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Inactive lifestyles : An overall inactivity leads to poor functioning of the heart that is less effective due to lack of physical activity which also results in the body finding it more difficult to circulate blood through the body

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Consequently, "students from low socioeconomic families face unique academic challenges, as their families may lack access to the resources and socialization experiences necessary to adequately prepare and support student achievement in school" [5] Furthermore, "the lack of academically successful role models and the need to provide additional financial support to the family contributed to the high number of dropouts among Native American students who live in poverty." [5] Both student and teacher attrition are major issues in reservation schools as well

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