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The general health of Aboriginal peoples in Canada is poorer than that of non-Aboriginal peoples. In particular, obesity-related chronic diseases like type 2 diabetes (T2D) disproportionately affect the Aboriginal population. This chapter suggests that an ecological approach is needed to promote effectively and support healthy body weights among Aboriginal children in Canada. It provides an overview of important research findings, the current state of knowledge, and the research gaps regarding the determinants of healthy weights in Aboriginal children. It presents two case studies of First Nations community-based interventions to illustrate the application of the ecological framework to address children's weight status. Each intervention focused on changing knowledge, attitudes, and behaviours surrounding dietary practices, physical activity, and health beliefs. The chapter concludes by suggesting future research activities to better understand or modify the social determinants of health as an approach to improving Aboriginal children's weight status.
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