Revitalization of Traditional Indian Games

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Revitalization of Traditional Indian Games
Traditional Indian Foods in an Effort to Prevent
Diabetes

• By Jewel Payne-Fourstar, BS, RD, LN
• Patricia Turcotte, Elementary Education
• Susan Jordan, MS, RD

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Agenda

• Follow up on purchased equipment (two sets of
  tipi poles).
• Overview on supportive documentation for
  traditional games.
• Request to host certification in spring 06
• Request to host International Traditional Games
  in summer 07

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Supportive Documentation

• Literature Review on Cultural Traditions and
  Diabetes Prevention and/or Management.
• Implementing Diabetes Education in Tribal Schools
  (DETS) National Curriculum.
• Addressing Montanas State Constitution for
  Indian Education For All.
• Discussing USDA National School Wellness Program.
• Collaborating with International Traditional
  Games Society.

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Literature Review

• Diabetes Prevention Program (DPP)
• 58 vs. 31
• (DPP Research Group. New England J of Med 2002
  346 393-403)
• US Nurses Health Study
• 91 attributable risk vs. gt90 lower risk
• (Maki KC. Amer J Cardiol 2004 93 (suppl)
  12C-17C)
• Rural Chinese and Indigenous Peoples lifestyles
  worldwide
• Amazon Indians
• Pima Indians
• Arizona vs. Rural Mexico
• Assiniboine Sioux Indians
• Historical Account (E density vs. Nutrient
  density)

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Diabetes Prevention and/or Management with
Cultural Traditions

• Psychological disorders can develop into diabetes
  and vice versa
• (Rubin, R. et al., J Clin Psych, 2001 57
  457-78)
• Depression increases mortality risk in DM
• (Am J Epidem 2005)
• Depression lowest among those who reported a
  stronger identity w/their native culture
• (www.ars.usda.gov/is/AR/archive/jul04/indian0704.h
  tm)

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• Acute stress has been shown to increase insulin
  resistance and impair the glycemic response by
  nondiabetics
• (Esposito-Del Puente et al., Int J Obesity, 1994
  18 766-70)
• Stress management in DM has improved
  psychological well-being and glucose control,
  resulting in fewer clinic visits and delayed
  onset of complications
• (Bradley C. Br J Clin Psychol. 1994 33 11-21)
• Cultural backgrounds and spiritual beliefs
  influence self-care behavior and health care
  seeking by pts
• (Bard, K. et al., J of Ad Nurs 2005 50 (1)
  47-59)

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• The DAWN Study (www.dawnstudy.com)
• Diabetes Attitudes, Wishes and Needs Study
• Focus on psychological health since studies have
  shown it powerfully predicts diabetes outcomes
• Pt psychological orientation may enhance or
  diminish pts compliance with proper control
• Both family and community envt have a direct
  influence on individual health status, either
  positively or negatively
• (Ferrer, R., et al. Ann Fam Med. 2005 3 (2)
  102-8)
• Personal experience in Poplar Middle School,
  Junior High and High School

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Indian Education For All

• 1972- A promise and proclamation for Montanas
  tribes.
• The state recognizes the distinct and unique
  cultural heritage of the American Indians and is
  committed toward its educational goals to the
  preservation of their cultural integrity.

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Diabetes Education in Tribal Schools (DETS)

• Providing K-4th grade a culturally-appropriate
  food model for children of Native American
  descent.
• Reviewing both historical and contemporary
  sources of nutrient needs.

• Providing physical education as a cultural
  component in lessons.
• Addressing cultural literature, Native language
  and sign language.
• Recognizing American Indian role models and
  tribal leaders.

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School Wellness Policy

• Susan Jordan
• Fort Peck Diabetes Program

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School Wellness Policy Why?

• National trends and statistics show alarming
  changes in
• Overweight and obesity rates
• Calorie intake
• Food and beverage consumption
• Television viewing
• School Wellness Policy June 2006

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Trends in Overweight for Children
Percent
Boys 6-11 y
Girls 6-11 y
Boys 12-19 y
Girls 12-19 y
BMI 95th percentile of BMI-for-age, 2000 CDC
growth charts SOURCE NHES II III, NHANES I,
II, III, NHANES 1999-2002 Ogden et al., JAMA
2002 Hedley et al., JAMA 2004
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Prevalence of Obesity by Hours of TV/Day
NHES Youth Aged 1217 in 19671970 NLSY Youth
Aged 1015 in 1990
NHES National Household Education
Surveys NLSY National Longitudinal Survey of
Youth From http//www.cdc.gov/nccdphp/burden_pres/
bcd_30.htm
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School Wellness Policy Why?

• Reaches beyond USDA-funded meal programs to
  influence childhood health
• Puts responsibility at the local level
• Recognizes the critical role of schools in
  curbing the epidemic of childhood overweight
• Provides an opportunity for school districts to
  create an environment conducive to healthy
  lifestyle choices

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Request for Certification in 2006

• Provide classroom teachers, physical education
  instructors, parents, and Tribal leaders to learn
  and lead traditional games in our community and
  tribal activities.
• Practice structuring and supplying needed
  equipment for traditional games.
• Promote research and revival of traditional games
  for Assiniboine and Sioux tribes.

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Policy Requirements

• Statutory Requirement of a Local Wellness Policy
• Components - goals for nutrition education and
  physical activity, guidelines for all foods
  served on campuses, other school-based activities
• Involvement - parents, students, school food
  authority, school board, Tribal Council, school
  administrators and the public
• Measurement and evaluation

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School Wellness Policy Provisions, Contd.

• Assurance that guidelines for reimbursable school
  meals shall not be less restrictive than
  regulations and guidance issued by the Secretary
  of Agriculture
• A plan for measuring implementation of the school
  wellness policy, including designation of at
  least one person to maintain responsibility for
  program operation

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Request to host International Games in 2007

• Building Partnerships with other entities in our
  surrounding communities.
• Establishing economic development through the
  International Traditional Games, Foods, Market
  and Powwow for the Ft. Peck Tribes.

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Questions and Comments