It's kind of sad all of the resistance to GRADE hasn't led to discussions abt a path forward. TFA/CHD links got upgraded to Mod Qual because of biomarkers improving adequacy of exposure assessment. Shouldnt the overwhelming response b to develop biomarkers of red meat intake?https://twitter.com/nutsci/status/1219376717762113538 …
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Kevin C. Klatt, PhD, RD Retweeted Kevin C. Klatt, PhD, RD
Kevin C. Klatt, PhD, RD added,
Kevin C. Klatt, PhD, RD @KCKlattIn light of the red meat and new found controversy over using GRADE in diet-dz relationships, sharing Chapter 6 of the@NASEM_Health Guiding Principles for Developing DRIs Based on Chronic Disease document that thoroughly examines GRADE in this context: https://www.nap.edu/read/24828/chapter/8 …1 reply 0 retweets 1 likeShow this thread -
Replying to @KCKlatt
I think it's one of the clearer indicators that this isn't about evidence honestly. None of the people who are supposedly made about GRADE being used to assess meat are really engaging with the uncertainty, just dismissing it out of hand
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Replying to @GidMK
Food is medicine!* *just don't determine this by the same standards used in medicine
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The pushback is somewhat disappointing. GRADE is mostly supposed to be apparently transparent and reproducible grading of the evidence. We need to accept when we're operating in low certainty areas and making policy off of that.
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Replying to @KCKlatt
Agreed. I've honestly lost a lot of respect for the scientists involved in the push back, you can't just throw a tantrum when someone points out there's uncertainty in your recommendations
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Replying to @GidMK
the platform could be so much better used to highlight the unique aspects of nutr (need for dose response & multi-arm studies, influence of baseline nutrient status/usual intakes, etc) that are not often considered in "evidence-based medicine" style assessments of the evidence.
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I didn't love a lot of the aspects of the Red Meat SRs and fully believe most of it was done/published for splashy media attention. But why it awakened this GRADE pushback years after every major health org adopted GRADE is indicative of the bs politics at play..
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Yep. Sure didn't see all this anger when the exact same technique came up with similar conclusions about sugar
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