Evidence map›Paper›PMID 42801170›Full record

ArticleCurrent developments in nutrition2026

"It Matters Who Defines It"-Defining Nutrition through American Indian, Alaska Native, and Native Hawaiian Worldviews.

Tara L Maudrie, Kaylee R Clyma, Cassandra J Nguyen, Victoria M O'Keefe, Martin Reinhardt, Valerie Segrest, Melissa E Lewis, Toni Stanger-McLaughlin, Nicole Redvers, Phoebe Young and 6 more

Abstract read
In one paragraph

Article in Current developments in nutrition, 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Tara L MaudrieDepartment of International Health, Center for Indigenous Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Kaylee R ClymaCenter for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.
Cassandra J NguyenDepartment of Nutrition, University of California, Davis, CA, United States.
Victoria M O'KeefeDepartment of International Health, Center for Indigenous Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Martin ReinhardtCenter for Native American Studies, Northern Michigan University, Marquette, MI, United States.
Valerie SegrestMuckleshoot Tribal Member, WA, United States.
Melissa E LewisDepartment of Family and Community Medicine, University of Missouri School of Medicine, Columbia, MS, United States.
Toni Stanger-McLaughlinNative American Agriculture Fund, Citizen of the Colville Confederated Tribes, Spokane, WA, United States.
Nicole RedversDepartment of Epidemiology and Biostatistics, Schulich School of Medicine & Dentistry, University of Western Ontario, Ontario, Canada.
Phoebe YoungDepartment of American Studies, University of Minnesota, Minneapolis, MN, United States.
Hope FlanaganDream of Wild Health, Hugo, MN, United States.
Electa L Hare-RedCornPawnee Nation Tribal Member, Pawnee, OK, United States.
Elsie M DubrayCommunity Health and Prevention Research, Stanford University School of Medicine, Palo Alto, CA, United States.
Alanna NorrisDepartment of International Health, Center for Indigenous Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Kaylena E BrayDepartment of International Health, Center for Indigenous Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States.
Valarie Blue Bird JerniganCenter for Indigenous Health Research and Policy, Oklahoma State University Center for Health Sciences, Tulsa, OK, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adequately assessing nutrition is deeply important for understanding and addressing health inequities, especially for American Indian, Alaska Native, and Native Hawaiian (AI/AN/NH) peoples who have been subjected to the malnourishing effects of settler colonialism. Mainstream approaches to nutrition rely heavily on indicators of physical diet consumption, while ignoring the contributions of food to spiritual, social, and emotional health. Considering only physical aspects of dietary consumption paints a narrow picture of AI/AN/NH foodways and nutritional health further contributing to deficit-based narratives about AI/AN/NH peoples. To adequately understand and address the nutritional health of AI/AN/NHs, strengths-based approaches to nutrition that are rooted in Indigenous ways of knowing are urgently needed. Objective: The objective of this study was to define nutrition through AI/AN/NH worldviews. Methods: Three focus group discussions ( Results: The Indigenous Nourishment Model contains 4 main domains of nourishment (physical, spiritual, emotional, and relational), and 8 subthemes representing concepts, practices, and beliefs, which contribute to overall nourishment. Conclusions: Despite the importance of physical aspects of nutrition, our findings assert that spiritual, emotional, and relational well-being are inseparable and integral to the overall goal of nourishment for AI/AN/NHs. The resulting Indigenous Nourishment Framework developed with a diverse group of AI/AN/NH food knowledge holders reflects the strengths of AI/AN/NH foodways and builds upon existing approaches to nutrition by offering new directions for approaching and measuring nutrition.

Indexed as

Alaska NativeAmerican IndianIndigenousIndigenous research methodsNative Hawaiiannourishmentnutritionqualitativestrengths-based

Identifiers

PMID42801170
PMCPMC13615723

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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.