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Document Type

Thesis - University Access Only

Award Date


Degree Name

Master of Science (MS)

Department / School

Graduate Nursing

First Advisor

Margaret Hegge


health and hygiene of indian children, acanthosis nigricans, non-insulin-dependent diabetes prevention, nutrition of indian children, physical fitness for children


Acanthosis nigricans is a hyperplastic skin lesion found to be highly prevalent among Native Americans. The age of onset of acanthosis nigricans closely parallels the onset of obesity among Winnebago/Omaha children. The combination of obesity with acanthosis nigricans is a key sign of high risk for the development of non-insulin dependent diabetes mellitus. The qualitative study is to gain insight into food intake and physical activities of Native American children with acanthosis nigrican. This study focused on Native American children attending school at Winnebago on the Winnebago Reservation in Northeastern Nebraska.
Leininger's theory of Cultural Care and Ethnonursing provided the foundation for the study to discover universalities. Food intake and physical activities were discussed; implications for future research for nurses in health promotion and disease prevention is proposed. The information gathered from this qualitative study can now be utilized to develop interventions to prevent diabetes in children in culturally appropriate ways.

Library of Congress Subject Headings

Indian children -- Health and hygiene
Acanthosis nigricans
Type 2 diabetes -- Prevention
Indian children -- Nutrition
Physical fitness for children



Number of Pages



South Dakota State University


Copyright © 1996 Kathryn Cummins. All rights reserved