These researchers used qualitative research theory, inclusive of Indigenous knowledge systems, to explore and contextualise Indigenous understandings of obesity in the interview narratives of 15 Indigenous (Māori) people aged between 18 and 65 years. The thematic analysis revealed four intrinsic determinants for obesity expression that specifically relate to Indigenous peoples: (1) relationships and social connectedness; (2) holistic health including spiritual beliefs and cultural practices (Indigenous worldview); (3) historical trauma and the impacts of colonisation; and (4) the biomedical model of caloric restriction, diet and exercise were culturally insensitive, non-relatable, and were not significant drivers for engagement in healthier lifestyles.