Nutrition beliefs and weight loss practices of Lakota Indian adults

Primary objectives were to describe beliefs about diet and health, weight p erceptions, and weight loss practices among Lakota Indian adults. In-person interviews were conducted with a total of 219 adults from two reservations in South Dakota. Overall, 55.5% of the sample was overweight. When asked h ow they perceived their body weight, 6% felt they were "too thin," 43.4% th ought they were "about right," and 50.2% felt they were "too fat." When ask ed what they were doing about their weight, 74% said they were either tryin g to lose weight or trying to keep from gaining more weight. Reducing the a mount of food eaten (90%), eating more fruits and vegetables (86%), increas ing physical activity (84%), and skipping meals (82%) were reported to have been used by most of those who had dieted. Of those who felt they needed t o lose weight, 78% said they would join a weight loss program if one were o ffered. Findings indicate that most Lakota adults are concerned about obesi ty and are attempting to either lose excess weight or avoid gaining weight. Intervention efforts for this population should focus on providing individ uals with guidance on effective strategies for weight loss or obesity preve ntion. Weight loss programs should include features identified as important by survey participants, such as information on how to fit a healthful diet and exercise into daily life.