Evidence map›Paper›PMID 40195274›Full record

ArticleJournal of racial and ethnic health disparities2026

Dietary Factors and BMI Among Preschool-Aged Head Start Children and Home Caregivers in Remote Alaska Native Communities.

Courtney M Hill, M J Paschall, Kathryn R Koller, Gretchen M Day, Flora Lee, Diane M O'Brien, Diane K King, Lea Palmer, Katrina Domnick, Timothy K Thomas and 1 more

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In one paragraph

Article in Journal of racial and ethnic health disparities, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Courtney M HillCenter for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, PO BOX 757000, Fairbanks, AK, 99775, USA.
M J PaschallPrevention Research Center, Pacific Institute for Research and Evaluation, Berkeley, CA, USA.
Kathryn R KollerResearch Services, Alaska Native Tribal Health Consortium Anchorage, Alaska, USA.
Gretchen M DayResearch Services, Alaska Native Tribal Health Consortium Anchorage, Alaska, USA.
Flora LeeResearch Services, Alaska Native Tribal Health Consortium Anchorage, Alaska, USA.
Diane M O'BrienCenter for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, PO BOX 757000, Fairbanks, AK, 99775, USA.
Diane K KingCenter for Behavioral Health Research and Services, Institute of Social and Economic Research, University of Alaska Anchorage, Anchorage, AK, USA.
Lea PalmerHead Start Program, Rural Alaska Community Action Program, Inc., Anchorage, Alaska, USA.
Katrina DomnickYukon Kuskokwim Health Corporation, Bethel, AK, USA.
Timothy K ThomasResearch Services, Alaska Native Tribal Health Consortium Anchorage, Alaska, USA.
Andrea BersaminCenter for Alaska Native Health Research, Institute of Arctic Biology, University of Alaska Fairbanks, PO BOX 757000, Fairbanks, AK, 99775, USA. abersamin@alaska.edu.ORCID 0000-0002-9246-4843

Funding

Back to Basics: Addressing Childhood Obesity Through Traditional Foods in AlaskaR01NR015417 · NINR · ALASKA NATIVE TRIBAL HEALTH CONSORTIUM · PI THOMAS, TIMOTHY K · 2017 to 2021
$2.4M
NINR NIH HHS R01 NR015417NINR NIH HHS R01NR015417U.S. Department of Agriculture 2018-69001-27544
6 · The paper itself

Abstract

backgroundAmerican Indian and Alaska Native children experience disparities in obesity. Home caregiver diet and weight status may be important for obesity prevention efforts. The goals of this study were (1) to examine the concordance of diet and body mass index (BMI) between Yup'ik caregivers and preschoolers in remote Alaska and (2) to examine the association of dietary factors with BMI for caregivers.

methodsStudy data came from "Got Neqpiaq?", a culturally centered multilevel intervention focused on Yup'ik preschool-aged children (n = 155) and caregivers (n = 144) in 12 communities in Southwest Alaska. Dietary factors of interest were measured using biomarkers: traditional food intake (nitrogen stable isotope ratio), processed food intake (carbon stable isotope ratio), and vegetable and fruit intake (skin carotenoid concentration). Associations among variables were evaluated using confounder-adjusted linear regression with BMI modeled as a continuous outcome.

resultsDietary biomarkers were highly concordant between caregivers and children, but caregiver and child BMI were not. Among caregivers, traditional food intake was positively associated with BMI (beta = 1.57; 95% confidence interval [CI] = 0.45, 2.68; p = .006), vegetable and fruit intake was negatively associated with BMI (beta =  - 0.02; 95% CI =  - 0.04, - 0.004; p = .02), and processed food intake was not associated with BMI (beta = 0.74; 95% CI =  - 1.07, 2.55; p = .42).

conclusionsThere was high concordance between caregiver and child diet which suggests that dietary-related obesity prevention efforts in Yup'ik communities could focus on family-level interventions. Future work must move beyond a singular focus on obesity and consider holistic health, which aligns with an Alaska Native worldview.

Indexed as

Alaska NativesBody Mass IndexCaregiversDietAdultAlaskaChild, PreschoolEarly Intervention, EducationalFemaleHumansMaleRural PopulationAlaska NativeDietary intakeFruits and vegetablesObesity preventionProcessed foodsTraditional foods

Identifiers

PMID40195274
PMCPMC12435545

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.