Abstract：
BACKGROUND: Stigmatizing language or non-person-centered language (non-PCL) has been shown to impact patients negatively, especially in the case of obesity. This has led many associations, such as the American Medical Association (AMA) and the International Committee of Medical Journal Editors (ICMJE), to enact guidelines prohibiting the use of stigmatizing language in medical research. In 2018, the AMA adopted person-centered language (PCL) guidelines, including a specific obesity amendment to which all researchers should adhere. However, little research has been conducted to determine if these guidelines are being followed.
OBJECTIVE: Our primary objective was to determine if PCL guidelines specific to obesity have been properly followed in the sports medicine journals that are interacted with most frequently.
METHODS: We searched within PubMed for obesity-related articles between 2019 and 2022 published in the top 10 most-interacted sports medicine journals based on Google Metrics data. A predetermined list of stigmatizing and non-PCL terms/language was searched within each article.
RESULTS: A total of 198 articles were sampled, of which 58.6 % were found to be not compliant with PCL guidelines. The most common non-PCL terms were \"obese\" utilized in 49.5 % of articles, followed by \"overweight\" as the next most common stigmatizing term at 40.4 %. Stigmatizing labels such as \"heavy, heavier, heaviness,\" \"fat\" as an adjective, and \"morbid\" appeared in articles but at a lower rate.
CONCLUSIONS: Our study shows that there is a severe lack of adherence to PCL guidelines in the most-interacted sports medicine journals. Negative associations between stigmatizing language and individuals with obesity will only persist if a greater effort is not made to change this. All journals, including the most prestigious ones, should adopt and execute PCL guidelines to prevent the spread of demeaning language in the medical community.
OBJECTIVE: Our primary objective was to determine if PCL guidelines specific to obesity have been properly followed in the sports medicine journals that are interacted with most frequently.
METHODS: We searched within PubMed for obesity-related articles between 2019 and 2022 published in the top 10 most-interacted sports medicine journals based on Google Metrics data. A predetermined list of stigmatizing and non-PCL terms/language was searched within each article.
RESULTS: A total of 198 articles were sampled, of which 58.6 % were found to be not compliant with PCL guidelines. The most common non-PCL terms were \"obese\" utilized in 49.5 % of articles, followed by \"overweight\" as the next most common stigmatizing term at 40.4 %. Stigmatizing labels such as \"heavy, heavier, heaviness,\" \"fat\" as an adjective, and \"morbid\" appeared in articles but at a lower rate.
CONCLUSIONS: Our study shows that there is a severe lack of adherence to PCL guidelines in the most-interacted sports medicine journals. Negative associations between stigmatizing language and individuals with obesity will only persist if a greater effort is not made to change this. All journals, including the most prestigious ones, should adopt and execute PCL guidelines to prevent the spread of demeaning language in the medical community.
摘要：
背景：污名化语言或非以人为本的语言（非PCL）已被证明对患者产生负面影响，尤其是在肥胖的情况下。这导致了许多协会，如美国医学协会（AMA）和国际医学杂志编辑委员会（ICMJE），制定指南，禁止在医学研究中使用污名化语言。2018年，AMA采用了以人为中心的语言（PCL）指南，包括所有研究人员都应该遵守的特定肥胖修正案。然而,很少进行研究以确定是否遵循这些准则。
目的：我们的主要目的是确定与之互动最频繁的运动医学期刊是否正确遵循了针对肥胖的PCL指南。
方法：我们在PubMed中搜索了2019年至2022年间与肥胖相关的文章，这些文章发表在基于GoogleMetrics数据的十大互动运动医学期刊上。在每篇文章中搜索预定的污名化和非PCL术语/语言列表。
结果：共抽取了198篇文章，其中58.6%被发现不符合PCL指南。最常见的非PCL术语是49.5%的文章中使用的“肥胖”，其次是“超重”，是下一个最常见的污名化术语，占40.4%。污名化标签，如“重”，更重,沉重，\"\"fat\"作为形容词，“病态”出现在文章中，但发生率较低。
结论：我们的研究表明，互动最多的运动医学期刊严重缺乏对PCL指南的遵守。只有在不做出更大努力来改变这种情况的情况下，污名化语言与肥胖个体之间的负面关联才会持续存在。所有期刊,包括最负盛名的，应采用并执行PCL指南，以防止贬低语言在医学界的传播。
目的：我们的主要目的是确定与之互动最频繁的运动医学期刊是否正确遵循了针对肥胖的PCL指南。
方法：我们在PubMed中搜索了2019年至2022年间与肥胖相关的文章，这些文章发表在基于GoogleMetrics数据的十大互动运动医学期刊上。在每篇文章中搜索预定的污名化和非PCL术语/语言列表。
结果：共抽取了198篇文章，其中58.6%被发现不符合PCL指南。最常见的非PCL术语是49.5%的文章中使用的“肥胖”，其次是“超重”，是下一个最常见的污名化术语，占40.4%。污名化标签，如“重”，更重,沉重，\"\"fat\"作为形容词，“病态”出现在文章中，但发生率较低。
结论：我们的研究表明，互动最多的运动医学期刊严重缺乏对PCL指南的遵守。只有在不做出更大努力来改变这种情况的情况下，污名化语言与肥胖个体之间的负面关联才会持续存在。所有期刊,包括最负盛名的，应采用并执行PCL指南，以防止贬低语言在医学界的传播。
