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Toward comprehensive obesity prevention programs in Native American communities

B A Broussard1, J R Sugarman, K Bachman-Carter

  • 1Indian Health Service Diabetes Program, Albuquerque, NM 87110, USA.

Obesity Research
|September 1, 1995
PubMed
Summary

Obesity and type 2 diabetes are significant health issues for Native Americans. Culturally relevant school-based programs show promise in preventing excess weight gain and improving fitness in children.

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Area of Science:

  • Public Health
  • Epidemiology
  • Nutrition Science

Background:

  • Obesity presents a significant health challenge for Native Americans, contributing to rising rates of non-insulin-dependent diabetes mellitus.
  • High prevalence of overweight is documented across all age groups, with obesity being a recent phenomenon in many communities.
  • Potential contributing factors include a genetic predisposition interacting with a Westernized environment characterized by abundant food and reduced physical activity.

Purpose of the Study:

  • To address the growing obesity epidemic among Native Americans.
  • To investigate the effectiveness of community- and school-based interventions for obesity prevention.
  • To highlight the need for culturally appropriate and region-specific obesity prevention strategies.

Main Methods:

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  • Review of existing studies on Native American health, focusing on overweight and obesity prevalence.
  • Analysis of preliminary data from two school-based programs in the Southwest.
  • Emphasis on community-based approaches and culturally sensitive interventions.

Main Results:

  • Native American populations exhibit a high prevalence of overweight across all age demographics.
  • School-based interventions demonstrated potential in mitigating excessive weight gain and enhancing physical fitness in children.
  • Native American communities showed receptiveness to school-based health initiatives.

Conclusions:

  • Community- and school-based behavioral interventions are crucial for obesity prevention in Native American communities.
  • Culturally appropriate, community-specific data collection is essential for developing effective, tailored strategies.
  • Addressing obesity requires interventions that consider the unique cultural diversity within Native American populations.