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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. 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
    2. 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
    3. 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
    4. 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
    5. 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
    6. 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
    7. 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

      1 reply 0 retweets 1 like
    8. 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
    9. 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
    10. Helen West RD‏ @HelenlouWest 12 Feb 2019
      Replying to @HelenlouWest @GidMK and

      Let’s not forget, direct is an MNT with a goal of treating T2DM by targeting beta cell function. This study is targeting a background risk factor of ‘high weight’, In kids who don’t have a diagnosed disease for ‘prevention’.

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

      That's fair, but I'd argue that the evidence for harms is not clear-cut and the study protocol seems robust to control for the remaining risk. I've never worked directly with the SCHN HREC but from what I hear they are extremely conservative so I imagine the controls are tight

      10:52 PM - 12 Feb 2019
      1 reply 0 retweets 0 likes
        1. New conversation
        2. Helen West RD‏ @HelenlouWest 12 Feb 2019
          Replying to @GidMK @BrownAdey and

          I disagree. There’s a reason why it’s mostly ED professionals objecting to this - we see the long term fall out of trying to fix ‘the weight’. I think we can do better for these kids.

          2 replies 0 retweets 5 likes
        3. Louise Adams‏ @louiseuntrapped 13 Feb 2019
          Replying to @HelenlouWest @GidMK and

          Yes and seriously we need to take heed!! Listen to the experience of people who have dieted as kids and developed EDs. They're not lying!!

          0 replies 0 retweets 2 likes
        4. End of conversation

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