Rates of type 2 diabetes and other metabolic disorders are elevated among Indigenous peoples; however, no research has examined the origins of these diseases among the Métis. This case study documents a transition in lifestyle and health that affected the Keg River Métis of northern Alberta during the middle decades of the 20^th century. This community began to experience previously absent diseases, including obesity, heart disease, gestational and type 2 diabetes, and preeclampsia. This shift in disease burden appears tied to rapid socio‐cultural and economic change driven by a decline of traditional economic activities, access to government transfer payments and wage labour, an increasingly sedentary lifestyle, and a growing availability of non‐traditional foods. This study points to earlier emergence of diabetes among Canadian Indigenous populations than commonly credited and presents the case for a rapidly evolving epidemic tied to environmental and cultural change. Underlying this were structural changes that emerged out of colonization.

中文翻译：

---

揭示土著人民中流行病学转变的情况：以凯格河（艾伯塔省）梅蒂斯为例

2型糖尿病和其他代谢性疾病的发生率在土著人民中有所上升。但是，没有研究检查梅蒂斯人中这些疾病的起源。该案例研究记录了生活方式和健康的转变，在20^世纪中叶中期影响了艾伯塔省北部的Keg河梅蒂斯世纪。这个社区开始经历以前没有的疾病，包括肥胖，心脏病，妊娠和2型糖尿病以及先兆子痫。疾病负担的这种变化似乎与快速的社会文化和经济变化有关，这是由于传统经济活动的减少，政府转移支付和工资劳动的获得，久坐的生活方式以及非传统食品供应的增加所致。这项研究指出，在加拿大土著人群中，糖尿病的出现比通常所认为的要早，并提出了与环境和文化变化有关的，迅速发展的流行病。其背后是殖民化过程中出现的结构性变化。