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There is an unusually
high incidence of obesity in the aboriginal population, which can lead to
cardiovascular diseases. Statically, data collected shows that a large portion
of the adult aboriginal population are obese, “25.7% of Aboriginal adults
(excluding First Nations on-reserve) were estimated to be obese on the basis of
self-reported height and weight data from the 2007/08 CCHS.” (CCHS, 2008),
“Over one-third (36.0%) of on-reserve First Nation adults are estimated to be
obese, according to self-reported data” (RHS 2002/03). Both statistics do not
show positive result, due to the high incidence of obesity, “Both obesity and
decreased activity are related to insulin resistance, elevated blood pressure,
and elevated total and LDL cholesterol concentrations; all of which improve
with weight loss and fitness” (Larson-Meyer, 2010).  Intervention that
target obesity to reduce cardiovascular diseases include, weight loss, physical
activity, and dieting, “Management of obesity involves a comprehensive program
of nutrition management, behavior modification, and physical activity or
exercise.” (Edelman, 2014) A program of low-impact, aerobic exercise, increase
in daily activities, and resistance training, as frequently as 5 to 7 days a
week, periods of 40 to 60 minutes a day or 20 to 30 minutes twice daily, is
recommended. (Edelman, 2014) When it comes to diet obviously going for
healthier food is essential, “substitute more whole grains, fruits, and
vegetables and less processed or fast foods.” (Edelman, 2014) studies have
shown that, “Routine physical activity is also associated with improved
psychological well-being (e.g., through reduced stress, anxiety and
depression). Psychological well-being is particularly important for the
prevention and management of cardiovascular disease, but it also has important implications
for the prevention and management of other chronic diseases such as diabetes,
osteoporosis, hypertension, obesity, cancer and depression.”( Warburton, 2006)
In relevance to cardiovascular diseases, exercise; enhances lipid lipoprotein
profiles, high density lipoprotein cholesterol levels, and decreases low
density lipoprotein, improves glucose homeostasis and insulin sensitivity,
decreases blood coagulation, and reduces blood pressure.(Warburton, 2006) There
are many exercise resources available, as exercise can be performed almost
everywhere; home, community centers, gyms, pools, parks, etc. Even joining
various exercise programs or consulting with a trainer may be helpful to
achieving fitness and health goals. Older aboriginal adults both on reserve and
off reserve, can exercise but on reserve individuals are limited in resources
available. It may be hard for individuals to stay consistent when achieving
optimal results from daily physical activity. Barriers to achieving the health
promotion strategy exercise are; lack of motivation, lack of time, lack of
support, lack of energy, fear of injury, lack of resources. These barriers may
interfere with the individual’s progression to a healthy goal, it is important
to identify the individual’s barriers to develop a plan that can be
consistently followed. 

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