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Obesity in Canadian Adults: It’s About More Than Just Weight Published: ()
Obesity is at epidemic levels around the world in both children and adults. Although adult obesity in Canada has been relatively steady since 2004, the percentage of adults who are obese today is twice as high as it was in 1978-1979, from 13.8% Footnote 1 to 28.2% (Table 2). This is concerning since obesity is a known risk factor for chronic diseases like diabetes or hypertension.
When are people considered obese?
People are considered obese if they have too much fat on their body that can negatively affect their health. This is usually measured using the Body Mass Index (BMI). BMI is calculated by dividing a person’s weight in kilograms by their height in metres, squared. A BMI of 30 kg/m Footnote 2 or higher is considered obese for adults aged 18 and over. A BMI between 25 and 30 kg/m Footnote 2 is considered overweight.
But like health, developing obesity is a complex process influenced by different factors. Biology (like sex or genetic make-up), behaviours (like physical activity and diet), as well as mental health are important factors. In addition, where someone lives, their income, social relationships and personal identity can all influence behaviour and mental state and thus, also play an important role.
So with this in mind, what are the numbers telling us about obesity in adults?
Demographic Factors
Over the past decade, when comparing men and women, there has been little to no difference in obesity between them. For both, the percentage of people that are obese has remained more or less unchanged. While obesity rates increase with age, it seems to level off around middle-age (Table 1).
Income adequacy takes into account the number of people living in a household and the amount of income available to support them. Some of the factors that contribute to obesity (like diet, sleep, mental health and well-being, etc.) are impacted by income level (Table 2 and Table 3).
While the overall rate of obesity among Canadian adults is 28.2%, it can vary a lot based on where someone lives (e.g. health region) [see map].
Lifestyle Factors
Eating Behaviours
- Canadian adults think their eating habits are “very good” to “good”, and the majority of them eat their main meal at the family table (92.4%; CCHS 2012 Food Skills Rapid Response). However, most adults do not use the Canada’s Food Guide when doing their grocery shopping (69.5%; CCHS 2012 Food Skills Rapid Response) yet many have habits that help them make healthy choices. For instance, most use a grocery list (73.2%) or read nutrition labels (63.3%) [CCHS 2012 Food Skills Rapid Response]. In general, normal weight adults eat healthier (41.7%) than those who are obese (34.2%) [Table 2]. That said, only 39.3% of Canadian adults actually maintain a healthy diet (Table 2).
- Current health advice suggests that drinking fewer sugary drinks is part of a healthy lifestyle that contributes to a healthier weight Footnote 2. Although only a small percent of adults (12.8%) say they drink one or more sugar-sweetened drinks per day, specifically regular soft drinks, sports drinks or fruit-flavoured drinks (Table 2), the sales of new sugary drinks like energy drinks, flavoured waters, and sweetened coffees have increased dramatically in Canada with sweetened coffees alone increasing 579% between 2004 and 2015 Footnote 3. Drinking sugar-sweetened drinks is higher among younger adult Canadians but this decreases with age (Table 2).
Activity Behaviours
- Being physically active is important to health, yet only 22.2% of Canadian adults are active enough (Table 2). In fact, the majority of Canadians’ waking hours (9.8 hours per day) are spent on activities that are sedentary (which means that they require very little movement) such as sitting at a desk or watching television (Table 2). Only a small percentage of adults take active forms of transportation, like walking or cycling, to get to and from their workplace (19.8% walk and 4.1% bike; CCHS 2014).
- Over the past few decades, as the amount of sleep adults get has gone down (from 8.0 hours per night in 1992 Footnote 4 to 7.2 hours per night in 2013-2014; Table 2), obesity has gone up Footnote 5. Current research shows that 64.5% of Canadian adults do get adequate sleep Footnote 6, but this can vary by age group (Table 2).
Psychosocial Factors
A person’s mental state and social relationships can play a part in the development of obesity, but can also be affected by excess weight Footnote 7, Footnote 8. At all ages, there is widespread discrimination towards those considered obese Footnote 6. Binge eating, which can cause weight gain, has been linked with depression and lower self-esteem, and is often used as a way of coping with stress Footnote 8. Among Canadian adults, a higher number of obese adults report being depressed or having a mood disorder (11.0%) compared to overweight (7.0%) or normal weight (6.9%) adults (Table 3).
Your identity is how you see yourself, your appearance, abilities and uniqueness. Obesity can have an impact on this. Obese adults report feeling happy less often (93.0%) and are less likely to report being in very good or excellent health (45.1%) than adults who are not obese (95.1% and 68.3%) [Table 3]. However, when looking at a person’s outlook on life, both normal weight and obese adults report similar feelings about their sense of community (62.4% and 58.1%) and that they had trusting relationships (95.7% and 95.4%) (Table 3). Interestingly, a higher number of overweight adults report feeling a sense of community (71.1%) and that they had trusting relationships (96.3%) compared to obese or normal weight adults (Table 3).
Dive Into the Data
Use the map below to discover the obesity rate in Canada's health regions. Navigate the map using the Next and Previous buttons or with Tab or Hover. To Zoom, use Click/Spacebar.
Legend (Obesity Rate %)
Description
The obesity rate in is . This is than the national average of 26.1% by .
This map was created using adjusted data from the Canadian Community Health Survey (2014).
Table 1: Trends and sociodemographic determinants of adult obesity
Time Trends
2004 | 2007/09 | 2009/11 | 2012/13 | 2014/15 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | |||||||
From | To | From | To | From | To | From | To | From | To | |||||||
Overweight | 36.8 | 31.1 | 42.5 | 36.8 | 33.5 | 40.0 | 34.1 | 30.7 | 37.5 | 35.6 | 31.3 | 39.9 | 36.1 | 33.1 | 39.1 | |
Obese | All | 22.9 | 18.1 | 27.7 | 24.0 | 20.6 | 27.3 | 26.3 | 22.2 | 30.4 | 26.4 | 21.1 | 31.7 | 28.2 | 24.0 | 32.3 |
Class I | 16.0 | 12.3 | 19.9 | 15.1 | 13.1 | 17.1 | 16.2 | 13.9 | 18.6 | 17.4 | 13.5 | 21.4 | 16.5 | 14.2 | 19.3 | |
Class II | 4.5 E | 2.4 | 6.6 | 5.8 | 4.6 | 7.1 | 6.4 | 4.3 | 8.4 | 5.6 | 3.7 | 7.4 | 7.4 | 5.3 | 9.4 | |
Class III | F | - | - | 3.0 | 2.2 | 3.8 | 3.7 | 2.7 | 4.7 | 3.4 E | 1.9 | 4.8 | 4.0 | 2.6 | 5.5 | |
Overweight & Obese | 59.7 | 53.7 | 65.7 | 60.7 | 55.7 | 65.8 | 60.4 | 55.8 | 65.0 | 62.0 | 56.8 | 67.2 | 64.2 | 61.0 | 67.4 |
Sociodemographic Determinants
Sex
2004 | 2007/09 | 2009/11 | 2012/13 | 2014/15 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | |||||||
From | To | From | To | From | To | From | To | From | To | |||||||
Overweight* | Males | 40.4 | 32.5 | 48.2 | 44.1 | 39.3 | 48.9 | 39.8 | 35.5 | 44.1 | 43.3 | 36.5 | 50.1 | 39.9 | 34.5 | 45.4 |
Females | 33.4 | 25.6 | 41.2 | 29.5 | 26.4 | 32.5 | 28.4 | 23.7 | 33.1 | 28.0 | 20.9 | 35.0 | 32.2 | 28.1 | 36.3 | |
Obese | Males | 24.6 | 16.9 | 32.4 | 24.2 | 20.6 | 27.9 | 27.3 | 22.2 | 32.4 | 26.5 | 20.5 | 32.5 | 28.5 | 23.2 | 33.7 |
Females | 21.2 | 15.5 | 26.9 | 23.7 | 19.6 | 27.7 | 25.3 | 20.9 | 29.6 | 26.2 | 18.9 | 33.6 | 27.8 | 23.7 | 31.9 | |
Overweight & Obese* | Males | 65.0 | 56.7 | 73.4 | 68.3 | 63.4 | 73.3 | 67.1 | 62.5 | 71.7 | 69.8 | 64.3 | 75.3 | 68.4 | 64.9 | 71.9 |
Females | 54.6 | 46.5 | 62.7 | 53.1 | 47.1 | 59.1 | 53.6 | 47.7 | 59.6 | 54.2 | 47.0 | 61.4 | 60.0 | 54.5 | 65.4 |
Age Group
2004 | 2007/09 | 2009/11 | 2012/13 | 2014/15 | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | Prevalence (%) | 95% Confidence Interval | |||||||
From | To | From | To | From | To | From | To | From | To | |||||||
Overweight* | 18-34 | 33.5 | 24.1 | 42.9 | 28.0 | 23.7 | 32.3 | 26.2 | 19.9 | 32.5 | 29.9 | 24.4 | 35.5 | 26.2 | 22.1 | 30.3 |
35-49 | 38.6 E | 25.4 | 51.8 | 42.5 | 37.2 | 47.8 | 35.5 | 30.4 | 40.6 | 32.8 | 25.9 | 39.8 | 42.2 | 36.3 | 48.0 | |
50-64 | 37.2 | 26.7 | 47.7 | 38.0 | 33.9 | 42.2 | 39.2 | 32.5 | 45.8 | 37.2 | 30.0 | 44.4 | 36.9 | 31.0 | 42.9 | |
65-79 | 42.9 | 29.9 | 55.8 | 40.0 | 34.2 | 45.7 | 38.0 | 34.7 | 41.3 | 50.4 | 45.0 | 55.9 | 42.2 | 38.3 | 46.1 | |
Obese* | 18-34 | 17.3 E | 9.2 | 25.3 | 16.8 | 13.6 | 20.0 | 17.2 | 12.7 | 21.8 | 21.0 E | 12.9 | 29.1 | 21.9 | 16.3 | 27.4 |
35-49 | 17.6 E | 9.6 | 25.6 | 24.7 | 20.1 | 29.3 | 25.8 | 21.0 | 30.6 | 29.2 | 21.6 | 36.8 | 27.9 | 19.5 | 36.2 | |
50-64 | 33.4 | 22.5 | 44.3 | 28.5 | 23.6 | 33.4 | 32.2 | 23.5 | 40.8 | 29.6 | 24.0 | 35.2 | 32.8 | 24.8 | 40.7 | |
65-79 | 26.3 E | 15.0 | 37.6 | 29.9 | 26.5 | 33.4 | 35.3 | 31.4 | 39.2 | 26.0 | 19.4 | 32.5 | 32.4 | 28.0 | 36.7 | |
Overweight & Obese* | 18-34 | 50.7 | 40.4 | 61.0 | 44.8 | 39.1 | 50.5 | 43.5 | 36.6 | 50.4 | 50.9 | 40.8 | 61.1 | 48.1 | 42.6 | 53.6 |
35-49 | 56.2 | 41.6 | 70.8 | 67.2 | 60.8 | 73.6 | 61.3 | 56.7 | 65.9 | 62.1 | 54.4 | 69.7 | 70.0 | 64.4 | 75.7 | |
50-64 | 70.6 | 60.0 | 81.2 | 66.6 | 60.3 | 72.8 | 71.3 | 64.0 | 78.7 | 66.8 | 60.7 | 72.9 | 69.7 | 63.2 | 76.2 | |
65-79 | 69.1 | 55.2 | 83.1 | 69.9 | 65.0 | 74.8 | 73.3 | 68.3 | 78.3 | 76.4 | 70.7 | 82.1 | 74.6 | 68.7 | 80.5 |
Source: Statistics Canada, Canadian Community Health Survey (CCHS) 2004 and Canadian Health Measures Survey (CHMS) 2007/09, 2009/11, 2012/13, and 2014/15. Ages 18 years and over.
Abbreviations:
- CI: confidence interval
- E: Interpret with caution due to high sampling variability (coefficient of variation between 16.6% and 33.3%)
- F: Suppressed due to high variability
- *: Significant differences across all, or some, items in the category are observed in some, or all, time points
Table 2: Lifestyle factors associated with adult obesity
Eating Behaviours
Healthy Diet (5+ fruits or vegetables per day)
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 39.3 | 38.4 | 40.1 | |
Sex* | Males | 31.7 | 30.5 | 32.8 |
Females | 46.5 | 45.4 | 47.7 | |
Age Group* | 18 - 34 | 39.2 | 37.6 | 40.7 |
35 - 49 | 39.8 | 38.0 | 41.7 | |
50 - 64 | 36.4 | 34.8 | 38.0 | |
65 - 79 | 42.6 | 41.2 | 44.1 | |
Income Adequacy* | Low | 34.8 | 33.0 | 36.6 |
Moderate | 38.1 | 36.7 | 39.6 | |
High | 41.4 | 40.3 | 42.5 | |
Weight Status* | Normal | 41.7 | 40.3 | 43.2 |
Overweight | 40.1 | 38.7 | 41.5 | |
Obese | 34.2 | 32.7 | 35.7 |
Sugar Sweetened Beverages (≥1 /day)
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 12.8 | 10.2 | 15.4 | |
Sex | Males | 16.9 | 13.7 | 20.0 |
Females | 8.8 | 5.5 | 12.2 | |
Age Group | 18 - 34 | 20.3 | 14.9 | 25.7 |
35 - 49 | 11.6 | 7.9 | 15.2 | |
50 - 64 | 9.2 | 6.1 | 12.2 | |
65 - 79 | 7.4 | 5.3 | 9.4 | |
Income Adequacy | Low | 19.0 | 12.9 | 25.0 |
Moderate | 18.6 | 13.6 | 23.6 | |
High | 8.2 | 5.5 | 10.9 | |
Weight Status | Normal | 13.1 | 9.0 | 17.1 |
Overweight | 10.7E | 6.2 | 15.2 | |
Obese | 15.0E | 9.5 | 20.6 |
All-Movement Behaviours
Physical Activity (meeting guidelines)
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 22.2 | 16.3 | 28.1 | |
Sex | Males | 23.5 E | 14.1 | 33.0 |
Females | 21.0 | 15.5 | 26.5 | |
Age Group* | 18 - 34 | 36.4 | 27.1 | 45.6 |
35 - 49 | 18.1 | 11.9 | 24.3 | |
50 - 64 | 16.7 | 10.8 | 22.6 | |
65 - 79 | 11.8 | 8.5 | 15.1 | |
Income Adequacy | Low | 21.6 E | 11.7 | 31.5 |
Moderate | 16.5 | 11.1 | 21.8 | |
High | 26.0 | 19.2 | 32.9 | |
Weight Status | Normal | 30.3 | 24.4 | 36.2 |
Overweight | 18.7 | 12.4 | 25.0 | |
Obese | 15.9 E | 7.2 | 24.7 |
Sedentary Behaviour (mean hours/day)
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 9.8 | 9.6 | 9.9 | |
Sex | Males | 9.7 | 9.4 | 10.0 |
Females | 9.9 | 9.7 | 10.0 | |
Age Group* | 18 - 34 | 9.5 | 9.1 | 9.9 |
35 - 49 | 9.8 | 9.5 | 10.0 | |
50 - 64 | 9.9 | 9.7 | 10.2 | |
65 - 79 | 10.2 | 10.0 | 10.4 | |
Income Adequacy | Low | 9.9 | 9.6 | 10.2 |
Moderate | 9.7 | 9.5 | 9.9 | |
High | 9.8 | 9.6 | 10.0 | |
Weight Status | Normal | 9.8 | 9.6 | 9.9 |
Overweight | 9.7 | 9.5 | 10.0 | |
Obese | 9.9 | 9.5 | 10.3 |
Adequate Sleep (based on sleep guidelines†)
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 64.5 | 60.5 | 68.5 | |
Overall hours of sleep | 7.2 | 7.1 | 7.3 | |
Sex | Males | 65.2 | 61.9 | 68.5 |
Females | 63.8 | 58.0 | 69.6 | |
Age Group* | 18 - 34 | 66.8 | 62.9 | 70.7 |
35 - 49 | 66.3 | 60.5 | 72.1 | |
50 - 64 | 65.8 | 57.7 | 74.0 | |
65 - 79 | 54.2 | 49.0 | 59.2 | |
Income Adequacy* | Low | 55.2 | 50.4 | 60.0 |
Moderate | 62.4 | 56.6 | 68.2 | |
High | 68.7 | 62.3 | 75.1 | |
Weight Status | Normal | 64.3 | 55.9 | 72.8 |
Overweight | 67.6 | 62.9 | 72.3 | |
Obese | 61.4 | 52.4 | 70.4 |
Source: Statistics Canada, Canadian Community Health Survey (CCHS) 2014 for healthy diet and Canadian Health Measures Survey (CHMS) 2012/13 for physical activity and sedentary behaviour and CMHS 2014/15 for sugar-sweetened beverages and sleep.
- Mean values represent mean hours
- Ages 18 years and over
- †Adequate sleep defined based on National Sleep Foundation guidelines (7 to 9 hours among 18-64 year olds, and 7 to 8 hours among 65 year olds and above)
- E: Interpret with caution due to high sampling variability (coefficient of variation between 16.6% and 33.3%)
- * Significant differences across all, or some, items in the category are observed
Table 3: Psychosocial factors associated with adult obesity
Mental Health
Depression or Mood Disorder
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 8.2 | 7.8 | 8.6 | |
Sex* | Males | 6.4 | 5.8 | 6.9 |
Females | 10.0 | 9.4 | 10.6 | |
Age Group* | 18 - 34 | 7.6 | 6.9 | 8.3 |
35 - 49 | 8.2 | 7.3 | 9.1 | |
50 - 64 | 10.1 | 9.2 | 11.0 | |
65 - 79 | 6.6 | 5.9 | 7.3 | |
Income Adequacy* | Low | 13.3 | 12.1 | 14.4 |
Moderate | 8.3 | 7.5 | 9.0 | |
High | 6.1 | 5.6 | 6.6 | |
Weight Status* | Normal | 6.9 | 6.2 | 7.5 |
Overweight | 7.0 | 6.4 | 7.6 | |
Obese | 11.0 | 10.1 | 11.9 |
Mental Well-Being: Internal Perceptions of Self
In Good Health
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 58.0 | 57.3 | 58.8 | |
Sex | Males | 57.5 | 56.4 | 58.6 |
Females | 58.6 | 57.6 | 59.6 | |
Age Group* | 18 - 34 | 65.7 | 64.2 | 67.2 |
35 - 49 | 63.4 | 61.7 | 65.0 | |
50 - 64 | 54.4 | 52.9 | 56.0 | |
65 - 79 | 47.6 | 46.1 | 49.1 | |
Income Adequacy* | Low | 41.7 | 39.9 | 43.4 |
Moderate | 54.4 | 53.0 | 55.7 | |
High | 66.9 | 65.8 | 67.9 | |
Weight Status* | Normal | 68.3 | 67.1 | 69.5 |
Overweight | 61.1 | 59.8 | 62.5 | |
Obese | 45.1 | 43.6 | 46.7 |
Happy
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 94.5 | 94.1 | 94.9 | |
Sex | Males | 94.7 | 94.1 | 95.3 |
Females | 94.2 | 93.6 | 94.9 | |
Age Group* | 18 - 34 | 96.4 | 95.8 | 97.0 |
35 - 49 | 94.1 | 93.3 | 95.0 | |
50 - 64 | 93.1 | 92.1 | 94.1 | |
65 - 79 | 94.7 | 94.0 | 95.5 | |
Income Adequacy* | Low | 89.9 | 88.7 | 91.1 |
Moderate | 93.9 | 93.0 | 94.7 | |
High | 96.8 | 96.3 | 97.2 | |
Weight Status* | Normal | 95.1 | 94.5 | 95.6 |
Overweight | 94.9 | 94.1 | 95.7 | |
Obese | 93.0 | 92.0 | 93.9 |
Mental Well-Being: External Outlook
Strong Sense of Community
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 67.8 | 63.1 | 72.5 | |
Sex | Males | 67.2 | 62.1 | 72.2 |
Females | 68.4 | 62.9 | 73.9 | |
Age Group* | 18 - 34 | 57.1 | 48.5 | 65.6 |
35 - 49 | 73.3 | 68.3 | 78.3 | |
50 - 64 | 67.5 | 61.9 | 73.1 | |
65 - 79 | 79.0 | 73.1 | 84.9 | |
Income Adequacy | Low | 61.6 | 54.6 | 68.7 |
Moderate | 68.3 | 60.3 | 76.2 | |
High | 69.7 | 63.9 | 75.4 | |
Weight Status* | Normal | 66.0 | 59.6 | 72.4 |
Overweight | 67.0 | 62.4 | 71.7 | |
Obese | 71.0 | 62.5 | 79.5 |
Trustworthy Relationships
Prevalence (%) | 95% Confidence Interval | |||
---|---|---|---|---|
From | To | |||
Overall | 95.9 | 95.5 | 96.2 | |
Sex | Males | 95.5 | 95.0 | 96.0 |
Females | 96.2 | 95.7 | 96.7 | |
Age Group | 18 - 34 | 96.0 | 95.3 | 96.7 |
35 - 49 | 95.7 | 95.0 | 96.4 | |
50 - 64 | 95.7 | 95.0 | 96.3 | |
65 - 79 | 96.4 | 95.9 | 97.0 | |
Income Adequacy* | Low | 92.6 | 91.6 | 93.6 |
Moderate | 95.5 | 94.8 | 96.2 | |
High | 97.4 | 97.1 | 97.8 | |
Weight Status | Normal | 95.7 | 95.2 | 96.3 |
Overweight | 96.3 | 95.7 | 96.8 | |
Obese | 95.4 | 94.7 | 96.1 |
Source: Statistics Canada, Canadian Community Health Survey (CCHS) - Mental 2012 (mental health focus) for happiness and trustworthy relationships and 2014 for depression and perceived health, and Canadian Health Measures Survey (CHMS) 2014/15 for sense of community.
- Ages 18 years and over
- E: Interpret with caution due to high sampling variability (coefficient of variation between 16.6% and 33.3%)