AIDI scores were based on these categories. I'm sure you can immediately see the big issue - these are all foods that we KNOW are related to social disadvantagepic.twitter.com/EVzEyLzfxf
Epidemiologist. Writer (Guardian, Observer etc). "Well known research trouble-maker". PhDing at @UoW Host of @senscipod Email gidmk.healthnerd@gmail.com he/him
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AIDI scores were based on these categories. I'm sure you can immediately see the big issue - these are all foods that we KNOW are related to social disadvantagepic.twitter.com/EVzEyLzfxf
And while there were controls for confounders, it's pretty much impossible to exclude the possibility that the results that the researchers found were not due to something that they could not control for
What were the results? Well, they look impressive at first glance - an 18% reduction in the group with the highest AIDI score!
But, when you calculate the absolute risk, the difference is really quite insignificant - only 0.01% Hard to see how this could apply to individual diets
Why isn’t the scandal of relative risk better known about ? It makes a mockery of most medical and pharmaceutical “research” doesn’t it ?
If you ask the man on the street what the average intervention might have on their heart disease / obesity/ diabetes they expect a double or triple effect . What they might get is a 0.001% effect , the sort of risks they can take by just getting out of bed too fast !
Nahhhh that's not really true, particularly for high-risk groups. Statins are a great example - in low-risk groups the decrease in risk is debatable, but in high-risk groups the benefit is undeniable
With unknown / hidden side effect data and obsficated all cause mortality ?
? Most RCTs don't look at ACM, you need really long time frames for that (exception is cancer trials). Side effects are required to be reported, although I agree that this is somewhat open to manipulation
Also I dispute the proxy measures used to determine cardiovascular risk in statin trials too short to follow up cardiac events and all cause mortality. When they do follow up for long enough NNT rates look ridiculous to me .And a lot of experts agree with me .
This is, as I said, true for low-risk. There is very little/no debate about high-risk individuals, because the NNT goes down enormously. That's kinda the point I was making
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