“With Every Step, We Grow Stronger”: The Cardiometabolic Benefits of an Indigenous-Led and Community-Based Healthy Lifestyle Intervention

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dc.contributor.authorLai, Henry P.H.
dc.contributor.authorMiles, Rosalin M.
dc.contributor.authorBredin, Shannon S.D.
dc.contributor.authorKaufman, Kai L.
dc.contributor.authorChua, Charlie Z.Y.
dc.contributor.authorHare, Jan
dc.contributor.authorNorman, Moss E.
dc.contributor.authorRhodes, Ryan E.
dc.contributor.authorOh, Paul
dc.contributor.authorWarburton, Darren E.R.
dc.date.accessioned2019-07-22T16:17:42Z
dc.date.available2019-07-22T16:17:42Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractCommunity-based and Indigenous-led health and wellness approaches have been widely advocated for Indigenous peoples. However, remarkably few Indigenous designed and led interventions exist within the field. The purpose of this study was to evaluate an Indigenous-led and community-based health and wellness intervention in a remote and rural Indigenous community. This protocol was designed by and for Indigenous peoples based on the aspirations of the community (established through sharing circles). A total of 15 participants completed a 13-week walking and healthy lifestyle counselling program (incorporating motivational interviewing) to enhance cardiometabolic health. Measures of moderate-to-vigorous physical activity (MVPA; 7-day accelerometry and self-report), predicted maximal aerobic power (VO2max; 6-min walk test), resting heart rate and blood pressure, and other health-related physical fitness measures (musculoskeletal fitness and body composition) were taken before and after the intervention. The intervention led to significant (p < 0.05) improvements in VO2max (7.1 ± 6.3 % change), with the greatest improvements observed among individuals with lower baseline VO2max (p < 0.05, r = -0.76). Resting heart rate, resting systolic blood pressure, and resting diastolic blood pressure decreased significantly (p < 0.05) after the intervention. Self-reported and accelerometry-measured frequency of MVPA increased significantly (p < 0.05), and the total MVPA minutes (~275 min/week) were above international recommendations. Change in VO2max was significantly correlated with change in self-reported (r = 0.42) and accelerometry-measured (r = 0.24) MVPA minutes. No significant changes were observed in weight, body mass index, waist circumference, body fat (via bioelectrical impedance), grip strength, and flexibility. These findings demonstrate that a culturally relevant and safe, community-based, Indigenous-led, health and wellness intervention can lead to significant and clinically relevant improvements in cardiometabolic health and physical activity behaviour, with the greatest changes being observed in the least active/fit individuals.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis research was funded by the Canadian Institutes of Health Research, grant number CIHR IA5-156528 and the Natural Sciences and Engineering Research Council of Canada, grant number NSERC RGPIN-2018-04613.en_US
dc.identifier.citationLai, H.P.H., Miles, R.M., Bredin, S.S.D., Kaufman, K.L., Chua, C.Z.Y., Hare, J., Norman, M.E., Rhodes, R.E., Oh, P. & Warburton, D.E.R. (2019). “With Every Step, We Grow Stronger”: The Cardiometabolic Benefits of an Indigenous-Led and Community-Based Healthy Lifestyle Intervention. Journal of Clinical Medicine, 8(4), 422. https://doi.org/10.3390/jcm8040422en_US
dc.identifier.urihttp://dx.doi.org/10.3390/jcm8040422
dc.identifier.urihttp://hdl.handle.net/1828/10980
dc.language.isoenen_US
dc.publisherJournal of Clinical Medicineen_US
dc.subjectcommunity
dc.subjectIndigenous
dc.subjectwellness
dc.subjectcardiorespiratory
dc.subjectcardiometabolic
dc.subjecthealth
dc.subjectfitness
dc.subjectexercise
dc.subjectbehaviour
dc.subjectmotivational interviewing
dc.subjectlifestyle counselling
dc.subjectBehavioural Medicine Lab
dc.subject.departmentSchool of Exercise Science, Physical and Health Education
dc.title“With Every Step, We Grow Stronger”: The Cardiometabolic Benefits of an Indigenous-Led and Community-Based Healthy Lifestyle Interventionen_US
dc.typeArticleen_US

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