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Can you trust it?
How to find credible and accurate
nutrition information
Shelly Najjar, MPH, RDN, CD
Registered Dietitian
Nutritionist
Most used…
TV, magazines, Internet
…even if not the most credible
People went to
the easiest source
even when they
knew it wasn’t the
most credible
Bad info can lead to…
Making unnecessary
or harmful changes
Giving up foods
you don’t need to
Buying supplements
and products that
waste your money
Can you trust me?
Registered Dietitian Nutritionist
with Master’s degree
Oversight and accreditation
Supervised practical training
National exam
Continuing education
Dietitians = Nutrition Experts
Extensive training and
education in sciences
Ability to create nutrition
diagnoses and treatments
for specific diseases
Translate nutritional
science into real world
recommendations
Today
What to consider Where to look
What to consider
Go deeper than surface
Look beyond flashy
website, slick appearance,
or speaking ability
Ask yourself questions
Does it make sense?
No work or time required
Secret, hidden, or little-known tricks
Magic formulas, ingredients, or products
Entire groups of foods eliminated
“Good” and “Bad” foods
Where did the info come from?
“Evidence-based” / Research
Do they have
credentials or oversight?
Look for an About page
Look for citations or references
Testimonials are not evidence!
Just because it’s said over and over doesn’t make it true
Get away from the nutrition gossip!
How old/new is this info?
Old doesn’t mean outdated,
and new doesn’t mean correct
Is it something where the age matters?
Guidelines around what
makes a fad diet are fairly constant…
…but recommendations about
butter have changed
What’s the context?
Having info without context is like
a “You are here” sign without a map
Context of the study
Context of the results
What’s the context? (Study)
How big was the study?
Was it done with animals or people?
Or neither? (cells, theory, etc)
Did the people in the study have
certain characteristics that prevent
generalizing results to all people?
What’s the context? (Study)
What’s the context? (Results)
How do the new results
compare with past
research studies?
New
research
Previous
research
In what
ways are
they
similar?
In what ways do they differ?
Does it matter?
How much is needed,
and for what
amount of benefit?
What’s the context? (Results)
Correlation is not Causation
When a study observes people but doesn’t
change anything, it can only tell us about
correlations or associations, not causation
Correlation: association
Two things happen together
Causation: forced action
One thing makes another happen
Causation or Correlation?
A study follows 200 adults and
finds that those who eat
breakfast weigh less
Causation or Correlation?
A study follows 200 adults and
finds that those who eat
breakfast weigh less
CORRELATION
We can’t tell if eating breakfast causes people to weigh
less or if people who weigh less happen to eat breakfast,
or whether something else is affecting results
Causation or Correlation?
A study with 200 adults controls their
food and exercise and finds those given
breakfast lost 12 lbs and those not given
breakfast stayed the same weight
Causation or Correlation?
A study with 200 adults controls their
food and exercise and finds those given
breakfast lost 12 lbs and those not given
breakfast stayed the same weight
POSSIBLE CAUSATION
Assuming all other factors were accounted for
(diseases and medications, starting weight,
movement, mood, sleep, etc)
Is it (or should it be) specific?
No adjustment for
each person
Specific advice for specific
diseases should include
review of your medical
situation and history
Where’s the money?
Is there financial gain?
• Sponsored information
• Buy a particular product
• Sponsored research studies
• Spokespeople
Where should you look?
Qualified health and nutrition
professionals and organizations
Academy of Nutrition
and Dietetics
EatRight.org
Not every nutritionist is
a dietitian, but every
dietitian is a nutritionist
Find a dietitian near you
American Medical
Association
patient’s page
AMA-assn.org
Click “Patients”
in top menu bar
Qualified health and nutrition
professionals and organizations
Government websites
Nutrition.gov
Information and links
to other credible
nutrition sites
ChooseMyPlate.gov
Many customizable
options and tools
Government websites
Centers for
Disease Control and
Prevention
CDC.gov
Health information
and links to
resources
Government websites
American Diabetes
Association
diabetes.org
Health organizations
American Heart
Association
heart.org
Health organizations
Consumer health information sites
Healthline
healthline.com
Information is
reviewed by medical
reviewers including
doctors, dietitians,
nurses, pharmacists
WebMD
webmd.com
Information is
reviewed by doctors
and health experts
including dietitians
Consumer health information sites
Natural Medicines
naturalmedicines.com
Scientific studies are
systematically reviewed
by doctors, pharmacists,
and nurses to give a rating
on effectiveness of
treatments
Consumer health information sites
Hospitals
Cleveland Clinic
clevelandclinic.org
Click on “Health
Information” in top
menu bar
Mayo Clinic
mayoclinic.org
Click on “Patient
Care & Health Info”
in top menu bar
Hospitals
What to look for
Professional Background
Training and Experience
Use of research
Affiliations or partnerships
Warning signs: scare tactics,
catchy bait-and-switch language
Contact
shellynajjar.com
Shelly Najjar, MPH, RDN
Registered Dietitian Nutritionist
info@shellynajjar.com
@ShellyNajjar
Learn more about
nutrition and
health at
shellynajjar.com

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Can you trust it? How to find credible nutrition information

  • 1. Can you trust it? How to find credible and accurate nutrition information Shelly Najjar, MPH, RDN, CD Registered Dietitian Nutritionist
  • 3. …even if not the most credible People went to the easiest source even when they knew it wasn’t the most credible
  • 4. Bad info can lead to… Making unnecessary or harmful changes Giving up foods you don’t need to Buying supplements and products that waste your money
  • 5. Can you trust me? Registered Dietitian Nutritionist with Master’s degree Oversight and accreditation Supervised practical training National exam Continuing education
  • 6. Dietitians = Nutrition Experts Extensive training and education in sciences Ability to create nutrition diagnoses and treatments for specific diseases Translate nutritional science into real world recommendations
  • 7. Today What to consider Where to look
  • 8. What to consider Go deeper than surface Look beyond flashy website, slick appearance, or speaking ability Ask yourself questions
  • 9. Does it make sense? No work or time required Secret, hidden, or little-known tricks Magic formulas, ingredients, or products Entire groups of foods eliminated “Good” and “Bad” foods
  • 10. Where did the info come from? “Evidence-based” / Research Do they have credentials or oversight? Look for an About page Look for citations or references
  • 11. Testimonials are not evidence! Just because it’s said over and over doesn’t make it true Get away from the nutrition gossip!
  • 12. How old/new is this info? Old doesn’t mean outdated, and new doesn’t mean correct
  • 13. Is it something where the age matters? Guidelines around what makes a fad diet are fairly constant… …but recommendations about butter have changed
  • 14. What’s the context? Having info without context is like a “You are here” sign without a map Context of the study Context of the results
  • 15. What’s the context? (Study) How big was the study? Was it done with animals or people? Or neither? (cells, theory, etc)
  • 16. Did the people in the study have certain characteristics that prevent generalizing results to all people? What’s the context? (Study)
  • 17. What’s the context? (Results) How do the new results compare with past research studies? New research Previous research In what ways are they similar? In what ways do they differ?
  • 18. Does it matter? How much is needed, and for what amount of benefit? What’s the context? (Results)
  • 19. Correlation is not Causation When a study observes people but doesn’t change anything, it can only tell us about correlations or associations, not causation Correlation: association Two things happen together Causation: forced action One thing makes another happen
  • 20. Causation or Correlation? A study follows 200 adults and finds that those who eat breakfast weigh less
  • 21. Causation or Correlation? A study follows 200 adults and finds that those who eat breakfast weigh less CORRELATION We can’t tell if eating breakfast causes people to weigh less or if people who weigh less happen to eat breakfast, or whether something else is affecting results
  • 22. Causation or Correlation? A study with 200 adults controls their food and exercise and finds those given breakfast lost 12 lbs and those not given breakfast stayed the same weight
  • 23. Causation or Correlation? A study with 200 adults controls their food and exercise and finds those given breakfast lost 12 lbs and those not given breakfast stayed the same weight POSSIBLE CAUSATION Assuming all other factors were accounted for (diseases and medications, starting weight, movement, mood, sleep, etc)
  • 24. Is it (or should it be) specific? No adjustment for each person Specific advice for specific diseases should include review of your medical situation and history
  • 25. Where’s the money? Is there financial gain? • Sponsored information • Buy a particular product • Sponsored research studies • Spokespeople
  • 27. Qualified health and nutrition professionals and organizations Academy of Nutrition and Dietetics EatRight.org Not every nutritionist is a dietitian, but every dietitian is a nutritionist Find a dietitian near you
  • 28. American Medical Association patient’s page AMA-assn.org Click “Patients” in top menu bar Qualified health and nutrition professionals and organizations
  • 29. Government websites Nutrition.gov Information and links to other credible nutrition sites
  • 31. Centers for Disease Control and Prevention CDC.gov Health information and links to resources Government websites
  • 34. Consumer health information sites Healthline healthline.com Information is reviewed by medical reviewers including doctors, dietitians, nurses, pharmacists
  • 35. WebMD webmd.com Information is reviewed by doctors and health experts including dietitians Consumer health information sites
  • 36. Natural Medicines naturalmedicines.com Scientific studies are systematically reviewed by doctors, pharmacists, and nurses to give a rating on effectiveness of treatments Consumer health information sites
  • 37. Hospitals Cleveland Clinic clevelandclinic.org Click on “Health Information” in top menu bar
  • 38. Mayo Clinic mayoclinic.org Click on “Patient Care & Health Info” in top menu bar Hospitals
  • 39. What to look for Professional Background Training and Experience Use of research Affiliations or partnerships Warning signs: scare tactics, catchy bait-and-switch language
  • 40. Contact shellynajjar.com Shelly Najjar, MPH, RDN Registered Dietitian Nutritionist info@shellynajjar.com @ShellyNajjar Learn more about nutrition and health at shellynajjar.com

Editor's Notes

  1. Academy of Nutrition and Dietetics national consumer opinion survey Nutrition and You: Trends 2011
  2. Academy of Nutrition and Dietetics national consumer opinion survey Nutrition and You: Trends 2011
  3. For example, were they all men, or did it only show results in people with cancer, or in people who were already eating a certain way, etc
  4. If this is a brand new and different result compared to previous research, part of the scientific process is to verify it with more research to ensure this isn’t a fluke
  5. Sometimes results are statistically or scientifically significant but not practically significant
  6. States vary in certification regulations
  7. Limited access but public libraries are starting to purchase subscriptions for their patrons
  8. Local public health departments
  9. Remember the combination of things to consider and where to look when evaluating sites