Background: Research shows that unhealthy diets and low physical activity are associated with high rates of obesity-linked chronic diseases amongst Nunavut Inuit. To provide contextual insights and deepen our understanding of the factors that underlie these lifestyle choices, we explored the perspectives of Nunavut Inuit on the barriers and enablers of healthy diets and physical activity participation in the community of Iqaluit. Methods: One-on-one semi-structured photo-elicitation interviews were conducted with 16 participants of 18 years and over (10 women, six men). The interviews uncovered the participants’ perspectives on the factors influencing healthy diets and physical activity in their community. Interviews were audio-recorded, transcribed, and uploaded to QSR NVIVO Version 12. Data analysis was achieved using an inductive thematic approach. Results: Six main factors were identified as barriers or enablers to energy balance-related behaviors: cost and affordability of healthy choices; availability of traditional foods and activities; weather conditions and climate change; infrastructure and community resources; social networks of family and friends; and effect of substance use. Conclusion: This study identified six broad areas that should be considered while mapping out interventions to reduce the burden of obesity-related chronic diseases in Nunavut communities.

中文翻译：

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加拿大北极地区的健康饮食选择和体育锻炼参与：了解努纳武特因纽特人对障碍和促成因素的看法

背景：研究表明，努纳武特因纽特人中不健康的饮食和低运动量与肥胖相关的慢性病发病率高有关。为了提供背景信息并加深我们对这些生活方式选择背后因素的理解，我们探讨了努纳武特因纽特人对伊卡卢伊特社区健康饮食和体育锻炼参与的障碍和促成因素的观点。方法：对18岁及以上的16名参与者（10名女性，6名男性）进行了一对一的半结构化光激发访谈。访谈揭示了参与者对影响社区健康饮食和体育锻炼的因素的观点。采访被录音，转录并上传到QSR NVIVO版本12。使用归纳主题方法进行数据分析。结果：六个主要因素被确定为阻碍或促进能量平衡相关行为的因素：健康选择的成本和可承受性；提供传统食物和活动；天气情况和气候变化；基础设施和社区资源；家人和朋友的社交网络；和物质使用的效果。结论：本研究确定了在规划努纳武特社区肥胖相关慢性疾病负担减轻干预措施时应考虑的六个主要领域。基础设施和社区资源；家人和朋友的社交网络；和物质使用的效果。结论：本研究确定了在规划努纳武特社区肥胖相关慢性疾病负担减轻干预措施时应考虑的六个主要领域。基础设施和社区资源；家人和朋友的社交网络；和物质使用的效果。结论：本研究确定了在规划努纳武特社区肥胖相关慢性疾病负担减轻干预措施时应考虑的六个主要领域。