4min chapter

The Peter Attia Drive cover image

#143 - John Ioannidis, M.D., D.Sc.: Why most biomedical research is flawed, and how to improve it

The Peter Attia Drive

CHAPTER

The Dangers of Randomized Trials in Nutrition

When strength and consistency are out the window, which is essentially true of everything in nutritional epidemiology, I can't really think of examples in nutritional epi where you have strengthened consistency. In most cases, we don't have that. We'll get an odds ratio of 1.14, which of course is a 14% relative increase as opposed to a 14x. And with very few exceptions, they do not really show the benefits that were suspected or were proposed in the observational data. That suggests that most likely the interpretation that most of the observational signals are false positives or substantially exaggerated is likely to be true.

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