, decrease variability in temperature, epigenetic risk factors, natural selection for high BMI all contribute in increase of the obesity. Some of the issues are as follows:
Diet: It is considered as the main factor in the obesity which impacts the health of the indigenous families. Dietary energy supply per capita differentiates between different countries and regions. The United States is having the large amount of availability of people with 3654 calories per person. Magnussen, (2011) says that total consumption of food is in relation with the obesity. If there will no proper diet in relation with health of the people, then it will definitely cause obesity. Extra food energy comes from increase in carbohydrate rather than consumption of fat. The primary source of the extra carbohydrates is the sweetened beverages and potato chips.
Sedentary lifestyle: As per Pfalzgraf, (2013) this plays a main role in the obesity and affects the health of indigenous families. World has been shifting towards physical work and currently 30% world population is getting insufficient exercise. This is because there is an increased use of mechanized transportation. In children there is decrease in the physical activity because of less physical education and walking.
Genetics: Obesity can be defined as the result of interplay between environmental and genetic factors like other medical conditions. Polymorphisms in different genes control appetite and the metabolism to obesity when there is presence of sufficient food energy. The various differences in BMI between different people because of variable genetics depend on the population. It is a main feature in the several syndromes.
Other illnesses: Mas, Allensworth & Jones, (2010) says that different medical and physical illness and the pharmaceutical substances which are used for the treatment may increase the obesity risk. Medical illness which will increase the risk of the obesity include various rare genetic syndromes and various acquired and congenital conditions like growth hormone deficiency and many more and various eating disorders like night and binge eating disorder. As per Papini, (2015). the risk of obesity and overweight is high in patients having psychiatric disorders in comparison to person who are not having psychiatric disorders. Certain medications also cause the gain in weight and change the body composition which may like some hormonal changes.
Social determinants: The influences related to genetics are important to understand the obesity, but they will not be able to explain the reason for dramatic increase globally. From this, it is accepted that the excess consumption of energy leads to obesity. Magnussen, (2011) explains that the relation between the BMI and social class varies from country to country. It has been reviewed that high social class women are less obese and but no difference is found in the men from different social class. In today's developing world, men, women and children of high social class has great obesity rate.
Gut bacteria: The study in regards with the impact of infectious agents on the metabolism are in its early stage. Gut bacteria which form the community of the microorganism are present in the digestive system of animals and the human. In human it has the high number of bacteria and the large number of species. Mabaso-Motlatla, (2012) says that it has been used to make differentiation between obese and the lean humans. Gut bacteria among the individuals affect metabolic potential. The collaboration between the obesity and the viruses are there in humans and various species of animal.
These are various key issues which affect the Indigenous family’s health and it should be taken into consideration so as to know the related causes which are creating obesity among the individuals. As a nurse of the community health setting, it is analysed that obesity is increasing day by day among the individuals and the children and it is very necessary to take appropriate actions in regards with precautions of the disease (Factors contributing to Indigenous he