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Endnotes

  1. Health Canada, Laboratory Centre for Disease Control (1999) p 4.
  2. WHO Study Group on Prevention of Diabetes Mellitus (1994).
  3. The four components of the Canadian Diabetes Strategy are: 1) National Coordination; 2) The Aboriginal Diabetes Initiative; 3) The National Diabetes Surveillance System; and 4) Prevention and Promotion.
  4. Definitions offered for the three levels of diabetes prevention were developed for the Canadian Diabetes Strategy for consistency purposes, by the Population and Public Health Branch of Health Canada in Ottawa in consultation with the Prevention and Promotion Steering Committee. They are based on two sources: the WHO Study Group on the Prevention of Diabetes Mellitus (1994) and Saskatchewan Health (1999).
  5. This section draws heavily and shamelessly on two excellent documents: Saskatchewan Health (1999) and the WHO Consultation on Obesity (1997), Ch 9: The prevention and management of overweight and obesity in populations: A public health approach. There did not seem to be any compelling reason to try to find different words to say what these works have said so well. However, this section cannot nearly do justice to all of the rich information in these two documents. Readers are strongly urged to obtain the originals.
  6. Health Canada, Laboratory Centre for Disease Control (1999) p 48.
  7. For a good review of this research see Kriska (1997).
  8. Federal-Provincial/Territorial Advisory Committee on Fitness and Recreation (1997) p 6.
  9. WHO Consultation on Obesity (1997) p 186.
  10. WHO Consultation on Obesity (1997) p 108.
  11. Population Health Research Unit (1999) p 1.
  12. World Health Organization (1986) The Ottawa Charter for Health Promotion.
  13. WHO Consultation on Obesity (1997) p 196.
  14. The National Diabetes Surveillance System is one of the four components of the Canadian Diabetes Strategy. The purpose of the NDSS is to develop a nation-wide standardized surveillance system to capture data pertaining to diabetes and its complications in each province and territory. This will be accomplished through the integration of new and existing databases across the country. National comparative information will be disseminated to assist in the development of effective prevention and treatment strategies.
  15. The National Population Health Survey (NPHS) is a longitudinal, household-based survey conducted every two years by Statistics Canada. 20,000 Canadians age 12 and over were surveyed in 1994-95 and 1996/97. Persons living in institutions, on reserves, or on Canadian Forces bases were not included in the survey. Response rates for both NPHS cycles were over 85%. Estimates calculated from NPHS data are accurate within 1 or 2 percentage points, 19 times out of 20.
  16. Population Health Research Unit (2000).
  17. LeBlanc (1998), LeClair (2000) and PEI Department of Health and Social Services (1999).
  18. Personal communication, Rose Fraser, Black Women’s Health Project, and Sharon Davis-Murdoch, NS Department of Health, July 2000.
  19. Health Canada, Medical Services Branch (1997) p 6.
  20. Lilley, S. and J.M. Campbell (1999) p 6.
  21. The Physical Activity Monitor is produced annually by the Canadian Fitness and Lifestyle Research Institute. It is a telephone survey that tracks changes in physical activity patterns, factors influencing participation, and life circumstances in Canada. As such, it tracks outcome indicators of the efforts to increase physical activity among Canadians.
  22. This document was produced as part of the Prevention and Promotion component of the Canadian Diabetes Strategy. Because diabetes is such a critical issue for the Aboriginal population, a separate component of the Canadian Diabetes Strategy, the Aboriginal Diabetes Initiative, is aimed specifically at this population group. In order to avoid duplication with work carried out under the Aboriginal Diabetes Initiative, the work reported in this report focuses on initiatives aimed at the general public and the non-Aboriginal population.
  23. Pentz (1995).
  24. The importance of focussing strategies on obesity per se rather than as a risk factor for a non-communicable disease such as diabetes is emphasized in WHO Consultation on Obesity (1997) p 170.
  25. Federal-Provincial/Territorial Advisory Committee on Fitness and Recreation (1997).
  26. The organizations listed are those that filled out and returned one or more copies of the diabetes prevention survey. Organizations that requested anonymity are omitted from this list. The initiatives listed are those for which information was provided. They are not meant to present a complete picture of activity in a province.

 

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