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Research on food and health - what to believe?

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What does research say about food and health? Who and what should we believe? Today I (Helena) continue my Wednesday theme on food and health from the perspective of a public health scientist.

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Food and health research in the media - new findings all the time

Reading newspapers and magazines, or watching TV, it can easily feel like there is a constant stream of new information about food and health. One week coffee is healthy and the next week you should avoid coffee altogether. One magazine says you should eat lots of protein, and another says you should become a vegetarian. So, who to believe? And the Swedish National Food Agency, are they out of touch or what?

Much research on food and health

It is true that there is a lot of published research on food and health. Around the world, new research articles/studies on the subject are constantly emerging. Overall, there is a huge amount of research being produced in the world - so much so that it is sometimes seen as a problem.

In the academic world, publishing scientific studies is the key to a career - to do a PhD and then aspire to become an associate professor and professor. Status is not based on salary. Everyone wonders how many scientific articles/studies you have published.

Publishing in scientific journals is academic status and hard currency. And what does this mean? It means that everyone wants to publish as much as possible. According to some sources, there are around 30,000 scientific journals to publish in, and in total around 2 million scientific articles/studies are published per year.

Forskning om mat och hälsa
A quarter of the articles/studies that I have published

Referring to "one study" often means very little.

From this perspective, one (1!) study means very little. It can be interesting if the study includes a large sample size, is conducted over a long period of time and uses rigorous scientific methods. Otherwise, "one study" carries very little weight. You've probably heard the media or a friend say "according to this study ...", but according to those of us who work in this field, it is a single study usually relatively insignificant, although each individual study can contribute as a piece of a larger puzzle.

What you do in order to catalogue all the research is to choose an open question that you want to answer, and then do a 'systematic review', i.e. a review of all existing research in the field. This usually requires a specialised university librarian, some researchers and several months of work.

Fortunately, you don't always have to do the work yourself! Sometimes another researcher has done just that and published the results. One such, which is about Actions to promote healthy eating habits and physical activityI did at Karolinska Institutet, on behalf of the Swedish Public Health Agency, a few years ago.

ki aulan
Aulan, Karolinska Institutet

Many want to assert 'their cause'

When it comes to food and health, many people want to make their case. This may be for ideological or perhaps financial reasons. Companies selling food supplements and various miracle cures naturally want to refer to articles/studies that are in their favour.

And the thing is, it is usually possible to find a study that "proves" exactly what you think. But, then you have forgotten that there are around 2 million articles/studies published per year and that you really need to do a "review", i.e. a review of all research in the field.

Kosttillskott - forskning om mat och hälsa

But won't the authorities be fooled?

One can quite often read thoughts that the authorities may be "cheated" because they do not immediately listen to any individual research study that is highlighted in the media and change their advice. But the fact is that the authorities do it the hard way and compile research as I described earlier, or ask universities to compile research for them. It takes a lot of time, but it's more accurate.

I know many people working in government, universities or in the region, such as researchers, nutritionists or physiotherapists. All of them are highly educated, experienced and committed (but usually with limited pay and never any bonuses).

That anyone in the public world would try to "cheat" is in my world completely incomprehensible. A company that sells a drug may, for economic reasons, see a benefit in promoting certain research and suppressing others. Those who work in the service of society have no such motives at all.

Grapefrukt - forskning om mat och hälsa

So, when it comes to research on food and health, who should you believe?

If you've read this far, you might start to realise what I want to say. The people I personally trust most in this context are authorities, regions and universities - and rigorous scientific reviews.

Of course, new evidence may emerge, and institutions may not move as fast as the media, but if the balance of research shows that the recommendations should be changed - they will be changed.

Here are a few places where you can find up-to-date advice and tips on food and health.

What are your thoughts on food and health research?

What are your thoughts on food and health research? Please tell us! Or maybe you have some questions or concerns? Let's hear it!

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