Health Risk of Obesity in Native American Adolescents

Recent reports demonstrate the need to improve methods for identifying obesity among adolescent minority populations, especially among Native American adolescents. Our study examined several anthropometric measures to see which one was the best indicator of obesity for Native American adolescents. We compared our data with that provided by the Centers for Disease Control and Prevention (CDC), and the National Health and Nutrition Examination Surveys (NHANESIII). We examined which measures diï¬ered signiï¬cantly from the NHANESIII, and which were most eï¬ective for measuring obesity in Native American adolescents. Our study population represented a cross-sectional, epidemiological population (N=183) of Native American students (ages 14-18) from diverse tribal backgrounds at an urban residential high school. We obtained baseline anthropometric measurements of height, weight, waist, triceps skin-fold, and calf skin-fold measures from the Native American students and compared this information with reference data to assess weight classiï¬cation by body mass indices for our population. Under the conditions of our study, we found the calf skin-fold measure to be the best indicator of normal weight in male Native American adolescents, and the triceps skin-fold measure to be the best indicator of obesity in male Native American adolescents. The assessment of health risk by anthropometric measures we obtained appears appropriate for predicting obesity and developing eï¬ective interventions for Native American adolescents in general. Correlations between anthropometric measures and obesity in our study population may prove of signiï¬cant interest for monitoring obesity prevention initiatives for Native American adolescents

Obesity Prevalence and Dietary Intake of Antioxidants in Native American Adolescents

Antioxidants are well known for possessing anti-inflammatory properties, which can reduce the risk of chronic disease and obesity. However, very little research has been done to examine antioxidant intake among adolescent minority populations such as Native American adolescents. Our study examined the significance of antioxidant intake among Native American adolescents at an urban residential high school in Southern California. Our study population consisted of 183 male and female Native American adolescents, 14-18 years of age, representing 43 tribes from across the United States. Students' primary source of meals was provided by the school food service. Based on the BMI calculations, the rate of obesity within our population was 38% for males and 40% for females, more than two-fold the national rate indicated by NHANESIII data. We used the Harvard School of Public Health Youth/Adolescent Questionnaire (HSPH YAQ), a semi-quantitative food frequency questionnaire, to examine antioxidant nutrient intake and evaluate the differences in the intake between normal and obese weight students. Statistical analysis of the results showed that intakes of vitamins C, E, and lycopene were the antioxidant nutrients found to be significantly different between normal and obese weight students and intakes of these nutrients were found to be higher among normal weight students (p-values = 0.02451, 0.00847, and 0.04928, respectively). These results suggest that dietary intake of antioxidants could be increased among Native American adolescents. Further research is needed to confirm our findings and identify effective ways for school food service to incorporate antioxidant rich foods into school menus