Culturally and Traditionally Appropriate Primary and Secondary Cardiometabolic Disease Prevention in Indigenous Peoples

A Strengths-based Approach

Authors

  • Rosalin Miles Indigenous Health & Physical Activity Program, Faculty of Education, University of British Columbia; Indigenous Physical Activity and Cultural Circle https://orcid.org/0000-0002-3455-8163
  • Shannon S. D. Bredin University of British Columbia https://orcid.org/0000-0003-0651-3950
  • Kai L. Kaufman Indigenous Health & Physical Activity Program, Faculty of Education, University of British Columbia https://orcid.org/0000-0003-3142-3930
  • Henry P. H. Lai Indigenous Health & Physical Activity Program, Faculty of Education, University of British Columbia
  • David J. Robinson Experimental Medicine Program, Faculty of Medicine, University of British Columbia https://orcid.org/0009-0001-9704-2156
  • Declan R. D. Warburton Health & Fitness Society of BC; St. George's Senior School
  • Waneek Horn Miller Indigenous Health & Physical Activity Program, Faculty of Education, University of British Columbia
  • Darren E. R. Warburton Indigenous Health & Physical Activity Program, Faculty of Education, University of British Columbia

DOI:

https://doi.org/10.14288/hfjc.v16i1.369

Keywords:

Indigenous, Strength, Wholistic Wellbeing, Cardiometabolic Disease, Community, Indigenous-Led

Abstract

Background: Cardiometabolic diseases are a significant health challenge among First Nations communities and Indigenous peoples, requiring innovative prevention strategies. This narrative review explores culturally and traditionally appropriate primary and secondary prevention methods, in line with the distinct aspirations and values of Indigenous peoples. Methods: We conducted a systematic search of electronic databases and gray literature, focusing on work from the past decade, specific to Indigenous communities and peoples. Our inclusion criteria emphasized culturally safe and appropriate prevention strategies. Data extraction and thematic analysis unveiled key themes, practices, and their effectiveness. Findings: This review highlights the cultural significance of traditional practices in Indigenous communities. Traditional healing methods, cultural resilience, and the resurgence of Indigenous knowledges underpin these approaches. Moreover, the findings underscore the efficacy of Indigenous-led, culturally designed interventions, encompassing community-based programs, traditional dietary initiatives, physical activity promotion, and culturally sensitive mental health and healing strategies. Gaps persist in the literature, marked by limited rigorous studies, a need to account for geographic and cultural variations, and the imperative of ethical and respectful community engagement. Recommendations: The findings advocate for further research, intervention creation, and policy development prioritizing a collaborative and Indigenous-led, community-driven approach. Culturally and traditionally rooted methods are critical for enhancing the health and wellbeing of Indigenous peoples. Conclusion: This narrative review offers a comprehensive exploration of the complex interplay between Indigenous ways of being and doing and modern Western healthcare in addressing cardiometabolic disease in Indigenous peoples. It underscores the significance of preserving traditional practices and engaging communities in ways that respect autonomy and values.

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Published

2023-03-31

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Miles, R., Bredin, S. S. D., Kaufman, K., Lai, H., Robinson, D., Warburton, D., Horn Miller, W., & Warburton, D. (2023). Culturally and Traditionally Appropriate Primary and Secondary Cardiometabolic Disease Prevention in Indigenous Peoples: A Strengths-based Approach. The Health & Fitness Journal of Canada, 16(1), 24–45. https://doi.org/10.14288/hfjc.v16i1.369

Issue

Vol. 16 No. 1 (2023)

Section

SYSTEMATIC OR NARRATIVE REVIEWS

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Copyright (c) 2023 Rosalin Miles, Shannon S. D. Bredin, Kai L. Kaufman, Henry P. H. Lai, David J. Robinson, Declan R. D. Warburton, Waneek Horn Miller, Darren E. R. Warburton

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