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High protein diet not as bad for you as smoking

105 points| adventured | 12 years ago |nhs.uk | reply

100 comments

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[+] kybernetyk|12 years ago|reply
Were there really people thinking that inhaling a mix of highly carcinogenic compounds would be less harmful than eating protein?
[+] pizza234|12 years ago|reply
The problem is in the cancer cargo-culting mindset that people without a scientic education or mindset tends to have.

A person I know doesn't freeze bread because she says it causes cancer, and she's not the only one (far from this...) with such ridiculous preconceptions.

[+] Cless|12 years ago|reply
That's the world we live in. "You need to eat healthier," says a skinny person smoking a cigarette and drinking alcohol.
[+] stdbrouw|12 years ago|reply
First sentence of the linked piece:

> “People who eat diets rich in animal protein carry similar cancer risk to those who smoke 20 cigarettes each day,” reports The Daily Telegraph.

[+] anigbrowl|12 years ago|reply
Among the Daily Telegraph readership? Absolutely. They're generally contrarian on public-policy matters.
[+] a8da6b0c91d|12 years ago|reply
Smoking is not as simple as many assume. Smoking actually changes the disease risk profile a lot, lowering risk for many diseases. It's probably an open question if light smoking is even bad for you. Super centenarians have disproportionately been light smokers.
[+] duncanawoods|12 years ago|reply
The NHS makes me very proud here. A well written next-day response to widely published bad science journalism of the worst sort.

That headline was plastered across the front-pages of all the newspapers I read with no caveats. Both scare-mongering of unproven dangers and diminishing of more certain dangers like smoking & dietary excess. IMHO media outlets should be heavily fined for bad science journalism. Its a grave form of libel but poor injured science isn't able to sue them for it.

[+] cjg|12 years ago|reply
I agree - I'm impressed with the NHS on their detailed and rapid response. I was pleasantly surprised.
[+] Evgeny|12 years ago|reply
Don't forget that it is not easy to remove confounding with smoking, drinking, low physical activity etc. as, incidentally, those who eat most meat happen to also score worse with those factors. Of course, there are statistical methods, but there are reasons to believe that not all confounding may be properly removed.

For those interested in statistics behind studies like this, I think this (not very long) video is a good explanation why it is not so easy to remove all residual confounding:

https://www.youtube.com/watch?v=3hnWaNThBFw

The lector actually discusses a very similar or even the same study - mortality as a function of meat consumption. Not too complicated for a technical person even without a background in statistics, I believe.

[+] Dewie|12 years ago|reply
> Don't forget that it is not easy to remove confounding with smoking, drinking, low physical activity etc. as, incidentally, those who eat most meat happen to also score worse with those factors.

And those who aim to be healthy will probably try to be at least moderate w.r.t their meat intake because they have heard that meat is unhealthy, which further "proves" that meat is unhealthy, while in reality it might be because of other habits that they might have, like exercising.

Things like paleo might make things a little less one-sided.

[+] jrockway|12 years ago|reply
I recommend a balanced diet containing equal parts high fructose corn syrup and monosodium glutamate.

Note: this post was sponsored by High Fructose Corn Syrup and Monosodium Glutamate Industries, Inc.

[+] pistle|12 years ago|reply
Smoke your meat, my friends.

A cross-sectional study of this type of data will yield crappy, linkbait-friendly results.

For confounders, they didn't look at: income, geography, genetics (self-reported ethnicity is not a good proxy), etc. etc. etc.

The time and sample scale for powerful epidemiological research often seems higher than publish! publish! publish! researchers are given time and money to do.

Any morsel of truth to animal protein having a negative effect is lost in the structure of the study and data available.

[+] apierre|12 years ago|reply
Hold on - are you sure this article wasn't XSS injected by meat eaters?
[+] cstavish|12 years ago|reply
Or worse, you "self-XSS" injected it while in a fugue state.
[+] mrfusion|12 years ago|reply
Any thoughts on why the study finds one results for those 50-65, and a different result for 65 and older?

Also isn't it possible teenagers and young adults could need way more protein than the middle aged?

[+] RyanZAG|12 years ago|reply
Probably because the study was badly done. The difference in their results between 50-65 and 65+ is almost impossibly large and other studies done have never found those kinds of differences.
[+] dkrich|12 years ago|reply
I once took a class in business school on medical pricing and the instructor said that if you look at a graph of life expectancy that a large percentage of the population dies in the 50-60 age range, but statistically people who live past the age of 60 or 65 (I can't remember the exact figure) will be likely to live to be over 75. In other words, once you make it past a certain age you are sort of screened out as somebody who is high-risk to die of certain ailments like heart disease or cancer.

So if we take that to be generally accurate, then these findings make sense because I would wager that if you studied any diet or habit thought to be unhealthy, more people would die off between 50-65 than after 65.

This also explains why averages don't make sense with regard to any conversation about life expectancy since the averages really need to be observed in bands.

[+] bencollier49|12 years ago|reply
If there's a confounding variable, it's likely that it is affected by retirement. For instance, a high protein intake in someone who's fifty might signify junk-food lunches, whereas the same thing in a retired person might be a sign of a more affluent lifestyle in general.

I suspect that there are confounding variables at work.

[+] JoeAltmaier|12 years ago|reply
"Among those aged 50-65, those who ate a high protein diet were 74% more likely to die during follow up than those who ate a low protein diet (hazard ratio (HR) 1.74, 95% confidence interval (CI) 1.02 to 2.97). People in this age group who ate a high protein diet were more than four times as likely to die from cancer during follow up than those who ate a low protein diet (HR 4.33, 95% CI 1.96 to 9.56).

The results were similar once the researchers took into account the proportion of calories consumed from fat and carbohydrates. Further analyses suggested that animal protein was responsible for a considerable part of this relationship, particularly for death from any cause.

However, the opposite effect of high protein intake was seen among those aged over 65."

[+] RyanMcGreal|12 years ago|reply
Kind of a low bar to hurdle, don't you think?
[+] himangshuj|12 years ago|reply
was getting sick and tired of social media posts by militant vegeterians. NHS restores sanity to my life
[+] andyjohnson0|12 years ago|reply
Vegetarians eat protein too.
[+] tjaerv|12 years ago|reply
http://www.proteinpower.com/drmike/statistics/observational-...

"Researchers doing observational studies have much the same problem. They try to think of all the differences between two large populations of subjects so that they can statistically negate them so that only the observation in question – the vitamin C level in the example above – is different between the groups. Problem is they can never possibly think of all the differences between the groups. As a consequence, they never have a perfect study with exactly the same number, sex, age, lifestyle, etc. on both sides with the only difference being the study parameter. And so they don’t really ever prove anything. In fact, we would all probably be a lot better off if all the researchers doing observational studies had followed my lead and fallen asleep mid study."

[+] raverbashing|12 years ago|reply
This is one important issue

I'm wondering if there are better statistical tools to deal with it today.

Give it the individual profile of each person and let it draw the correlations.

[+] shittyanalogy|12 years ago|reply
"Information on food intake was only collected for one 24-hour period... ...this may have changed over the 18 years of follow up"

I wonder if the researchers' and USC's ploy to use sensationalist(though outright false) PR is going to end in them getting more funding. I hope not, but they do say no publicity is bad publicity.

[+] mberning|12 years ago|reply
I like how people think one study is enough to upend an entire body of knowledge. Never mind the fact that there is an intense amount of bias in nutritional research. Never mind the fact that the results of many studies cannot be accurately reproduced. Never mind the fact that observational studies generally suck and cannot 'prove' anything. Nah, this new study, which happens to conform to my preconceived notions, this new study changes EVERYTHING.
[+] crusso|12 years ago|reply
Read down toward the bottom: the study was based upon one self-reported day of each individual's diet extrapolated over 18 years.

This study is even less meaningful than most. I'd go so far as to say that it's utterly devoid of useful information and quite probably is misinformation.

I wonder how much was spent on performing the study?

[+] andylei|12 years ago|reply
> I like how people think one study is enough to upend an entire body of knowledge

almost nobody in this thread thinks this. in fact, quite the opposite. it seems everyone thinks, "well, this study doesn't conform to my preconceived notions, so it can't be true".

in fact, this is one study (although there was also a similar one done on mice) that shows a surprising result. i think an appropriate reaction is: maybe its true, and we should definitely do more research in this area.

[+] circlefavshape|12 years ago|reply
If The Telegraph reported this as the NHS describes then this strikes me as profoundly irresponsible journalism. I'm no fan of The Telegraph, but I'm actually a little bit shocked
[+] jokoon|12 years ago|reply
There was an article once with the title "sitting is as bad as smoking".

I don't know why the bad health reference is smoking really.

[+] tuan5|12 years ago|reply
who should I listen?
[+] a8da6b0c91d|12 years ago|reply
Looking at "animal protein" as a broad category is dumb. The interesting health questions are specifically about muscle meat. Eating a lot of muscle meat, to the exclusion of organ meat and collagen and dairy protein, probably provides too much iron and too much tryptophan in the amino acid profile.

Furthermore, you can't just talk about "meat". The distinction between fish, pork, chicken, and ruminants matters. The question of quality matters enormously. Are we talking about really cheap meat fed on moldy corn slop and handled improperly after slaughter (aged, dyed, pumped up with water and chemicals), or totally fresh grass fed beef?

[+] bryanlarsen|12 years ago|reply
There's also a significant different between unprocessed and processed meat, which these studies don't differentiate. Processed meat also varies widely in the kind of chemicals used in the processing.