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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
Verified account
@GidMK

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Health NerdVerified account

@GidMK

Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him

Sydney, New South Wales
theguardian.com/profile/gideon…
Joined November 2015

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    1. Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @WeDietitians @MacroFour and

      I am again confused. Obviously we care about the outcomes, the point is that grade C evidence can be applied to a diverse range of settings because it is an assessment of evidential backing

      1 reply 0 retweets 0 likes
    2. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @GidMK @MacroFour and

      You and me both buddy! So if an intervention isn’t achieving its objective (eg ADG, Grade C) “just keep going bc Grade C is a good as we are ever going to get”?

      1 reply 0 retweets 0 likes
    3. Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @WeDietitians @MacroFour and

      Grade C? So you have a large, well-conducted systematic review of similarly rigorous observational trials demonstrating that populations with ADG are worse off than populations without? I'd be fascinated to see it. Seriously, sounds like an amazing study

      1 reply 0 retweets 0 likes
    4. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @GidMK @MacroFour and

      Gid, I'm trying to clarify your statement. Observational studies aren't really a "trial"as there is no intervention such as an RCT. Nations who have national food guidelines (mostly OECD nations) were ahead in food-related chronic disease.pic.twitter.com/WOLBnbHwD0

      2 replies 0 retweets 0 likes
    5. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @WeDietitians @GidMK and

      ADG have not met their objective - not delivered the "outcomes" expected. Public health messaging on ADG haven't either (see evaluations Go for 2&5 inter alia). I've suggested "maybe Grade C evidence isn't enough to tell people what to eat" as ONE possible contributory factorpic.twitter.com/97WbJ8R9IT

      1 reply 0 retweets 0 likes
    6. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @WeDietitians @GidMK and

      You: Grade C is what we've always done Me: Grade C for ADG isn't achieving its objective You: Grade C is enough ...regardless of outcomes Me: Outcomes is the reason we intervene You: of course we care about outcomes Me: why keep going w intervention that isn't meeting objective

      2 replies 0 retweets 0 likes
    7. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @WeDietitians @GidMK and

      You: show me a SR that ADG are not meeting their objective Australia has one of the highest rates of food-related chronic disease across the OECD despite yrs of protracted investment in pub health - there's a mismatch between the intention of public health, and the outcome.pic.twitter.com/tjUiq4pOKh

      1 reply 0 retweets 0 likes
    8. Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @WeDietitians @MacroFour and

      You made an evidential claim (ADG not working, Grade C) I am asking for that evidence If you wish to retract said claim, just let me know. If you wish, you can look up what Grade C evidence entails, or read my tweets above

      1 reply 0 retweets 0 likes
    9. We Dietitians‏ @WeDietitians 4 Sep 2018
      Replying to @GidMK @MacroFour and

      Look around buddy, look around the shelves of the supermarket, look at the packages of health claims, look at our food-health statistics....the Public Health System we've created has led us to "this" - even if "not intended" this is what the outcome is.

      2 replies 0 retweets 0 likes
    10. Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @WeDietitians @MacroFour and

      That is not Grade C evidence

      1 reply 0 retweets 0 likes
      Health Nerd‏Verified account @GidMK 4 Sep 2018
      Replying to @GidMK @WeDietitians and

      The reason why I'm being pedantic here is because I think this is fairly central to your objections. You see it as obvious that the guidelines are not working, but you do not actually have the evidence to back this up

      6:06 PM - 4 Sep 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 4 Sep 2018
          Replying to @GidMK @WeDietitians and

          We do not know what the food environment would look like without guidelines. We do not know what people would be eating without them. There is Grade C evidence that they work, but the evidence that you are relying on for your argument that they don't is simply not there at all

          2 replies 0 retweets 0 likes
        3. Health Nerd‏Verified account @GidMK 4 Sep 2018
          Replying to @GidMK @WeDietitians and

          "People are gaining weight" is not an argument against the guidelines for the very simple reason that you have no comparator. We cannot just assume reasons, that's what evidence and grading is all about

          1 reply 0 retweets 0 likes
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