J Phys Act Health. 2020 Mar 1;17(3):384-395. doi: 10.1123/jpah.2018-0702.
North American indigenous populations experience higher rates of obesity and chronic disease compared with nonindigenous populations. Improvements in musculoskeletal fitness can mitigate negative health outcomes, but is not well understood among indigenous populations. This review examines musculoskeletal fitness measures among North American indigenous populations.
A total of 1632 citations were evaluated and 18 studies were included.
Comparisons of musculoskeletal fitness measures between North American indigenous men and boys and women and girls were generally not reported. The greatest left and right combined maximal grip strength and maximal leg strength among Inuit boys and men and girls and women were observed among 20-29 years age group. Maximal combined right and left grip strength declined from 1970 to 1990, by an average of 15% among adults and 10% among youth. Maximal leg extension among Inuit has declined even further, averaging 38% among adults and 27% among youth from 1970 to 1990. Inuit men demonstrate greater grip strength and lower leg strength than Russian indigenous men, whereas Inuit women demonstrate greater leg strength.
Further research is needed to better understand physical fitness among indigenous peoples and the potential for improving health and reducing chronic disease risk for indigenous peoples through physical fitness.
与非原住民相比，北美原住民人口的肥胖率和慢性病发病率更高。肌肉骨骼健康的改善可以减轻负面健康后果，但在原住民中还没有得到很好的理解。本综述考察了北美原住民人群的肌肉骨骼健康状况。
共评估了 1632 条引文，纳入了 18 项研究。
北美原住民男性和男孩以及女性和女孩的肌肉骨骼健康状况比较通常没有报告。在 20-29 岁年龄组中，观察到因纽特男孩和男人以及女孩和女人的最大左右合并最大握力和最大腿部力量最大。从 1970 年到 1990 年，成年人平均最大合并右手和左手握力下降了 15%，年轻人下降了 10%。因纽特人的最大腿部伸展力从 1970 年到 1990 年甚至进一步下降，成年人平均下降了 38%，年轻人下降了 27%。因纽特男性的握力比俄罗斯原住民男性大，下肢力量比俄罗斯原住民男性小，而因纽特女性的下肢力量则更大。
需要进一步研究以更好地了解原住民的身体健康状况，以及通过身体健康改善原住民健康和降低慢性病风险的潜力。
