DHB chair Kevin Atkinson said obesity had become a "massive problem" in Hawke's Bay.
"My view is we're really struggling with this obesity area and it's going to have a lot of costs."
Board members acknowledged the success of the IronMaori multisport event. Now in its sixth year, IronMaori aims to introduce Maori to physical exercise and activity while providing a family and group atmosphere.
Mr Atkinson asked the event's co-founder Heather Skipworth QSM about the possibility of participants weighing themselves before the event so that they could aim for weight targets.
However, Ms Skipworth said the solution to obesity did not lie in "measuring weight or BMIs".
"We need to uplift wairua, uplift mana - if key performance indicators are targeted in that way, I think we'll start to see a drop in obesity."
In response to the obesity rate among Maori, board member Ngahiwi Tomoana advocated for a "whanau-based" approach.
As there was no overarching central Government strategy for obesity prevention, Ms McElnay's report recommended the DHB "take a leadership role" and establish a "cross-sector taskforce" to tackle the issue across the region.