The purpose of this clinical trial is to learn whether a cultural nutritional program can change stroke risk factors, cognitive decline, and learn how school education programs about nutrition can improve health in the Oneida Nation. Participants will undergo: * A carotid ultrasound * Cognitive testing * Health assessment * Blood work * Health wellness coaching Participants can expect to be in the study for 1 year.
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Change in incidence of stroke and transient ischemic attack (TIA)
Timeframe: Baseline to 1 year
Change in number of participants that meet American Heart Association (AHA) Simple Rules for Diastolic Blood Pressure.
Timeframe: Baseline to 1 year
Change in number of participants that meet AHA's Simple Rules for Systolic Blood Pressure.
Timeframe: Baseline to 1 year
Change in number of participants that meet AHA Simple Rules for Body Mass Index (BMI)
Timeframe: Baseline to 1 year
Change in Montreal Cognitive Assessment (MoCA)
Timeframe: Baseline to 1 year
Change in NIH Toolbox Score
Timeframe: Baseline to 1 year
Change in Native American Acculturation Scale (NAAS)
Timeframe: Baseline to 1 year
Change in knowledge of health through a structured culturally competent school education programs about nutrition
Timeframe: Baseline to 1 year