The health status of Native Americans and Alaska Natives across the United States is dire. Chronic disease runs rampant, drastically increasing mortality and lowering quality of life. Diabetes is especially prevalent, a fact that has been noted and researched with Native American and Alaska Native communities for decades. In response to these distressing health statistics, several tribes have initiated exercise and healthy eating programs, some of which have incorporated traditional eating practices. The traditional diets of tribes before contact with Europeans were developed over centuries to best utilize the surrounding plants and wildlife while optimizing health, and they were tailored to the needs of the specific tribes.
After contact with Europeans, and later Americans, traditional diets have deteriorated because of removal from traditional land bases and hardships associated with conquest and violent conflict. Tribes were also given rations by the federal government, which were incorporated into diets out of necessity, and were neither particularly healthy or anything they were used to. Current diets in many tribes have some traditional influences, but are mostly made up of what the general U.S. population eats. In concurrence with the mindset of programs that encourage traditional food programs, a few food models (e.g., similar to the USDA Food Guide Pyramid) tailored to specific traditional Native diets have been created over the past several years.