“We were always doing something outside. … I had a wonderful, wonderful life”: U.S. Indigenous peoples' subsistence, physical activity, and the natural world

• Published in: SSM. Qualitative research in health Vol. 2; p. 100170
• Main Author: McKinley, Catherine E.
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-12-2022; Elsevier
• ISSN: 2667-3215; 2667-3215
• DOI: 10.1016/j.ssmqr.2022.100170

Obesity tends to be higher, whereas physical activity (PA) tends to be lower for U.S. Indigenous peoples, which drives chronic health problems and mortality. Historical oppression and nutritional colonialism have disrupted Indigenous peoples' subsistence and concomitant PA. The purpose of this research is to use the framework of historical oppression, resilience, and transcendence (FHORT) with 31 participants in a critical ethnography identifying past and present forms of PA. By examining universal themes across two tribal contexts—a Southeast reservation tribal context and an urban Northwestern context—important knowledge about promising forms of PA can inform culturally relevant and effective interventions to promote health and prevent obesity and chronic health problems. Reconstructive thematic qualitative analysis resulted in the following themes: (a) Family-Centered Physical Activity: “The Kids Would … Follow Along, Dropping Seeds and Covering it … the Seeds Grew”; (b) Staying Active in the Natural World: “When I Would Go Home [from boarding school] in the Summertime, That's When … We'll Be Back Being an Indian”; (c) Staying Active through Culture: “The Traditional Dancing … [is] a Form of Exercise”; (d) Mental Wellness in Nature: “It Seemed Like Just Sitting Out There Makes You Feel Better”; and (e) Sports and Competitions Fostering PA: “A lot … Prefer Playing Softball, Basketball, Volleyball, Nowadays”. Results highlighted how participants preferred and participated in subsistence and PA growing up, how this had evolved over time, and how being outside in nature contributed to a sense of wellness and overall health.
•Decolonizing gardening, hunting, fishing, and nature based healing aids resilience.•Subsistence promotes connection, culture, and decolonized wellness.•Outdoor activities enhance physical activity, healthy eating, and wellness.•Nature-based healing and experiential programming may improve health equity.•Culturally based solutions that inspire a reconnection to land are warranted.