The prevalence of obesity in American Indian/Alaska Native (AI/AN) populations has increased dramatically over the past 30 years. Although AIs are not a homogeneous group, all tribes throughout the U.S. have suffered adverse effects from the high prevalence of obesity (Story et al, 2000)). Overall, studies demonstrate that obesity begins early for AI/AN children and also is a significant problem for the adult population (IHS, 2001). Many chronic diseases such as type 2 diabetes, heart disease, stroke, arthritis, and breathing problems are associated with the increasing prevalence of obesity in AIs (DHHS, 2001, Story et al, 1999).
The problem of obesity is not unique to AI/ANs. Overweight and obesity have reached epidemic proportions both nationwide and globally (Ogden et al, 2006; Washington, Post, 2006). The existence of these epidemics indicate that in addition to personal responsibility, societal factors such as convenience technology and engineering; food production and marketing patterns; and powerful social and cultural forces that have shaped our communities, our lifestyles and ultimately our bodies play an important role in this problem (McGinnis, 2004).