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Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada

BACKGROUND: Indigenous people in Canada carry a disproportionate burden of obesity and obesity-related diseases compared with non-Indigenous Canadians, which could be related to intergenerational trauma exposures. Implementing effective health promotion strategies to improve nutrition and physical a...

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Autores principales: Wahi, Gita, Wilson, Julie, Oster, Richard, Rain, Patricia, Jack, Susan M, Gittelsohn, Joel, Kandasamy, Sujane, de Souza, Russell J, Martin, Cindy L, Toth, Ellen, Anand, Sonia S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949274/
https://www.ncbi.nlm.nih.gov/pubmed/31938762
http://dx.doi.org/10.1093/cdn/nzz137
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author Wahi, Gita
Wilson, Julie
Oster, Richard
Rain, Patricia
Jack, Susan M
Gittelsohn, Joel
Kandasamy, Sujane
de Souza, Russell J
Martin, Cindy L
Toth, Ellen
Anand, Sonia S
author_facet Wahi, Gita
Wilson, Julie
Oster, Richard
Rain, Patricia
Jack, Susan M
Gittelsohn, Joel
Kandasamy, Sujane
de Souza, Russell J
Martin, Cindy L
Toth, Ellen
Anand, Sonia S
author_sort Wahi, Gita
collection PubMed
description BACKGROUND: Indigenous people in Canada carry a disproportionate burden of obesity and obesity-related diseases compared with non-Indigenous Canadians, which could be related to intergenerational trauma exposures. Implementing effective health promotion strategies to improve nutrition and physical activity behaviors during early childhood could be a strategy to mitigate the burden of intergenerational trauma exposures that have the potential to impact the trajectory to obesity and related complications throughout the lifecycle. OBJECTIVES: The aim of this study was to support 2 Indigenous communities in identifying priorities and strategies for promoting healthy nutrition and physical activity for young children. METHODS: Using a formative approach, we conducted a 2-phase study that started with 2 community engagement workshops (n = 37 participants), followed by a qualitative descriptive study. In this latter study, in-depth interviews were conducted with a purposeful sample of 23 community parents, health care providers, and traditional knowledge holders. Data from both study phases were analyzed and synthesized using conventional content analysis. RESULTS: To promote healthy nutrition and physical activity among young children living in Indigenous communities, it was identified that the primary pathway to health and well-being must prioritize the integration of knowledge about Indigenous ways of life including traditional Indigenous foods and physical activities. Participants also identified individual/family and community/contextual factors that ultimately influence the nutrition and physical activity of children in their communities. CONCLUSIONS: Informed by this formative study conducted to better understand community members’ strategies for healthy eating and physical activity for young children, we argue for the continued recognition of the unique Indigenous context, incorporating the history of inequity and injustice and looking toward Indigenous-led interventions that incorporate this history and ways of life as solutions in the future.
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spelling pubmed-69492742020-01-14 Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada Wahi, Gita Wilson, Julie Oster, Richard Rain, Patricia Jack, Susan M Gittelsohn, Joel Kandasamy, Sujane de Souza, Russell J Martin, Cindy L Toth, Ellen Anand, Sonia S Curr Dev Nutr Original Research BACKGROUND: Indigenous people in Canada carry a disproportionate burden of obesity and obesity-related diseases compared with non-Indigenous Canadians, which could be related to intergenerational trauma exposures. Implementing effective health promotion strategies to improve nutrition and physical activity behaviors during early childhood could be a strategy to mitigate the burden of intergenerational trauma exposures that have the potential to impact the trajectory to obesity and related complications throughout the lifecycle. OBJECTIVES: The aim of this study was to support 2 Indigenous communities in identifying priorities and strategies for promoting healthy nutrition and physical activity for young children. METHODS: Using a formative approach, we conducted a 2-phase study that started with 2 community engagement workshops (n = 37 participants), followed by a qualitative descriptive study. In this latter study, in-depth interviews were conducted with a purposeful sample of 23 community parents, health care providers, and traditional knowledge holders. Data from both study phases were analyzed and synthesized using conventional content analysis. RESULTS: To promote healthy nutrition and physical activity among young children living in Indigenous communities, it was identified that the primary pathway to health and well-being must prioritize the integration of knowledge about Indigenous ways of life including traditional Indigenous foods and physical activities. Participants also identified individual/family and community/contextual factors that ultimately influence the nutrition and physical activity of children in their communities. CONCLUSIONS: Informed by this formative study conducted to better understand community members’ strategies for healthy eating and physical activity for young children, we argue for the continued recognition of the unique Indigenous context, incorporating the history of inequity and injustice and looking toward Indigenous-led interventions that incorporate this history and ways of life as solutions in the future. Oxford University Press 2019-11-28 /pmc/articles/PMC6949274/ /pubmed/31938762 http://dx.doi.org/10.1093/cdn/nzz137 Text en Copyright © The Author(s) 2019. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Research
Wahi, Gita
Wilson, Julie
Oster, Richard
Rain, Patricia
Jack, Susan M
Gittelsohn, Joel
Kandasamy, Sujane
de Souza, Russell J
Martin, Cindy L
Toth, Ellen
Anand, Sonia S
Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title_full Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title_fullStr Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title_full_unstemmed Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title_short Strategies for Promoting Healthy Nutrition and Physical Activity Among Young Children: Priorities of Two Indigenous Communities in Canada
title_sort strategies for promoting healthy nutrition and physical activity among young children: priorities of two indigenous communities in canada
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6949274/
https://www.ncbi.nlm.nih.gov/pubmed/31938762
http://dx.doi.org/10.1093/cdn/nzz137
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