These Were the ‘Healthiest’ Cities of the 80s—Here’s How They Rank on Wellness and Sustainability Today

In the 1980s, factors like clean air, outdoor spaces, and access to fresh food determined which cities ranked highest in overall health. However, today’s standards include additional elements such as mental health support, fitness culture, and sustainable living. Some cities once considered the healthiest have maintained their reputation, while others have fallen behind due to urbanization, pollution, and changing lifestyles. Meanwhile, new cities have emerged as global leaders in health and wellness, boasting top-tier healthcare, walkability, and environmental initiatives. Advances in medical care, fitness trends, and city planning have all contributed to how modern cities promote well-being. Here’s a look at how they rank today.

1. Copenhagen, Denmark – A Longtime Leader in Health

Copenhagen was already considered one of the healthiest cities in the 1980s due to its strong focus on public health, clean water, and access to fresh food. Even then, cycling was a major part of the city’s culture, with residents relying on bikes instead of cars for daily transportation. The Danish capital also had an excellent healthcare system, a strong sense of community, and a diet rich in whole foods and seafood. According to Wikipedia, Denmark’s healthcare system is highly regarded for its universal coverage and quality of care. Pollution was minimal compared to other European cities, and outdoor activity was encouraged through well-maintained parks and waterfront areas. All these factors contributed to Copenhagen being a standout city for overall health and wellness.

Today, Copenhagen has not only maintained its reputation but has strengthened it. The city remains a global leader in sustainability, with even more bike lanes, green energy initiatives, and pedestrian-friendly urban planning. Organic food is widely available, and policies promoting work-life balance have improved mental health. Copenhagen consistently ranks among the happiest and healthiest cities in the world, thanks to its clean air, active population, and strong public healthcare. If anything, the city has only become healthier compared to its already impressive status in the 80s. 

2. Tokyo, Japan – Traditional Health Meets Modern Innovation

In the 1980s, Tokyo was already one of the healthiest cities due to its nutritious diet, active lifestyle, and high-quality healthcare system. The traditional Japanese diet—rich in fish, vegetables, and fermented foods—helped keep obesity rates low and promote longevity. The city also had an excellent public transportation system, which encouraged walking as part of daily life. Additionally, Japan’s commitment to preventive healthcare ensured that citizens received regular medical checkups and screenings. As noted in The Lancet, Japan’s health system has contributed significantly to its population’s longevity and well-being. Despite being a densely populated city, Tokyo maintained high living standards that contributed to public health.

Fast forward to today, and Tokyo continues to be a health-conscious city, but modern challenges have emerged. The rise of long work hours and high-stress lifestyles has led to increased mental health concerns among residents. However, efforts to promote work-life balance, mental health awareness, and exercise culture have helped address these issues. Tokyo’s commitment to urban greenery, clean streets, and access to high-quality food remains strong. While stress levels may be higher than in the 80s, Tokyo still ranks among the healthiest cities due to its advancements in healthcare, technology, and overall quality of life. 

3. Zurich, Switzerland – Maintaining Excellence in Public Health

Zurich was one of the healthiest cities in the 1980s due to its clean air, strong economy, and excellent healthcare system. The city placed a high value on work-life balance, ensuring that residents had access to outdoor activities such as hiking, skiing, and cycling. The quality of water in Zurich was—and still is—among the best in the world, making hydration and clean living accessible to all. The Swiss diet, rich in dairy, whole grains, and fresh produce, also played a role in keeping the population healthy. Furthermore, the city’s efficient public transport system encouraged walking, reducing dependency on cars. As noted in Newsweek, Zurich’s Universitätsspital is recognized as one of the world’s best hospitals, reflecting the city’s high standards in healthcare.

Zurich remains a global leader in health today, consistently ranking as one of the cities with the best quality of life. Environmental sustainability has become a priority, with an increased focus on green energy, pollution control, and urban planning. Access to world-class healthcare has only improved, and citizens continue to enjoy high levels of physical activity. However, rising costs of living and an aging population present new challenges. Despite this, Zurich continues to be one of the healthiest places to live, thanks to its clean environment, nutritious diet, and strong healthcare infrastructure. 

4. Vancouver, Canada – Still a Top Contender for Wellness

In the 1980s, Vancouver was already known for its beautiful natural surroundings, clean air, and active outdoor culture. The city encouraged hiking, cycling, and water sports, making physical fitness an integral part of daily life. Vancouver’s public health initiatives, including anti-smoking campaigns and nutritional awareness programs, were ahead of their time. The city also benefited from Canada’s universal healthcare system, ensuring that medical services were accessible to all. Combined with a moderate climate and a high standard of living, Vancouver was a prime example of a healthy city. As noted on UBC Wiki, Vancouver’s proactive approach to public health issues, such as HIV/AIDS, has contributed to its reputation as a healthy city.

Today, Vancouver remains a wellness-focused city, though urbanization has introduced new challenges. Housing affordability has become a major issue, leading to increased stress among residents. However, the city continues to promote sustainability, with bike lanes, green spaces, and a strong focus on environmental health. The local food scene has evolved, emphasizing farm-to-table dining and plant-based options, making healthy eating more accessible. Despite its modern pressures, Vancouver continues to be one of the healthiest cities in North America, proving that its wellness culture has stood the test of time. 

5. Stockholm, Sweden – A Pioneer in Sustainable Living

In the 1980s, Stockholm was already a leader in public health and environmental sustainability. The city prioritized clean air, well-maintained green spaces, and a lifestyle that encouraged outdoor activity. Sweden’s commitment to social welfare ensured that residents had access to high-quality healthcare, which played a significant role in overall well-being. The Swedish diet, rich in fish, whole grains, and fresh produce, contributed to lower rates of heart disease and obesity compared to other Western countries. Additionally, Stockholm’s public transportation system encouraged walking and cycling, reducing pollution and promoting an active lifestyle.

Today, Stockholm continues to be one of the healthiest cities in the world, largely due to its commitment to sustainability and work-life balance. The city has expanded its cycling infrastructure, invested in renewable energy, and further reduced car dependency. Mental health awareness has also grown, with policies that promote flexible working hours and stress reduction. Organic food, plant-based diets, and fitness culture have all gained popularity, making healthy choices more accessible than ever. Stockholm has successfully adapted to modern wellness trends while maintaining its reputation as a city that values both environmental and human health.

6. Sydney, Australia – From Active Living to Urban Wellness

Sydney has long been associated with a healthy, active lifestyle, and in the 1980s, it was one of the best cities for outdoor fitness. The combination of warm weather, stunning beaches, and a strong sports culture made physical activity an everyday part of life. Swimming, surfing, and running along the coastline were common pastimes, while fresh seafood and locally grown produce contributed to a balanced diet. Australia’s public healthcare system also played a role in keeping the population healthy and ensuring access to essential medical services.

Fast forward to today, and Sydney remains a health-conscious city, but with new challenges. Urbanization and increasing traffic congestion have made it harder for some residents to stay active. However, the city has responded with improved cycling lanes, pedestrian-friendly streets, and more wellness-focused urban planning. Mental health has also become a growing focus, with more emphasis on work-life balance and stress management. Despite the pressures of modern city living, Sydney continues to offer its residents a lifestyle centered around fitness, fresh food, and overall well-being.

7. Munich, Germany – Balancing Tradition with Modern Health Trends

Munich was considered one of the healthiest cities in the 1980s due to its high standard of living, clean environment, and strong emphasis on public health. The city’s extensive parks and public spaces encouraged outdoor activity, while Germany’s focus on quality healthcare ensured citizens received excellent medical care. Traditional Bavarian food included hearty meals, but an active lifestyle balanced out the rich diet. The city’s reliance on walking, cycling, and public transport helped reduce obesity rates and promote cardiovascular health.

In the modern era, Munich continues to rank as one of Europe’s healthiest cities, though dietary habits have shifted. Today, residents are more conscious of nutrition, incorporating plant-based and organic foods into their diets. Munich has expanded its fitness culture, with a greater emphasis on gyms, yoga, and wellness programs. While beer culture is still strong, healthier alternatives and alcohol-free beers have gained popularity. The city remains a perfect blend of tradition and modern wellness, proving that a balance between enjoyment and health is possible.

8. Singapore – A Rising Star in Global Health

In the 1980s, Singapore was already on its way to becoming a model for urban health and cleanliness. Government-led initiatives ensured strict environmental regulations, reducing air pollution and improving overall public health. The city’s well-developed infrastructure made walking and public transportation convenient, reducing traffic-related health issues. Traditional Asian diets, rich in vegetables, lean proteins, and rice, contributed to lower obesity and heart disease rates. The government also invested in high-quality healthcare, making preventive medicine a priority for its citizens.

Today, Singapore is one of the most health-conscious cities in the world, with further advancements in medical technology, wellness programs, and sustainable living. The city has embraced modern fitness trends, including cycling-friendly roads, green urban spaces, and stress-reducing initiatives like meditation and mindfulness programs. Food culture has also evolved, with a rise in plant-based options and stricter regulations on sugar and unhealthy additives. However, fast-paced urban living has increased stress levels, making mental health an area of focus. Despite this, Singapore remains a global leader in health innovation and continues to set new standards for urban wellness.