Calorie use and obesity among diabetic and non-diabetic Mvskoke Indians.

Type 2 diabetes is a major cause of death among American Indians and obesity and physical inactivity are modifiable risk factors in the development of type 2 diabetes. Physical activity may have both a preventive effect and a secondary preventive effect of lessening insulin resistance in persons with type 2 diabetes. Moreover, for some individuals participation in daily regimens of physical activity is very difficult. Culture-specific physical activity may be an intervention to reduce obesity and prevent diabetes-related complications. Therefore, the research questions for this study were: (1) What is the body fat percentage of diabetic and non-diabetic Mskoke Indians?, (2) How does body fat percentage of Mvskoke Indians compare with recommended percentages for age and gender?, (3) What is the caloric use of Mvskoke Indians during daily and traditional cultural activities of dancing and stickball?, and (4) Are there relationships among body fat percentage, calorie use, gender, and diabetic status? The findings revealed that female diabetics' percentage of body fat in three age cohorts (40-49, 50-59, and 70+) was higher than that of non-diabetic females. By contrast, male diabetics had lower percentage of body fat than non-diabetic males. The actual mean percentage of body fat of the female participants ranged from 38.5% to 44%, roughly twice the standard recommended percentages of body fat of 20-24%. No significant difference was found in calorie use by gender or diabetic status. Analysis of calories during traditional activities revealed that 30 minutes of stickball used an average of 135.7 calories. Dancing for 33 minutes used an average of 149 calories. No significant relationship was found among percentage of body fat, caloric use, gender, and diabetic status.