In the Native Hawaiian community, there is high levels of material poverty but also great spiritual and cultural wealth. The document discusses how properly nurturing spiritual and cultural strengths can help improve health outcomes where material poverty has negatively impacted health. It then provides details on a 3-week trial of the HawaiiDiet program involving 23 community leaders, finding an average weight loss of 10.8 pounds and improvements in cholesterol, blood sugar, blood pressure, and triglyceride levels.

1. ©Copyright 2010 Terry
Shintani, M.D., J.D., M.P.H.
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3. In many parts of the Native Hawaiian community,
there is great poverty from a material perspective. But
the people there are also blessed with a great wealth
from a spiritual and cultural perspective. The
material poverty sets the stage for poor health. If
nurtured properly, spiritual and cultural strength
may set the stage for the recovery of good health if
applied properly.
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5. During the course of this program, you will focus
upon the positive aspects of health and weight
control. This means you will not be worried about
deprivation, and you won't be focusing upon all the
things you should not do.
You will be focused on foods that satisfy your
hunger: foods which you can obtain in your local
supermarket, simple foods which you can continue
eating and enjoying for the rest of your life.
And, thus, the same basic diet-and-lifestyle
principles apply to us all.
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8.  How easy is it to make a quick meal at home? How
 easy is it to dine on the inventions of some of the best
chefs in Paradise? In the recipe section, you'll find a
whole range of dishes, from simple to gourmet. In
addi- tion to home-cooking recipes and fast food
recipes, you'll also find dishes from Roy Yamaguchi,
Peter Merriman, and Mark Ellman — all world-class
chefs.
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9. You'll also find recipes from some of Hawaii's family
and consumer science teachers, who also offer up a
cornucopia of home-spun dishes and first-class
cuisine. And you'll find delicious, traditional foods
from all cultures — a reflection of the wonderful
diversity of Hawaii's multicultural society.
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10. Most of the recipes are selected for their ease of
preparation and for the availability of the ingredients.
Whether you're a seasoned cook or just a beginner,
you'll find something here that works for you.
You can make your recipe choices based on the
HawaiiDiet™ Pyramid, and based upon the "SMI."
With the range of recipes and these two handy
program aids, you'll soon find yourself eating mouth-
watering meals based on many cultures' cuisines
from Hawaiian- Pacific, to European, to Asian, to the
rest of the world.
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12. In order to demonstrate the effectiveness of the
HawaiiDiet™, we put a number of community
leaders, including the Governor and some
representatives of the Native Hawaiian community of
Papakolea Homestead, on the HawaiiDiet™ in a 3-
week program.
In 3 weeks, the group weight loss for the 23
participants was 249.25 pounds. Average weight loss
per person was 10.8 pounds. The highest weight loss
was 21.75 pounds.
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13. Average cholesterol decreased 23.6% (from an average
of 205 mg/dl to 157 mg/dl). At the beginning of the
program, there were 11 people with cholesterol over
200. At the end of the program there was only one
person whose cholesterol was over 200.
Average triglycerides decreased 36.3% from an
average of 238 mg/dl to 152 mg/dl (normal range - 50
mg/dl to 150 mg/dl). One person's triglycerides
decreased 863 mg/dl from 988 mg/dl to 125 mg/dl.
Another person's triglycerides decreased from 617
mg/dl to 93 mg/dl.
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14. Blood sugar in those with diabetes or borderline
diabetes fell an average of 38%, from an average of
177 mg/dl to 122 mg/dl. This drop resulted even
though the four participants on medication for
diabetes were able to reduce their
medications, including one who got off 90 units of
insulin.
Average blood pressure fell from 130/79 to
120/75. This resulted even after eliminating one
person's blood pressure medication when his blood
pressure dropped to normal levels, and also after
reducing the blood pressure medication of two other
people.
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