Master of Science, The Ohio State University, 2019, Allied Medicine
American Indians and Alaskan Natives (AI/AN) experience higher rates of chronic diseases such
as diabetes, cardiovascular disease, overweight/obesity, and metabolic syndrome than other ethnicities.
American Indian women in particular suffer from these conditions more than both AI/AN men and
African American, Asian, Caucasian, and Hispanic women. Increased healthcare burdens and poor health
outcomes related to unemployment, low socioeconomic status, location, and lack of insurance are
frequently experienced by AI/AN women. While the epidemiology of these chronic conditions is
multifaceted, diet is strongly correlated with them.
The pre-contact diet of American Indians was based on a hunter-gatherer lifestyle with limited
agriculture. It consisted of largely of wild game, plants that could be foraged, and several crops such as
beans, corn, squash. This resulted in a nutrition profile that was high in protein, low in fat, and had
moderate fibrous carbohydrates. Periods of feast and famine were regularly experienced by the tribes.
Research into a `thrifty gene' has led some researchers to believe that American Indians are genetically
designed to thrive in these circumstances. This benefit may have become a disadvantage once the AI/AN
diet experienced a transition. Westward expansion resulted in the relocation of tribes to unfamiliar
territory, the decimation of wild game populations, and the creation of reservations. Their diet then shifted
to one based on the reliance on commodity foods. These foods such as flour, lard, and beef began to form
the basis of the modern AI/AN diet.
Previous studies found that current AI/AN diets are often high in calories, fat, sugar, and
processed foods while being low in protein, fruits, and vegetables. Some tribal members feel that their
people were healthier before contact with white settlers and that returning to the `old ways' and a
`traditional diet' would be beneficial. However, little is known about how a t (open full item for complete abstract)
Committee: Christopher Taylor PhD, RD (Advisor); Ingrid Adams PhD, RD (Committee Member); Keeley Pratt PhD, IMFT (Committee Member)
Subjects: Gender; Health; Native American Studies; Native Americans; Nutrition