{"id":13205,"date":"2018-11-07T05:00:57","date_gmt":"2018-11-07T11:00:57","guid":{"rendered":"http:\/\/marcfbellemare.com\/wordpress\/?p=13205"},"modified":"2018-11-06T11:57:19","modified_gmt":"2018-11-06T17:57:19","slug":"dietary-carbohydrate-intake-and-mortality-not-all-that-glitters-is-gold","status":"publish","type":"post","link":"https:\/\/marcfbellemare.com\/wordpress\/13205","title":{"rendered":"Dietary Carbohydrate Intake and Mortality: Not All that Glitters is Gold"},"content":{"rendered":"<p>A few months ago, <em>The Lancet Public Health<\/em> published a much-ballyhooed <a href=\"https:\/\/www.thelancet.com\/journals\/lanpub\/article\/PIIS2468-2667(18)30135-X\/fulltext\">article<\/a>\u00a0by Seidelmann et al. linking dietary carbohydrate consumption that is either too low or too high with an increased risk of mortality.<\/p>\n<p>I first heard about that article when I saw an <a href=\"https:\/\/www.cnn.com\/2018\/08\/17\/health\/low-carb-high-carbohydrate-diet-risk-of-death-intl\/index.html\">article<\/a> about it on CNN.com which, as is often the case with popular-press pieces about splashy public health findings, played fast and loose with the passage from correlation to causation.<\/p>\n<p>When I read the CNN article, I didn&#8217;t think much of it, but my Allegheny College colleague <a href=\"https:\/\/sites.allegheny.edu\/globalhealth\/faculty\/amelia-finaret\/\">Amelia Finaret<\/a> got in touch with me asking me if I&#8217;d be interested in writing a short piece commenting on the Seidelmann et al. study for submission to <em>The Lancet<\/em>, the gist of which would be about the difficulty posed by making causal inference from observational data.<\/p>\n<p>After a few days of iterating on our manuscript, we submitted it to <em>The Lancet<\/em>. I was happy to see that it was published yesterday, alongside several other comments on the Seidelmann et al. study. Best of all is the fact that our comment is open-access, meaning anyone with an Internet connection can read it. (Thank goodness for the fact that the publication costs for comments are cross-subsidized by the authors of original research articles!)<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/iXQUu5Dti4g\" width=\"420\" height=\"236\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><a href=\"https:\/\/www.thelancet.com\/pdfs\/journals\/lanpub\/PIIS2468-2667(18)30204-4.pdf\">Here<\/a> is a link to the .pdf of our comment; <a href=\"https:\/\/www.thelancet.com\/journals\/lanpub\/article\/PIIS2468-2667(18)30204-4\/fulltext\">here<\/a> is a link to the web version. The gist of our argument is that because of the presence of unobserved confounders, one cannot make a causal statement about the relationship between carbohydrate consumption and mortality. In other words, not all that glitters is gold.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A few months ago, The Lancet Public Health published a much-ballyhooed article\u00a0by Seidelmann et al. linking dietary carbohydrate consumption that is either too low or&#8230;<\/p>\n<div class=\"more-link-wrapper\"><a class=\"more-link\" href=\"https:\/\/marcfbellemare.com\/wordpress\/13205\">Continue reading<span class=\"screen-reader-text\">Dietary Carbohydrate Intake and Mortality: Not All that Glitters is Gold<\/span><\/a><\/div>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-13205","post","type-post","status-publish","format-standard","hentry","category-uncategorized","entry"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p1gPg8-3qZ","_links":{"self":[{"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/posts\/13205","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/comments?post=13205"}],"version-history":[{"count":5,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/posts\/13205\/revisions"}],"predecessor-version":[{"id":13210,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/posts\/13205\/revisions\/13210"}],"wp:attachment":[{"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/media?parent=13205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/categories?post=13205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/marcfbellemare.com\/wordpress\/wp-json\/wp\/v2\/tags?post=13205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}