Michael A. Robidoux

Obesity and type 2 diabetes in Northern Canada's remote First Nations communities: the dietary dilemma.

First Nations populations in Northwestern Ontario have undergone profound dietary and lifestyle transformations in less than 50 years, which have contributed to the alarming rise in obesity and obesity-related diseases, in particular type 2 diabetes mellitus. Even though the genetic background of First Nations peoples differs from that of the Caucasians, genetics alone cannot explain such a high prevalence in obesity and type 2 diabetes. Modifications in lifestyle and diet are major contributors for the high prevalence of chronic diseases. What remains constant in the literature is the persistent view that locally harvested and prepared foods are of tremendous value to First Nations peoples providing important health and cultural benefits that are increasingly being undermined by western-based food habits. However, the complexities of maintaining a traditional diet require a multifaceted approach, which acknowledges the relationship between benefits, risks and viability that cannot be achieved using purely conventional medical and biological approaches. This brief review explores the biological predispositions and potential environmental factors that contribute to the development of the high incidence of obesity and obesity-related diseases in First Nations communities in Northern Canada. It also highlights some of the complexities of establishing exact physiological causes and providing effective solutions.

Dysregulation of Cytokine Response in Canadian First Nations Communities: Is There an Association with Persistent Organic Pollutant Levels?

In vitro and animal studies report that some persistent organic pollutants (POPs) trigger the secretion of proinflammatory cytokines. Whether POP exposure is associated with a dysregulation of cytokine response remains to be investigated in humans. We studied the strength of association between plasma POP levels and circulating cytokines as immune activation markers. Plasma levels of fourteen POPs and thirteen cytokines were measured in 39 Caucasians from a comparator sample in Québec City (Canada) and 72 First Nations individuals from two northern communities of Ontario (Canada). Caucasians showed significantly higher levels of organochlorine insecticides (β-HCH, p,p′-DDE and HCB) compared to First Nations. Conversely, First Nations showed higher levels of Mirex, Aroclor 1260, PCB 153, PCB 170, PCB 180 and PCB 187 compared to Caucasians. While there was no difference in cytokine levels of IL-4, IL-6, IL-10 and IL-22 between groups, First Nations had significantly greater average levels of IFNγ, IL-1β, IL-2, IL-5, IL-8, IL-12p70, IL-17A, TNFα and TNFβ levels compared to Caucasians. Among candidate predictor variables (age, body mass index, insulin resistance and POP levels), high levels of PCBs were the only predictor accounting for a small but significant effect of observed variance (∼7%) in cytokine levels. Overall, a weak but significant association is detected between persistent organochlorine pollutant exposure and elevated cytokine levels. This finding augments the already existing information that environmental pollution is related to inflammation, a common feature of several metabolic disorders that are known to be especially prevalent in Canadas remote First Nations communities.

Obesity and Type 2 Diabetes Prevalence in Adults from Two Remote First Nations Communities in Northwestern Ontario, Canada

Objective. To assess the prevalence rates of obesity and type 2 diabetes in adults from two First Nations communities in northwestern Ontario, Canada. Methods. Body weight, height, and waist circumference as well as fasting and postprandial glucose levels following an oral glucose tolerance test were measured in 31 men and 41 women. Results. The mean age of the sample was 43 ± 13 y. The prevalence of obesity was 65.3% and was comparable between men and women. 90.3% of the individuals presented waist circumference levels greater than the thresholds associated with an increased risk of developing health problems. 26 of the 72 individuals (36.1%) were found to be type 2 diabetic. The prevalence of diabetes was not different between men and women. Conclusion. Using objective measurements, this study confirms that First Nations adults from remote communities of Canada continue to experience a disproportionately higher prevalence of obesity and type 2 diabetes than nonaboriginal Canadians.

The Nonsense of Native American Sport Imagery Reclaiming a Past that Never Was

The pejorative use of Aboriginal imagery in professional and amateur sport has been criticized by Native Americans, public activists and academics from various disciplinary backgrounds. They have campaigned successfully to convince sport organizations to rid themselves of such slanderous signification. While sensitive to these activist and academic strategies such perspectives do not seriously take into account that many First Nations peoples and sport teams in Canada display these images in a variety of ways. The proliferation of these images in First Nations contexts motivated me to examine the issue of Native American sport imagery further, in particular how their use by First Nations peoples may problematize standard oppositional discourse that dominates academic literature on the subject. Through my interaction with these context specific uses of such imagery, I have come to formulate a reading that encourages the proliferation of these images, a call for their saturation in the sport and fashion industry. It is only then that their signifying potential of a reality that never was can be erased, giving way to new systems of meanings.

The Costs of Local Food Procurement in Two Northern Indigenous Communities in Canada

Remote Northern Ontario First Nations communities face severe food insecurity. Prices of store foods are often unaffordable and not always in stock. Government programs have been implemented to subsidize some of the market food costs. Our objective is to illustrate the costs associated with procuring food from the land through hunting and fishing in an effort to present this as an alternate option to relying solely on store-bought foods. Northern Ontario is an area of the world undergoing a rapid nutrition transition leading to high levels of obesity and type 2 diabetes. Despite this knowledge, little has been done to reverse this trend using land based foods, widely promoted as nutritionally beneficial. We conclude that estimated cost of food from the land requires significant energy and time, but remains economically comparable to food available in-store. Further government support should be given to community hunters to make land-based food a viable option for a larger proportion of each community.

Elevated contaminants contrasted with potential benefits of ω-3 fatty acids in wild food consumers of two remote first nations communities in northern Ontario, Canada.

Indigenous communities in Boreal environments rely on locally-harvested wild foods for sustenance. These foods provide many nutritional benefits including higher levels of polyunsaturated fatty acids (PUFAs; such as ω-3) than what is commonly found in store-bought foods. However, wild foods can be a route of exposure to dietary mercury and persistent organic pollutants (POPs) such as polychlorinated biphenyls (PCBs). Here, we show a strong association between the frequency of wild food consumption in adults (N = 72) from two remote First Nations communities of Northern Ontario and environmental contaminants in blood (POPs) and hair (mercury). We observed that POPs and mercury were on average 3.5 times higher among those consuming wild foods more often, with many frequent wild food consumers exceeding Canadian and international health guidelines for PCB and mercury exposures. Contaminants in locally-harvested fish and game from these communities were sufficiently high that many participants exceeded the monthly consumption limits for methylmercury and PCBs. Those consuming more wild foods also had higher proportions of potentially beneficial ω-3 fatty acids including eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA). These results show that the benefits of traditional dietary choices in Boreal regions of Canada must be weighed against the inherent risks of contaminant exposure from these foods.

The Relationship of the Burbot (Lota lota L.) to the Reintroduction of Off-the-Land Foods in the Sandy Lake First Nation Community

This article is based on a study of traditional lifestyle practices in the Sandy Lake First Nation community in northwestern Ontario, considering some of the benefits and risks of reintroducing off-the-land food sources, specifically as they relate to the burbot (Lota lota L.). This article concentrates, therefore, on four avenues of exploration: (1) the “nutrition transition” in the First Nations population, (2) the meaning of a traditional diet in the Sandy Lake First Nation, (3) a nutritional value analysis of the burbot to determine its energy content and medicinal properties, and (4) the plausibility of reintroducing off-the-land food sources into the Sandy Lake First Nation community. We argue that though there may be health advantages to the reintroduction of off-the land food sources into First Nations contemporary diets, these benefits will be realized only if practiced according to historical dietary traditions drawing from critical parts of animal tissues to maximize nutrient intake.

Dietary practices in isolated First Nations communities of northern Canada: combined isotopic and lipid markers provide a good qualitative assessment of store-bought vs locally harvested foods consumption

OBJECTIVE:In First Nations communities of northwestern Ontario, where rates of type 2 diabetes mellitus are some of the highest in the world, ascertaining wild food dietary practices is extremely challenging owing to seasonal availability, environmental factors, life circumstances and language/cultural barriers. The purpose of this study was to determine whether analysis of isotopic and fatty acid (FA) profiles could provide more comprehensive information to discriminate between three categories of wild food consumption (that is, plants and animals) in two isolated First Nations communities of northwestern Ontario. In addition, this analysis also highlights whether wild food consumption as practiced in these two communities can increase circulating levels of polyunsaturated FAs (PUFAs), which provide a number of important metabolic benefits that could impact the prevention/treatment of T2DM.RESULTS:13C enrichment (in expired CO2, plasma and hair), 15N enrichment (in hair) and FA profiles in plasma phospholipids (phospholipid fatty acid (PL-FA)) were quantified in men and in women consuming various amounts of wild food. 13C/12C ratios were lower and 15N/14N ratios were higher in participants consuming wild food at least once a week. In addition, FA results indicated that the relative contributions of 20:4 Ω-6 and 22:6 Ω-3 to total PL-FAs were higher and 18:2 Ω-6 lower in wild food consumers.CONCLUSION:Together, these findings confirm that isotopic and lipid markers discriminate between the different wild food categories in these two First Nations communities. Knowing the close relationship between dietary intake and the potential role of PUFA in the prevention/treatment of obesity and obesity-related diseases, it is critical to accurately measure the composition of diet for individuals in their specific environments.

The costs of local food procurement in a Northern Canadian First Nation community: an affordable strategy to food security?

ABSTRACT Northern rural and remote Indigenous Communities in Canada are experiencing disproportionately high rates of diet related diseases, such as type 2 diabetes, largely because of the limited access to nutritious food. Indigenous peoples have experienced a rapid nutrition transition that has led to an over reliance on low quality market-food. In one remote fly-in First Nation in northern Ontario, leadership has looked to land-based food as a way to make healthy foods more readily available in the community. This paper documents what is involved in land-based food procurement in the Wapekeka First Nation, and the costs incurred getting food from the land. This paper argues that despite the considerable economic and physical demands, land-based food procurement is a viable and culturally valuable option to help increase local access to healthy foods.