Obesity Prevention in Native American Indians

merican Indian tradition venerates nature and teaches how to live on the fruits of the land --- in harmony and moderation. Now, a NHLBI-funded study called PATHWAYS is trying to prevent childhood obesity by drawing on that tradition to offer Indian youngsters a healthier future.

Heart disease, once rare among American Indians, is now the leading cause of death. Obesity rates are higher among American Indian children in some tribes than in the whole U.S. population.

To reverse these trends, PATHWAYS fosters healthy eating practices and increased physical activity. It also encourages understanding in different tribal cultures.

PATHWAYS works with American Indian children in grades 3 through 5, their families, food service staff, physical education and classroom teachers, and other essential staff at their schools. A 3-year feasibility study [was conducted] at six Indian reservation sites. The University of North Carolina provides overall project coordination, and university-based scientists and community representatives collaborate on the activities at each site: