)

47

Women 2014-2019

Canada

Bolivia

Peru

Cuba

Ecuador

Brazil

Paraguay

United States

Colom

bia

Dom

inica

Honduras

Dom

inican Republic

Haiti

Costa R

ica

Grenada

Guatem

ala

Panama

Guyana

Uruguay

Nicaragua

El Salvador

Jamaica

St Vincent amp G

ren

Antigua amp B

arbuda

Argentina

Venezuela

Belize

Chile

Trinidad amp Tobago

Barbados

Mexico

Suriname

Baham

as

St Kitts amp Nevis

St Lucia

Age 18-69

0

20

40

60

80

ra

ised

fast

ing

bloo

d gl

ucos

e

References Global Health Observatory data repository World Health Organisation

httpappswhointghodatanodemainA869lang=en

Definitions Age Standardised raised fasting blood glucose (gt= 70 mmolL or on medication)

48

Diabetes prevalence

Adults 2017

Argentina

Ecuador

Peru

Venezuela

Haiti

Bolivia

Uruguay

Honduras

Canada

Colom

bia

Brazil

Dom

inican Republic

Cuba

Paraguay

Panama

Chile

Costa R

ica

El Salvador

Guatem

ala

Grenada

United States

Trinidad amp Tobago

Jamaica

Nicaragua

Dom

inica

Guyana

St Lucia

St Vincent amp G

ren

Suriname

St Kitts amp Nevis

Mexico

Antigua amp B

arbuda

Baham

as

Barbados

Belize

0

2

4

6

8

10

12

14

16

18

d

iabe

tes

prev

alen

ce

References Reproduced with kind permission of IDF International Diabetes Federation IDF Diabetes Atlas 8th edition Brussels

Belgium International Diabetes Federation 2017 httpwwwdiabetesatlasorg

Definitions Diabetes age-adjusted comparative prevalence ()

49

Health systems

Economic classification High Income

Health systems summary

The Canadian Health Act (CHA) was passed in 1984 The aim of the CHA was to ensure that all Canadian citizens had lsquofree at the point of carersquo for approved healthcare needs Now almost all Canadiansrsquo healthcare is provided for by Medicare a publicly funded single-payer health care system If a treatment is classified as lsquomedically necessaryrsquo it must be funded through the government funded Medicare system Medicare plans however do not cover pharmaceuticals home care or long-term care costs These additional costs are required to be covered by supplementary health insurance

Approximately 70 of total health expenditure is publicly sourced (primarily through general taxation) Around half of the remaining 30 come from out of pocket payments by patients

Indicators

Where is the countryrsquos government in the journey towards defining lsquoObesity as a diseasersquo Some progress

Where is the countryrsquos healthcare provider in the journey towards defining lsquoObesity as a

diseasersquo

Some progress

Is there specialist training available dedicated to the training of health professionals to

prevent diagnose treat and manage obesity

Some progress

Have any taxes or subsidies been put in place to protectassistinform the population around

obesity

Yes

Are there adequate numbers of trained health professionals in specialties relevant to obesity

in urban areas

No

Are there adequate numbers of trained health professionals in specialties relevant to obesity

in rural areas

No

Are there any obesity-specific recommendations or guidelines published for adults Yes

Are there any obesity-specific recommendations or guidelines published for children Yes

In practice how is obesity treatment largely funded Out of pocket

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Perceived barriers to treatment

Lack of training for healthcare

professionals

Obesity not recognised as a

disease

Lack of treatment facilities

Summary of stakeholder feedback

While the Canadian Medical Association classifies obesity as a disease the Canadian Government does not Official recognition of obesity as a chronic disease by the government would ensure that obesity was included within the chronic disease treatment portfolio so there would be more funds and incentives to treat

Though the current health system should theoretically allow people with obesity to receive health care in a structured and systematic way stakeholders suggest that obesity is not effectively managed within the current health system The availability of treatment varies widely between provinces and territories staff are inadequately trained and there is a lack of multi-disciplinary teams despite it being widely recognised by healthcare practitioners to be crucial for successful obesity management

Stakeholders report that individuals often enter the system via the emergency room and then are not referred onto appropriate care When they are referred onto care the availability of weight loss programmes and bariatric treatments is inconsistent and often subject to long waiting times in the public sector (particularly for the latter) As a result those that can afford to go abroad for bariatric treatment do so and much of the population use unregulated and expensive weight-loss service providers

Stakeholders also reported that many health care practitioners feel ill-equipped to treat obesity and feel that existing government guidelines are outdated It was highlighted however that the Canadian Task Force on Preventive Health Care published prevention treatment and management guidelines for adults and children in primary care in 2015

Based on interviewssurvey returns from 4 stakeholders

Last updated June 2020

PDF created on March 4 2021

51

Perceived barriers to treatment

Lack of training for healthcare

professionals

Obesity not recognised as a

disease

Lack of treatment facilities

Summary of stakeholder feedback

While the Canadian Medical Association classifies obesity as a disease the Canadian Government does not Official recognition of obesity as a chronic disease by the government would ensure that obesity was included within the chronic disease treatment portfolio so there would be more funds and incentives to treat

Though the current health system should theoretically allow people with obesity to receive health care in a structured and systematic way stakeholders suggest that obesity is not effectively managed within the current health system The availability of treatment varies widely between provinces and territories staff are inadequately trained and there is a lack of multi-disciplinary teams despite it being widely recognised by healthcare practitioners to be crucial for successful obesity management

Stakeholders report that individuals often enter the system via the emergency room and then are not referred onto appropriate care When they are referred onto care the availability of weight loss programmes and bariatric treatments is inconsistent and often subject to long waiting times in the public sector (particularly for the latter) As a result those that can afford to go abroad for bariatric treatment do so and much of the population use unregulated and expensive weight-loss service providers

Stakeholders also reported that many health care practitioners feel ill-equipped to treat obesity and feel that existing government guidelines are outdated It was highlighted however that the Canadian Task Force on Preventive Health Care published prevention treatment and management guidelines for adults and children in primary care in 2015

Based on interviewssurvey returns from 4 stakeholders

Last updated June 2020

PDF created on March 4 2021

51