Physiological consequences of acculturation: a 20-year study of fitness in an Inuit community.

Surveys in 1969/1970, 1979/1980, and 1989/1990 assessed physical fitness among adult Inuit living in Igloolik, Northwest Territories, Canada, during a period of rapid acculturation to a sedentary lifestyle. MANOVA for age, cohort, and age-cohort effects indicated significant trends to greater skinfold readings [male (M) and female (F)] and body mass (F only), a lower handgrip and knee extension force (M and F), and lower step test predictions of aerobic power (M and F) in the more recent cohorts, with no change of forced vital capacity, 1-s forced expiratory volume, or hemoglobin level. By 1989/1990, continuing hunters tended to have thicker skinfolds than other villagers, and showed no advantage of aerobic power. The average fitness of the sample when tested in 1989/1990 was comparable with that of sedentary populations in Southern Canada, but a minority of villagers who now practiced regular sport had conserved the high levels of fitness that were observed in 1969/1970. We conclude that the fitness of this community appears to have deteriorated markedly as it has become more sedentary, and we thus recommend that health authorities develop methods of promoting an active lifestyle that are culturally appropriate to the populations of circumpolar settlements.