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espanolIntroduccion: La poblacion que vive en grandes urbes cuenta con elementos culturales que dificilmente estan incorporados en las intervenciones de educacion para la salud. Objetivo: Identificar los elementos clave en el diseno de estrategias culturalmente competentes para mejorar las sesiones de educacion en salud, practica de actividad fisica y alimentacion. Metodologia: Estudio cualitativo, exploratorio y descriptivo realizado en la Ciudad de Mexico. Se utilizo la tecnica de grupos focales. El guion tematico incluyo: a) causas de la enfermedad, prevencion y tratamiento; b) elementos para prevenir la enfermedad: dieta y actividad fisica; c) motivaciones para participar en una intervencion que prevenga las Enfermedades Cronicas no Transmisibles desde su contexto cultural; y d) barreras y facilitadores. Las entrevistas fueron grabadas, transcritas y analizadas de acuerdo con la teoria fundamentada. Resultados: Los resultados muestran que uno de los impedimentos de mayor peso es la falta de tiempo para acudir a sesiones de educacion en salud, la practica de actividad fisica, la preparacion y consumo de alimentos saludables. Dentro de los grupos, obesidad y sobrepeso no se perciben como un factor importante para el desarrollo de Enfermedades cronicas no trasmisibles. Se propone incorporar elementos tanatologicos y logoterapeuticos en las intervenciones con el fin de dar sentido de vida a la salud. Conclusion: Se proponen estrategias que transiten de la promocion de la salud hacia el desarrollo humano, que integren elementos de manejo efectivo del tiempo, inteligencia emocional, aumento de la autoestima y estrategias familiares de colaboracion. EnglishIntroduction: The population in the large cities has cultural elements that are hardly incorporated in health education interventions. Objective: To identify the key elements for designing culturally competent strategies necessary to improve health education sessions, physical activity and food intake for people at risk of chronic non-communicable diseases (NCD). Methodology: A qualitative, exploratory and descriptive study was performed in Mexico City. Focal group technique was used. Thematic script included topics such as: a) causes of the disease, its prevention and treatment; B) elements for disease prevention: diet and physical activity; C) motivations to participate in an intervention that prevents NCD in their own cultural context; and d) Elements that do not work in an intervention to prevent NCD. The interviews were recorded, transcribed and analyzed under the fundamental theory approach. Results: Data showed that one of the most important impediments is the lack of time to attend health education sessions, physical activity and healthy foods preparation and consumption. Within the groups, obesity and weight were not perceived as an important factor for the development of NCD. We proposed to incorporate thanatological and logotherapeutic elements in the interventions in order to give live meaning to people´s health. Conclusion: Strategies are proposed to move from health promotion to human development, integrating elements of effective management of time, emotional intelligence, increased self-esteem and family strategies of collaboration.

Educación en salud, práctica de actividad física y alimentación en grandes urbes: perspectiva de los usuarios