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Cited by 31Physical Activity and HealthIndigenous Health, Education, and RightsObesity, Physical Activity, Diet

Promoting physical activity among native American youth: A systematic review of the methodology and current evidence of physical activity interventions and community-wide initiatives

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Fleischhacker, Sheila, Roberts, Erica, Camplain, Ricky, Evenson, Kelly R., Gittelsohn, Joel·2016·Journal of Racial and Ethnic Health Disparities
DOI 10.1007/s40615-015-0180-1PMC PMC4911341
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Abstract

Promoting physical activity using environmental, policy, and systems approaches could potentially address persistent health disparities faced by American Indian and Alaska Native children and adolescents. To address research gaps and help inform tribally led community changes that promote physical activity, this review examined the methodology and current evidence of physical activity interventions and community-wide initiatives among Native youth. A keyword-guided search was conducted in multiple databases to identify peer-reviewed research articles that reported on physical activity among Native youth. Ultimately, 20 unique interventions (described in 76 articles) and 13 unique community-wide initiatives (described in 16 articles) met the study criteria. Four interventions noted positive changes in knowledge and attitude relating to physical activity but none of the interventions examined reported statistically significant improvements on weight-related outcomes. Only six interventions reported implementing environmental, policy, and system approaches relating to promoting physical activity and generally only shared anecdotal information about the approaches tried. Using community-based participatory research or tribally driven research models strengthened the tribal-research partnerships and improved the cultural and contextual sensitivity of the intervention or community-wide initiative. Few interventions or community-wide initiatives examined multi-level, multi-sector interventions to promote physical activity among Native youth, families, and communities. More research is needed to measure and monitor physical activity within this understudied, high risk group. Future research could also focus on the unique authority and opportunity of tribal leaders and other key stakeholders to use environmental, policy, and systems approaches to raise a healthier generation of Native youth.

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  • Males are more likely to engage in PA than females.

    “This aligns with previous literature that showed that males are more likely to engage in PA than females [24].”

    From Relationships Between Physical Activity, Sleep, Psychological Well-Being, and Academic Performance Among Native American College Students (2026) · cites this paper as [24]

    The Introduction reports physical-activity levels among Native American children, and Results > Interventions describes activity outcomes, but neither compares males with females. Searches for males/females, boys/girls, gender, and sex differences found no passage in our copy supporting the claimed comparison; page numbers were not available. (LLM, conf=0.73)

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Cited by

Sorted by citations

Authors
Fleischhacker, S., Roberts, E., Camplain, R., Evenson, K. R., & Gittelsohn, J.
Affiliations
  • National Institutes of Health (US)
  • University of Maryland, College Park (US)
  • University of North Carolina at Chapel Hill (US)
  • Johns Hopkins University (US)
Corresponding author
Fleischhacker, Sheila
ORCID
Venue
Journal of Racial and Ethnic Health Disparities
Publisher
Springer Science and Business Media LLC
Published
2015-11-16
Volume
3
Issue
4
Pages
608-624
ISSN
  • 2196-8837 (ISSN-L)
  • 2197-3792
DOI
10.1007/s40615-015-0180-1
PMC
PMC4911341
OpenAlex
W2175840799
Cited by
31
References
2
Citations by year
2026: 6 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 3 · 2017: 4 · 2016: 1
FWCI
0.33
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Racial and Ethnic Health Disparities (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Robert Wood Johnson Foundation (Healthy Eating Research ID 66958)
  • National Institutes of Health (T32MH75854-03)
  • Kate B. Reynolds Charitable Trusts
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Health › Indigenous Health, Education, and Rights
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
physical activity promotion, Native American youth, health disparities, physical activity interventions, community-based participatory research, weight-related outcomes
MeSH terms
Adolescent, Adolescent Behavior, Child, Child Behavior, Humans, Indians, North American, Minority Groups, Exercise, Community-Based Participatory Research

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