This World Obesity Day, Dr. Louisa Herring is highlighting the important role of researchers in shaping conversations around obesity and eliminating weight-based stigma and discrimination, with a special focus on the 24-hour physical Behaviors.

肥胖症是一种复杂的疾病。通过加深对造成肥胖的多种因素（遗传、环境、经济、心理、社会文化）的了解，研究人员可以减少认为肥胖仅仅是由生活方式和食物选择造成的误解。在研究生命周期的各个阶段，都必须使用 "以人为本 "的语言，并让有生活经验的人参与其中。

研究责任为何重要

研究人员有机会通过宣传、提高意识、影响政策和公众观念，在开展讨论和解决与肥胖相关的污名化问题方面发挥重要作用。我们必须认识到语言、信息和整体叙述对肥胖症患者和整个社会的影响。

合作方法

无论是开展研究还是简单地传播信息，都必须强调促进合作的方法。在开发与肥胖相关的研究和材料时，研究人员应着眼于使用合作方法，以实现更具包容性和更有效的解决方案。让有生活经验的人参与进来，可以增进理解和共鸣，促进包容性，统一不同观点，打破成见和刻板印象。在体育活动研究中，这一点更为重要，因为肥胖症患者在加强体育活动时经常会遇到一些障碍。这些障碍包括身体不适/疼痛、与体重有关的耻辱或尴尬、能力水平/知识参差不齐、动力不足以及其他相关的并发症。

The role of physical activity and the 24-hour physical Behavior research

Our 24-hour day comprises a sequence of movement Behaviors ranging from limited or no movement all the way to high-intensity activities. Recent international guidelines developed by the Leicester Lifestyle Health Research Group at the Leicester Diabetes Centre have called these movement Behaviors the five S’s: sleep, sitting, stepping, sweating and strengthening. These Behaviors are all intrinsically linked, are key components of a healthy

lifestyle, and how we communicate their importance matters. As researchers we should be emphasising the multiple health benefits of becoming more active whilst optimising sleep and sitting time. Promoting these 24-hr movement Behaviors will bring overall physical and psychological well-being to a focus rather than weight management specifically. Considering physical Behaviors over the 24-hour day offers a broader spectrum of interventional opportunities to induce overall health benefits and is an important approach to overcoming physical activity related barriers and building confidence. Small regular changes to our activities throughout the 24-hour day, even while we sleep, can make a huge impact on our long-term health. A person-centred approach to support people living with obesity is important; individual preferences, motivations and circumstances should inform choice.

使用包容性语言和图像

语言和图像很重要。我们的目标是使用语言来增强权能和激励人心，避免使用污名化的术语和陈规定型观念来延续有害的叙述。以人为本的语言和避免将人非人化是至关重要的，要避免只使用身体、不合身的衣服或快餐等意象。绝不能用 "肥胖 "来描述一个人或一个群体，而应使用 "肥胖患者 "和 "肥胖人群"。在这个飞速发展的研究领域，正确的术语对于改变社会对肥胖问题的处理方式至关重要。

值此世界肥胖日之际，让我们一起行动起来，以身作则。作为研究人员，我们可以承诺负责任地分享肥胖知识，倡导循证解决方案，促进合作方法，并通过言行以身作则。