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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. Jim Johnson, Ph.D.‏ @JimJohnsonSci 12 Feb 2019
      Replying to @louiseuntrapped @Carolynne_OT and

      I saw no evidence that the risks outweigh the benefits in similar medically supervised weight loss. You are also understating the physiological benefits in my opinion. Anyway, the proper place for these debates is the scholarly literature not sensationalist articles in the press.

      2 replies 0 retweets 6 likes
    2. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
      Replying to @JimJohnsonSci @louiseuntrapped and

      This is a very valid point Jim, there is a lot of personal, emotive opinions that this intervention will "cause" an eating disorder, what it fails to appreciate is that a child with a BMI of 30-45kgm/2 aged 13-17yr old will NOT be diet naive. 1/3

      2 replies 1 retweet 8 likes
    3. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
      Replying to @BrownAdey @JimJohnsonSci and

      I guarantee you they will have tried multiple "diets", probably extreme, probably unsupervised & will have already had idea around thin ideal, internalisation & body dissatisfaction This is medically supervised & has a plethora of outcomes to pick any ED up 2/3

      1 reply 0 retweets 6 likes
    4. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
      Replying to @BrownAdey @JimJohnsonSci and

      & offers an opportunity for a child who's struggled all their life to possibly lose weight. We know wt loss improves QoL & previous study in adolescents showed improvement in QoL after VLED. I believe this trial could make a difference to select group of adolescents.

      1 reply 0 retweets 5 likes
    5. Helen West RD‏ @HelenlouWest 12 Feb 2019
      Replying to @BrownAdey @JimJohnsonSci and

      Of course they have tried diets - it's likely some will already have DE as v high in this group (note DE isn't "fixed" by extreme diets and will likely have health effects). We also know that any weight lost will most likely be regained. Makes zero sense.

      1 reply 0 retweets 2 likes
    6. Helen West RD‏ @HelenlouWest 12 Feb 2019
      Replying to @HelenlouWest @BrownAdey and

      You also can't fix internalised stigma and body shame by dieting.

      2 replies 0 retweets 7 likes
    7. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
      Replying to @HelenlouWest @JimJohnsonSci and

      My point is not about fixing it, it’s about it already being there, this is what the screening questionnaires are designed to trigger, if there are concerns, individuals are excluded! I did this in my research, pt safety is imperative!

      1 reply 0 retweets 3 likes
    8. Helen West RD‏ @HelenlouWest 12 Feb 2019
      Replying to @BrownAdey @JimJohnsonSci and

      But you have had professionals share evidence that the harms of these interventions may not be picked up until much later. We know this intervention is highly unlikely to "fix" their weight. Its not going to help them fix their DE. Have you read the pilot study?

      1 reply 0 retweets 3 likes
    9. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
      Replying to @HelenlouWest @JimJohnsonSci and

      But there is no proof that this intervention is the cause? What if it’s from a previous unsupervised attempt started the 27month countdown! I do appreciate what’s being said, but supervised wt loss is better than unsupervised & if ED picked up, pt will be triaged for treatment!

      1 reply 0 retweets 1 like
    10. Helen West RD‏ @HelenlouWest 12 Feb 2019
      Replying to @BrownAdey @JimJohnsonSci and

      It may cause ED/DE. If ppl have DE it won't fix DE. It will cause short term weight loss (if they are able to put up with the hunger and deal with psychological pressure of not eating). They will probably (IMO almost certainly) regain the weight they lose.

      3 replies 0 retweets 3 likes
      Health Nerd‏Verified account @GidMK 12 Feb 2019
      Replying to @HelenlouWest @BrownAdey and

      But given that DE and ED are secondary endpoints for the trial, surely it's important simply for the question of psychological harm? If the trial is stopped early due to ⬆️ DE in intervention group, we'll have a definitive answer as to the risks of VLED in kids

      4:24 PM - 12 Feb 2019
      • 3 Likes
      • Nigel Kinbrum Nicola Guess Jim Johnson, Ph.D.
      2 replies 0 retweets 3 likes
        1. New conversation
        2. Helen West RD‏ @HelenlouWest 12 Feb 2019
          Replying to @GidMK @BrownAdey and

          I disagree with this stance. They are children. Not stats or lab rats. We don't have the right to put them at risk in the pursuit of knowledge.

          4 replies 0 retweets 3 likes
        3. Jim Johnson, Ph.D.‏ @JimJohnsonSci 12 Feb 2019
          Replying to @HelenlouWest @GidMK and

          Again. You are extrapolating the risk from other contexts, while at the same time discounting benefits because the data are from adults. You can’t have it both ways at once. And either way, clinicians, patients, families and researchers all need more data in adolescents.

          1 reply 0 retweets 0 likes
        4. Show replies
        1. New conversation
        2. Louise Adams‏ @louiseuntrapped 12 Feb 2019
          Replying to @GidMK @HelenlouWest and

          We don't need more data!! 60 years of weight science research plus all of the ED literature = enough

          2 replies 0 retweets 1 like
        3. Adrian Brown PhD RD‏ @BrownAdey 12 Feb 2019
          Replying to @louiseuntrapped @GidMK and

          Can I ask, what patient population is the data based on regarding development of eating disorders? Example: Stice & Van Rysin 2018, based 496 adolescents girls, mean age 13, 2/3 white, no BMI data! Do you think you can therefore extrapolate re:ED to male adolescents with obesity?

          0 replies 0 retweets 0 likes
        4. End of conversation

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