“…Similar results have been noted in other studies assessing the impacts of land-based activities on diabetes [ 78 , 79 , 80 ], cancer [ 80 ], cardiovascular health [ 81 , 82 ], wellness [ 83 , 84 ], and well-being [ 85 ]. This idea of Indigenous culture, identity, lifestyles, well-being, and being deeply rooted in their homelands, has recently been acknowledged in health and research [ 4 , 26 , 83 , 86 ], but has long been espoused by Indigenous leadership and organizations [ 2 , 65 ]. Thus, it is not surprising that the land is of central importance to the Omushkego Cree culture, where reciprocal relationships with the land provide for their subsistence lifestyles, and in return they are stewards of the land [ 65 , 87 , 88 ].…”