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GidMK's profile
Health Nerd
Health Nerd
Health Nerd
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@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. 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
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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
    7. 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

      2 replies 0 retweets 3 likes
    8. 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
    9. Health Nerd‏Verified account @GidMK 12 Feb 2019
      Replying to @HelenlouWest @BrownAdey and

      But you've identified yourself that there's a lack of knowledge here. Without running a trial, we're guessing either way

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

      I don't think we are guessing. The objections come from what we know in adults + additional risks posed by growing kids - i'd say it's an evidence informed objection.

      1 reply 0 retweets 1 like
      Health Nerd‏Verified account @GidMK 12 Feb 2019
      Replying to @HelenlouWest @BrownAdey and

      I'd argue that this study is dissimilar in that there is tight oversight of the included children which will hopefully minimize/obviate those risks

      5:25 PM - 12 Feb 2019
      • 1 Like
      • Jim Johnson, Ph.D.
      1 reply 0 retweets 1 like
        1. New conversation
        2. Health Nerd‏Verified account @GidMK 12 Feb 2019
          Replying to @GidMK @HelenlouWest and

          Also in terms of what we know in adults - I don't believe there were any risks identified in the DiRECT trial for DE/ED so would this be an issue? Not long term perhaps but certainly comparable in terms of intervention

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

          Feel like I’m repeating myself, but as shared earlier, ED/DE are u likely to be picked up in a study window and their effects are long standing and difficult to measure.

          1 reply 0 retweets 0 likes
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