80% Empty or 20% Full?

A study in the latest issue of Journal of Nutrition wondered if following dietary guidelines (“eating healthy”) is helpful. From the abstract:

Few studies have found that adherence to dietary guidelines reduces the incidence of chronic disease. In 2001, a National Nutrition and Health Program (Program National Nutrition Santé) was implemented in France and included 9 quantified priority nutritional goals involving fruit, vegetable, and nutrient intakes, nutritional status, and physical activity. We developed an index score that includes indicators of these public health objectives and examined the association between this score and the incidence of major chronic diseases in the Supplémentation en Vitamines et Minéraux AntioXydants cohort. . . . Men in the top tertile [ = most adherence] compared with those in the lowest one had a 36% lower risk of major chronic diseases . . . No association was found in women.

No association in women. Suppose the guidelines were half correct — half of the advice was useless, half was helpful. You’d still expect an association because the helpful advice would help and the useless advice would neither hurt nor help.

Did the authors of this highly-informative study face their results squarely? No. The abstract concludes: “Healthy diet and lifestyle were associated with a lower risk of chronic diseases, particularly in men, thereby underlying relevance of the French nutritional recommendations.” Particularly in men, huh? The study started with about 2000 men and 3000 women. It lasted eight years.

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