Table 1_Perspectives of physical activity in combating metabolic syndrome: insights from a multi-ethnic urban population.docx

The United Arab Emirates is experiencing a rising burden of non-communicable diseases, particularly metabolic syndrome (MetS), driven by rapid urbanization and lifestyle changes. In Dubai's diverse population, where expatriates constitute 85% of residents, understanding perspectives on physical activity (PA) is essential for effective prevention strategies. This qualitative study explored stakeholder experiences and views on PA as a preventive measure for MetS. Semi-structured interviews were conducted with 20 stakeholders, including policy officials, gym owners, trainers, gym members, and inactive individuals, recruited through purposive and snowball sampling. Data were analyzed using thematic analysis and Hofstede's cultural framework to examine cultural influences on PA behaviors. Results indicated broad recognition of PA's importance in managing MetS but identified significant cultural and environmental barriers to participation. Key themes included cultural perceptions shaping engagement with PA and infrastructure challenges. These findings highlight the need for culturally tailored interventions and multisectoral collaboration to promote active lifestyles in Dubai's multi-ethnic context. This research offers valuable insights to guide public health initiatives aiming to reduce the burden of MetS through culturally sensitive approaches suited to this unique urban environment.

阿拉伯联合酋长国正面临非传染性疾病负担持续攀升的现状，其中以代谢综合征（Metabolic syndrome, MetS）最为突出，这一态势由快速城市化进程与生活方式变革共同推动。在迪拜多元共存的人口结构中，外籍居民占比高达85%，明晰民众对身体活动（physical activity, PA）的认知与态度，对于制定高效的代谢综合征预防策略而言至关重要。本项定性研究探讨了利益相关者将身体活动作为代谢综合征预防手段的相关体验与观点。研究通过目的抽样与滚雪球抽样相结合的方式，招募了20名利益相关者开展半结构化访谈，受访对象涵盖政策官员、健身房经营者、健身教练、健身房会员以及久坐不动的人群。研究采用主题分析法与霍夫斯泰德（Hofstede）文化框架对采集到的数据进行分析，以考察文化因素对身体活动行为的影响。研究结果表明，尽管大众普遍认可身体活动在代谢综合征防控中的重要价值，但同时也发现了阻碍人们参与身体活动的显著文化与环境壁垒。核心主题包括塑造身体活动参与行为的文化认知，以及基础设施建设存在的短板与挑战。本研究结果凸显了在迪拜多民族的社会背景下，亟需制定适配本土文化的干预措施并开展多部门协作，以推广积极健康的生活方式。本研究可为公共卫生举措提供极具价值的参考思路，助力通过适配该独特城市环境的文化敏感型策略，减轻代谢综合征带来的疾病负担。