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Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by tomkinstinch on Tuesday October 27, 2015 @11:08AM (#10458434)
Here is a link to the actual journal article on the study, since the NYTimes omitted it for some reason (currently free to access):

http://onlinelibrary.wiley.com/doi/10.1002/oby.21371/abstrac...

PDF:

http://onlinelibrary.wiley.com/doi/10.1002/oby.21371/pdf

Lustig, R. H., Mulligan, K., Noworolski, S. M., Tai, V. W., Wen, M. J., Erkin-Cakmak, A., Gugliucci, A. and Schwarz, J.-M. (2015), Isocaloric fructose restriction and metabolic improvement in children with obesity and metabolic syndrome. Obesity. doi: 10.1002/oby.21371

As an aside, it's very strange that the article is not cited in the NYTimes post. A journalist should at least give the DOI at the bottom if there is not a link to the article in the body of the text.

Edit: I left this same comment on the NYTimes article and the text now links to the journal (though my comment was not approved). Seems like a win! NYTimes editorial staff: thank you!

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by annnnd on Tuesday October 27, 2015 @11:42AM (#10458702)
Also, this very important piece of title is omitted: "...with obesity and metabolic syndrome". Sugar is getting too much bad press already (along with meat, white bread and computer games). Nothing is just black & white. </rant>
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by roymurdock on Tuesday October 27, 2015 @12:09PM (#10458924)
Title should be:

"Substitution of starch for added sugars improves health of children suffering from obesity, metabolic syndrome, and high habitual added sugar consumption."

But then it seems slightly less groundbreaking.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by BlackJack on Tuesday October 27, 2015 @12:13PM (#10458965)
I think the result is still interesting. There's a whole lifestyle called "IIFYM" or If It Fits your Macros which suggests that the macronutrient breakdown (% carbs/fat/protein) is the main factor in growth/health, and that you can eat whatever IIFYM.

This study contradicts that by showing health improvement while maintaining macronutrient breakdown, albeit in obese kids. Is this replicable in adults and/or normal weight people? Who knows? Still a pretty interesting result IMO.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by dbbolton on Tuesday October 27, 2015 @12:37PM (#10459183)
I agree completely. In my experience I'd say roughly 50% of patients we see in primary care have essentially no clue when it comes to nutrition, then maybe 40% or so have a decent understanding of the macros and percentages on US food labels, and the remaining 10% are actually well-versed on the subject.

This study should be an eye opener for that 40% who largely believe "all carbs are created equal".

But on the flip side, you have people that believe only "processed" carbs/sugars are bad. You wouldn't believe how many diabetics think they're doing themselves a huge favor by switching from Coke to apple juice, or from pasta to mashed potatoes.

I'm tempted to start a tangential rant here but I'll just say that I generally try to avoid fructose. Yes, fruits contain fructose in addition to other nutrients, but my personal opinion is that high-sugar foods (including certain fruits like cherries, grapes, and bananas as well as cookies and chocolate bars) should be considered a treat and used sparingly.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @03:06PM (#10460321)
> This study should be an eye opener for that 40% who largely believe "all carbs are created equal".

All carbs pretty much are equal, it tends to be the amount of fiber that comes with the carb that changes things. This study was about fructose, not sugar in general, and we've known for a long time that fructose behaves differently from other carbs due to the way it is metabolized in the liver.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Tuesday October 27, 2015 @07:37PM (#10461961)
> All carbs pretty much are equal, it tends to be the amount of fiber that comes with the carb that changes things.

Anecdotally-empirically, a lot of Type 2's have found carbs, fiber or no fiber, are just bad news. For at least those with a specific variation of Type 2 (still as-yet not clearly understood, but there is growing consensus that there are many different "sub-types" of Type 1 and Type 2, each of which responding well to different treatment protocols), it doesn't matter how much fiber you eat with a scoop of carbs once the metabolic syndrome manifests itself with a high enough insulin resistance response.

With enough carbs (as few as 50g for some) the end result at that stage of the condition is still a highly-adverse event, a high blood sugar spike above 100 mg/dL. Even if the spike is controlled down within 1-2 hours, there is a lot of accumulating evidence that it isn't the duration or absolute value of high blood sugars, but the spikes (the occurrence of any delta in the first place) themselves that cause cellular damage.

In a few years, we will hopefully start accumulating a flood of highly-granular, anonymized biometric sampling data, ideally tagged with true/false flags of known and suspected genetic markers (but not enough DNA data to individually dox someone). Has someone solved the problem of publishing biometrics with tagged DNA data, and be able to update the DNA tags as our understanding of genetic markers improves over time, without risking doxxing an individual from the genetic marker tags?

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by adrianN on Wednesday October 28, 2015 @03:05AM (#10463159)
I highly doubt that it's possible to publish such data anonymously. There are less than ten billion people, about 33 bits are enough to identify everyone individually. If you publish a couple dozen genetic markers you almost certainly have very few people who share the same pattern.

See http://33bits.org/2009/12/02/the-entropy-of-a-dna-profile/

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Wednesday October 28, 2015 @11:12PM (#10469007)
Fascinating, thanks for a great link. Could publishing health research data in the opposite direction help?

Today we hand medical researchers large databases pre-filled with the data they seek.

As we move into a world of increasingly ubiquitous biometric monitoring, asymptotically trending towards real-time, could the data gathering be flipped around instead? Individuals become the only ones who own their detailed DNA profile (the profile with billions of base pairs stored), held on either a personal device with suitable encrypted backups (ideal) or held on their behalf by a trusted service (encrypted with a key only the individual holds). Researchers send out requests for specific data ("weekly blood pressure of males between 20-60, with these genetic markers, starting now/5-years-ago"). Individuals either manually approve matching requests or set up approval "subscriptions"/rules. Requests matched with data sources get anonymized data of course.

Researchers not only can get data this way, they get a continuous, crowd-sourced data feed. Longitudinal studies might get easier to set up through this kind of channel. There isn't a way to ID someone by their feed and the researchers' requested, limited matching genetic markers alone, unless an attacker systematically breaks into multiple research databases, and starts building a Palantir-like correlation amongst all the hacked databases; that dramatically raises the detection risk to the attacker. Another attack is an overly-broad set of genetic markers in a single request, and those requests can be auto-denied before even getting into the brokering system. Short-term, we can prohibit the collection of any part of the 13-base-pair CODIS markers, though long-term we have to assume that CODIS or its future successors will eventually expand to a larger set of markers (and in the far, far future, possibly the entire sequenced genome).

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by vonmoltke on Tuesday October 27, 2015 @10:39PM (#10462587)
> With enough carbs (as few as 50g for some) the end result at that stage of the condition is still a highly-adverse event, a high blood sugar spike above 100 mg/dL. Even if the spike is controlled down within 1-2 hours, there is a lot of accumulating evidence that it isn't the duration or absolute value of high blood sugars, but the spikes (the occurrence of any delta in the first place) themselves that cause cellular damage.

The "normal" threshold for an oral glucose tolerance test (OGTT) at 2 hours post-load (75g glucose after fasting) is 140mg/dL. Where is this research indicating that a spike above 100mg/dL is "highly-adverse"? All the research I have seen, and the position of the ADA, is that it is normal to go well above that after a heavy carb load.

I have seen claims by Dr. Richard Bernstein and his adherents that the ADA is wrong and that "normal" is much lower and flatter than they claim. I have seen no supporting research on this, and even active criticism of that idea fro various medical researchers.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Wednesday October 28, 2015 @12:56PM (#10465671)
My bad, sorry, my post should read 140 mg/dL. I was thinking of some (minority) of the more aggressive patients sharing their experiences on diabetesdaily.com forums, and they are holding down to below 100 mg/dL post-prandial, to aim for as close to below 140 mg/dL OGTT as possible; I'm interested in reading their stories because that cohort is self-reporting far more success at stopping medication, and still respond "normally" to OGTT and A1c tests, so that they fall into the "insulin resistant but not cured" category.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @09:50PM (#10462431)
> Anecdotally-empirically, a lot of Type 2's have found carbs, fiber or no fiber, are just bad news.

Sure, I wasn't talking about diabetic people.

> In a few years, we will hopefully start accumulating a flood of highly-granular, anonymized biometric sampling data, ideally tagged with true/false flags of known and suspected genetic markers (but not enough DNA data to individually dox someone). Has someone solved the problem of publishing biometrics with tagged DNA data, and be able to update the DNA tags as our understanding of genetic markers improves over time, without risking doxxing an individual from the genetic marker tags?

I also hope that this is the future. Unfortunately we're probably not going to do much better than HIPAA when this technology is widely available and being used. I'm not sure how to prevent the GATTACA side effects, but it feels like the health advances might be worth it.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @11:44PM (#10462740)
> Even if the spike is controlled down within 1-2 hours, there is a lot of accumulating evidence that it isn't the duration or absolute value of high blood sugars, but the spikes (the occurrence of any delta in the first place) themselves that cause cellular damage.

Can you link to anything about that?

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Wednesday October 28, 2015 @01:26PM (#10465913)
Batty GD, Kivimäki M, Smith GD, Marmot MG, Shipley MJ. Post-challenge blood glucose concentration and stroke mortality rates in non-diabetic men in London: 38-year follow-up of the original Whitehall prospective cohort study. Diabetologia. 2008 July;51(7):1123-6.

Polhill TS, Saad S, Poronnik S, Fulcher GR, Pollock CR. Short-term peaks in glucose promote renal fibrogenesis independently of total glucose exposure. Am J Physiol Renal Physiol. 2004 Aug;287(2):F268-73.

http://diabetes.diabetesjournals.org/content/52/1/102.full

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Wednesday October 28, 2015 @05:50PM (#10467689)
Thanks for the links.

I don't really think these studies show that acute blood sugar level elevation is causing the damage you are talking about. The first one talks about how TII diabetics tend to have lower β-cell count and higher apoptosis frequency, but that doesn't mean they go through waves of apoptosis more frequently (ie: during blood sugar spikes), it means that they have a lower life span. The study doesn't establish causality, so it's unclear whether diabetics have lower β-cell count because they are diabetic, or whether lower β-cell causes diabetes. It is a great study though, pretty well designed and building on kind of amazing resources from the Mayo Clinic.

The second study is interesting but extremely limited due to the fact that it was does in vitro. The problem is that it's talking about kidney fibrosis, or scarring of the kidney due to inability to regenerate. But when you remove much of the kidney and the surrounding body and then attack the kidney with glucose of course there is damage. That doesn't mean that in vivo the body can't deal with it. Kidneys do have a hard time regenerating, so it's an interesting foundational study, but I'd hardly call it "a lot of accumulating evidence."

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by yourapostasy on Wednesday October 28, 2015 @11:45PM (#10469138)
Fantastic synopses, thanks.

I'll readily grant this can reasonably be construed as suggestive but not "a lot of accumulating evidence", my bad for phrasing it improperly. To me this line of research is raising interesting questions warranting further digging, in a "hm, I wasn't expecting that result going by the received wisdom" way.

Following the sporadic posts of Type 2 patients in online forums self-reporting success at getting off conventional treatment protocols, what appears to come up in common among them is what is currently considered (by the ADA and similar outfits in other nations) radically aggressive methodology to blood glucose control; <100 mg/dL post-prandial is not considered out of line in that crowd, and they avoid spikes as much as possible. A very small number have been at it for 20+ years and well into their 60-70's, and are reporting no long-term disabilities commonly associated with advanced stages of the metabolic disorder. They tend to be in very low (<50 mg/day) carb or even ultra-low (<20 mg/day) carb regimens, or constant ketosis, or varying fasting cycles, with varying amounts of exercise, or a combination of all of the above, with lot of nuances thrown in by each individual. A lot of what they practice directly goes against published large institutional guidelines, but it is really difficult to argue against the end results in their comprehensive blood panels and other bio-markers, so it is a fascinating case to me of the impact of an N=1 / DIY / Quantified Self ethos that increasingly more people are embracing with the aid of increasingly better technology. I find it really exciting that increasingly more laypeople are empirically "science'ing the shit out of this" (to paraphrase "The Martian") with a continuous hypothesis-test-adjust loop upon themselves. It is definitely not science by any conventional means, but as haphazard as it is, it is yielding in a startling number of cases exceptionally better results than the average and mean Type 2 patient experience.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Thursday October 29, 2015 @12:28AM (#10469273)
I agree with much of what you're saying, even though I don't think the science strongly supports it (yet). A lot of cool stuff going on right now.

I want to be clear though: there is certainly evidence that very high blood sugar causes significant damage, sometimes permanent, I'm not contesting that. How high "very high" is varies, and as far as I know doesn't really happen in people who aren't diabetic. All I'm saying is I don't think blood sugar spikes are bad for non-diabetics, but they certainly are for diabetics.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by alextgordon on Tuesday October 27, 2015 @03:29PM (#10460479)
OK but when people talk about "carbs" they aren't talking about chemicals, they're talking about foods.

Nobody is ever going to know what the chemical composition of a potato is, it's just a potato. Fibre, water, protein content is "carbs" when it's in a potato.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by TeMPOraL on Tuesday October 27, 2015 @03:33PM (#10460509)
Fixing notation would definitely help talking about nutrition. Scientific terms should be used precisely, or not used at all. Dear diet industry: invent your own words, or capture the generic ones. Start with 'magic'.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @03:48PM (#10460594)
I'm not really sure what you are saying, sorry.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by rnovak on Tuesday October 27, 2015 @07:29PM (#10461919)
a carbohydrate refers to a molecule made up of a chain of carbon atoms bonded with hydrogen atoms (if I remember correctly from Organic Chemistry).

There are plenty of different molecules, such as Sucrose, Glucose, etc, which are all forms of carbohydrate molecules.

But when people refer to "carbs", they're not referring to the chemical molecule, but most likely processed carbohydrates such as bread.

Hopefully that's more clear

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Dylan16807 on Tuesday October 27, 2015 @07:34PM (#10461942)
But a potato isn't processed, and people call it carbs.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by rnovak on Tuesday October 27, 2015 @07:53PM (#10462031)
I imagine the "carbs" label extends to both processed/unprocessed/simple/complex carbohydrates, which I think potato belongs to "simple" and "unprocessed" (according to this[1] website).

[1] http://www.ehow.com/about_4613535_chemical-makeup-potato.htm...

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @09:52PM (#10462433)
No, potatoes have some simple carbs but they are predominantly starches, which are complex carbs.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by rnovak on Tuesday October 27, 2015 @10:04PM (#10462471)
awesome, thanks for the correction, I appreciate it.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Dylan16807 on Tuesday October 27, 2015 @08:23PM (#10462162)
Now I'm lost. Isn't that all categories of carbohydrate, meaning they're correct?
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by agentPrefect on Tuesday October 27, 2015 @03:46PM (#10460590)
Just a quick note; but "sugar in general" contains fructose. Given that you're talking about simple sugars.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @03:48PM (#10460599)
Right...specifically fructose, not sugar in general...
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by logfromblammo on Tuesday October 27, 2015 @06:14PM (#10461553)

  sucrose = glucose + fructose - water
  lactose = glucose + galactose - water
  maltose = glucose + glucose - water
Starch and glycogen are basically all glucose.

Based on this study, I would guess that replacing all HFCS with an equivalent-sweetness amount of regular corn syrup (all glucose) would immediately result in significant improvements to the public health, even though the sweetened products would have more calories per serving.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by sov on Tuesday October 27, 2015 @04:26PM (#10460853)
"Sugar" is composed of fructose and glucose. Do you mean carbohydrates in general?
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @05:32PM (#10461308)
I guess we are getting pretty semantic. I meant simple sugars, of which glucose and fructose are two, not sucrose, which is "table sugar," and is partially fructose and glucose.

You're right though, it probably would've been more helpful for me to say carbohydrates in general.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by luketych on Tuesday October 27, 2015 @06:50PM (#10461749)
not just fiber, also how complex of a polymer it is.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wdewind on Tuesday October 27, 2015 @09:46PM (#10462418)
Yes but I'm arguing that doesn't make a huge difference. Certainly there is a small one, but all things being equal the accompanying fiber is a lot more important.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by cheepin on Tuesday October 27, 2015 @02:45PM (#10460204)
IIFYM is a layer of complexity on top of Calorie Counting. If Calorie Counting is "Eat whatever you want as long as you eat below X Calories" IIFYM says, "Hit your calorie mark, but make sure you have enough Fats/Proteins/Carbs". It's not shocking that it would work since it is strictly better than Calorie Counting which also works, but its goal is primarily Body Composition, IE becoming leaner. There is plenty of room to improve on top of that by improving the quality of the nutrient sources and managing micronutrients.

This study isn't a contradiction. It just says that micronutrients matter, which is pretty uncontroversial.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by spion on Tuesday October 27, 2015 @06:09PM (#10461535)
Likewise, IIFY (Macros + sugar) would be another improvement.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by donkeyd on Tuesday October 27, 2015 @12:22PM (#10459063)
AFAIK, IIFYM also notes that you need vitamins etc. They don't try to make it seem like you can eat sugar cubes, chicken breast and avocado and be healthy.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by brandonmenc on Tuesday October 27, 2015 @04:34PM (#10460915)
> They don't try to make it seem like you can eat sugar cubes, chicken breast and avocado and be healthy.

Most of the people I see practicing IIFYM believe exactly this.

They routinely top off with donuts and candy to hit the high carb count needed to gain weight. It's way easier than trying to choke down a pound of brown rice every day.

IIFYM is probably not a bad diet for a teenage boy or steroid user trying to pack on weight while doing a high volume of work. Everyone else will put on a lot of unwanted fat.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by jtuente on Tuesday October 27, 2015 @05:57PM (#10461462)
>IIFYM is probably not a bad diet for a teenage boy or steroid user trying to pack on weight while doing a high volume of work. Everyone else will put on a lot of unwanted fat.

That would depend on both your total calorie count and your macro breakdown. IIFYM determines what percentage of your calories should come from each of carbs, fats and proteins. So if your calorie count is suitable for your height, weight and activity level, then your macro breakdown isn't going to cause you to gain weight. If your breakdown is out of whack, then you're going to end up feeling tired, hungry or otherwise malnourished, but it shouldn't cause you excessive weight gain outside of water retention. The calorie counting needs to be more accurate than the macro breakdown.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by plonh on Tuesday October 27, 2015 @11:19PM (#10462684)
Why are they trying to gain weight? They can't convert donut into muscle. Donuts for a sugar feed while working out, sure.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by plonh on Tuesday October 27, 2015 @11:22PM (#10462693)
There are many body functions besides muscle growth and fat burning. These functions require vitamins.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by the8472 on Wednesday October 28, 2015 @02:03AM (#10463044)
Is it really news? Verbose food labels break down Carbs further into fiber/sugar/polysaccharides for a reason.

That sugar vs. starches makes a difference is hardly news either if you just take a look at glycemic index/insulin response.

And that the kind of fatty acids make a difference in fats is also an aspect going beyond macronutrient breakdown. So really, "fits your macros" has never been sufficient.

Making a distinction between glucose and fructose has been more controversial and it's good to see it studied more.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by jongraehl on Tuesday October 27, 2015 @05:24PM (#10461255)
I like your line of thought, but this is no refutation of IIFYM or "eat less if you're fat" unless they performed this substitution isocalorically. Eating fast sugars instead of equivalent slow starches makes me crave more sooner, and eat more.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by hammock on Tuesday October 27, 2015 @03:59PM (#10460673)
Someone else here (a medical doctor) has commented before along the lines of "It's OK for healthy people to eat sugar. It's when you're unhealthy (i.e. metabolic syndrome) that you should avoid it."

Well, how do you think the unhealthy people got that way in the first place? Yes, healthy people can deal with moderate or immoderate sugar intake better than people with metabolic syndrome. But at the margin you are probably degrading your health anyway.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by marcosdumay on Tuesday October 27, 2015 @04:26PM (#10460850)
People's bodies are not linear systems.

Eat too little carbohydrates, and you'll die. Eat too much, and you'll die. Your claim that any increase must lead to the same marginal results is absurd.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by CuriousSkeptic on Tuesday October 27, 2015 @04:52PM (#10461027)
Actually it's disputed wether carbs are needed at all. It might be possible to function on fat alone (for energy) https://en.m.wikipedia.org/wiki/Ketosis
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by frankc on Tuesday October 27, 2015 @04:48PM (#10461007)
This is not really the point of the thread and I know what you are trying to say but your example is bad. You don't need to eat any carbohydrates at all. Your body can manufacture enough glucose for your brain on its own.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wagyu_doing on Tuesday October 27, 2015 @04:54PM (#10461044)
I have to contest the "eat too little and you'll die" statement. Human's can survive (and thrive) on zero carbohydrate diets. Gluconeogensis will provide any glucose the body requires.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by majkinetor on Tuesday October 27, 2015 @05:06PM (#10461130)
The bad effects of sugar on teeth are almost invariable. So even for healthy people there are downsides.

ALSO, the general effects of sugar on aging and immune system are not so good either in general.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by graeme on Tuesday October 27, 2015 @11:45AM (#10458734)
That completely changes the story. The HN title should be edited.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by annnnd on Tuesday October 27, 2015 @12:04PM (#10458892)
Exactly. Also: "...comparable percentages of protein, fat, and carbohydrate as their self-reported diet". Self-reported? That must be really reliable, let's just skip control group...

The problem is that the HN title is sensationalistic without merit.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wutbrodo on Tuesday October 27, 2015 @02:42PM (#10460184)
Self reported is unfortunately very common in nutritional studies, for obvious reasons. I don't think it makes sense to dismiss a single study for having the same flaws as most others, as opposed to the general recognition that nutritional science findings are baseline less robust.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by annnnd on Wednesday October 28, 2015 @02:28AM (#10463091)
I wouldn't cut them so much slack. The study is either reliable or it isn't. And it wouldn't take them much more effort to make the results significant in some way.

In this case, I think that just giving these children the self-reported diet would yield massive effects on their health, sugar or no sugar. I am quite sure children with obesity problems don't know their real diet - not because they are dishonest, but because we (as people) are very efficient at hiding the uncomfortable truths from ourselves.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by plonh on Tuesday October 27, 2015 @11:12PM (#10462671)
Newspapers usually don't cite their sources because they don't want to drive traffic away or get their facts proven wrong. Subarine PR and native ads are where sources get cited.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by cle on Tuesday October 27, 2015 @11:20AM (#10458516)
It constantly frustrates me how news articles never cite research articles, they always just mention "a study" and the author, leaving me to fumble around for 10 minutes to find the actual study. Does anyone know why this is SOP?
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @11:30AM (#10458612)
Because journalism is a systematically dishonest profession populated largely by people who do not want their readers to be able to catch their mistakes and do not want to give credit to the researchers who made the discovery that earned the clicks for the news article. They care about entertaining, not informing; the truth or falsehood of what they are writing is irrelevant to them, except as a constraint that might impede the telling of a sensational story (all else being equal, a story is more sensational if it is true than if it is fiction). Like PageRank-hungry SEO scum, they will only name sources if they think some of that the source's credibility will rub off on their article, never vice versa.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by albertsun on Tuesday October 27, 2015 @01:05PM (#10459401)
It's really depressing how cynical that is. (Developer working at the NYTimes here).

The actual reason links to studies are often left off articles (particularly in cases like this with sharp deadline pressure to publish fast before the competition) is that the software powering the editing and publishing workflow really badly needs improvement. An incredible amount of work and knowledge goes into a story like this.

Versioning rich text through many different software tools designed for writing/editing and publishing across many platforms is hard. Sometimes people copy/paste by hand and in doing so a link can go missing. The news industry needs more technologists to work on these problems. We're hiring for people to do that, by the way: http://developers.nytimes.com/careers/

(Also, the link to the study is now in.)

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by TeMPOraL on Tuesday October 27, 2015 @03:31PM (#10460492)
It's cynical because that's what we, regular readers of news, have to deal with. NYT may be top of the line, but sadly it's not above the line.

Now I don't want it to sound dismissive or personal in any way, but tell me - if say, few of great software devs now drop everything they do and come to NYT to help, sit down for months and develop the most awesome software package the world of press has ever seen, will it actually solve the quality issues articles have? And more importantly, if sold to other papers, will it suddenly solve their problems?

Will it make journalism honest and trustworthy instead of lies and clickbait bullshit?

I'm not sure how much blame to put on broken publishing workflow, a lot of this seems really to be about broken incentives - "deadline pressure to publish fast before the competition" that leads to the "many articles, as sensationalist as possible, truth be damned" mentality, especially in the management layer.

But you did give me a pause here. Only recently I had a chance to peek at internals of a tiny part of manufacturing industry, and oh boy how much money they waste on badly designed software, which is badly designed because of deadline pressure and top management pressuring to iterate over a broken software package (and then messing with the process) instead of scrapping it altogether and doing it right. Maybe software is more to blame than I thought.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @03:45PM (#10460586)
> Now I don't want it to sound dismissive or personal in any way, but tell me - if say, few of great software devs now drop everything they do and come to NYT to help, sit down for months and develop the most awesome software package the world of press has ever seen, will it actually solve the quality issues articles have?

This actually happened and that's how we got d3.js. It didn't fix journalism though.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by TeMPOraL on Tuesday October 27, 2015 @04:02PM (#10460697)
Oh, didn't know the origin story; I only thought they just like it over there. D3 is absolutely awesome!
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Dotnaught on Tuesday October 27, 2015 @06:13PM (#10461549)
>Will it make journalism honest and trustworthy instead of lies and clickbait bullshit?

You get what you pay for, which online tends toward nothing.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @10:33PM (#10462573)
It turns out that paying people to talk to you, although it can work, tends to get them to tell you what you want to hear. Often, this is "lies and clickbait bullshit." (Think of a stereotypical Soviet government report.) Markets work very well for lots of things, but they can't establish honesty and trustworthiness. Instead, they need honesty and trustworthiness to function.

Still, it's better than them getting paid to tell you what someone else wants you to hear.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by specialist on Tuesday October 27, 2015 @06:59PM (#10461793)
I don't recall ever having a problem with any actual reporting.

My objection is with the editorials. I've all but stopped reading "the news" (NYT, WSJ, Economist, my local paper, etc) as a result.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by bernardom on Tuesday October 27, 2015 @01:52PM (#10459823)
This is the best sort of thing that happens at HN.

"I don't like [thing]" "I work at [thing], come help me fix it"

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by berntb on Tuesday October 27, 2015 @03:07PM (#10460327)
You miss that the subject changed from media in general to NY Times. It is like mixing apples and ... well, rotten pears.

(Not claiming that NY Times is perfect. Of course. There are other good sources, too. But NYTimes isn't like the media I grew up with. At 20 I realized that all their coverage of subjects which I knew beyond the surface was garbage, at best. My specific example is DN, the largest Swedish morning paper, but could be most of the media.)

I'd be happy to be corrected of course.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @02:14PM (#10459993)
I'm glad to see that the link to the study is now in. Also, the current version of the article includes phrases like "the study’s lead author, Dr. Robert Lustig"; did it originally? I can't find the link to the version history of the post.

I'm skeptical of this "software" explanation. Software can of course make citation management much easier, but I see lots of articles that don't even bother to mention the lead author of a cited publication; and how did the software get that way in the first place? The software reflects the priorities of the corrupt organization that produced it.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by TeMPOraL on Tuesday October 27, 2015 @03:50PM (#10460619)
Having a chance to peek at a tiny area in manufacturing process, I can sort of imagine software replacing a more manual process by something faster, but much more messy and generally worse. It starts with three layers of corporate management above a subcontractor hired to write the software. Of course all requirements go through the entire chain, in what resembles and adult version of the game of telephone (aka. "deaf phone" or "Chinese whispers", the latter being particularly appropriate since what I saw, I saw in China...).

Somebody could probably sit down with the journalists for few weeks and come up with a software package that would fit their needs perfectly - if the development consisted of direct communication between the developers and journalists/editorial staff, without any management middlemen in between. Alas, that's not how software is procured in large organizations.

But I'm also skeptical. It could explain NYT's problems, but it doesn't explain the even worse problems every other news outlet has.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by alxndr on Tuesday October 27, 2015 @03:15PM (#10460380)
The reason articles about studies leave out a link to the paper is that the software doesn't support it? Why not just put the URL in, or just cite it normally?
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by TeMPOraL on Tuesday October 27, 2015 @03:44PM (#10460573)
Yeah. I can imagine they have lots of problems with preventing tidbits of information from getting lost in an environment of multiple people chaning the same block of free-form text, but if the article is literally about some particular paper, then starting the file with:

NOTE: Study "Effects of X on Y given XYZ" by Researcher N. Here, http://address-to-paper.org

(not the placeholder, the actual data) should help. I don't see such a line getting lost, and even if they happen to publish it by accident instead of incorporating into the text (as sometimes happens, things slip through), it would still reach the same goal anyway.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by thwest on Tuesday October 27, 2015 @07:16PM (#10461862)
Good luck in your work, but unfortunately it wasn't the tech stack that prevented NYT from publishing the warrantless wiretapping story in due time.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by plonh on Tuesday October 27, 2015 @11:26PM (#10462708)
The NYT managed to put together an absolutely massive printing and diatribution operation. If editorial cared about putting a citation in a story, they would do it. Getting a journal citation right is no harder than spelling the scientist's name right. Tech talent is not the blocker.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Fiahil on Tuesday October 27, 2015 @04:14PM (#10460776)
> sharp deadline pressure to publish fast before the competition

Sounds like the problem lies here and not on the technical side of writing, editing and publishing text.

I wonder what part of this decadence is imputable to ad revenu. If I were very naive, I would say all of it.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by mapleoin on Tuesday October 27, 2015 @11:38AM (#10458670)
What a refreshingly cynical argument!
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by secstate on Tuesday October 27, 2015 @11:56AM (#10458815)
Cynical, yes. Accurate, unfortunately so. I worked for a small weekly paper for a number of years. Weeklies are still very community oriented and immune to many of the diseases that afflict large city dailies or national news outlets. Still, if you aren't selling advertising, you aren't in business, and advertisers don't want to see their ad next to something that either offends sensibilities or bores the hell out of readers.

You can wish it weren't so, or call it cynical, but that IS the reason they don't add a link to the source in the article. God help us all if people clicked away from the site, learned more about the topic than the reporter, or had the piece go over their head.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @12:05PM (#10458896)
(Edit: I misread your "unfortunately so" as "unfortunately no" and I was super confused.)

I find your comment disheartening because I was kind of hoping that I was guessing wrong. Can I still hope that things are not quite as bad at the NY Times as at local weeklies?

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @11:43AM (#10458717)
It's just a guess.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by solidpy on Tuesday October 27, 2015 @12:06PM (#10458908)
My local newspaper's website never links to outside pages, always to previous articles within the site. I assume it is to prevent readers to go wander off.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by salgernon on Tuesday October 27, 2015 @01:52PM (#10459818)
I was going to link to a piece Dave Winer wrote on scripting news some years ago:

http://www.scripting.com/2005/12/12.html#howToMakeMoneyOnThe...

Where he talks about encouraging outgoing traffic.

But one of the more interesting links in that post has gone "evil-dark" (expired, taken by squatters, endless unclosable javascript "your iOS app is inf1ected!!1one! Call us to fix it! Have your credit card ready!"

So by your newspaper linking only to itself, it could be that they actually hope to avoid this dead link behavior. (Although it would be better that it was a self link that went to a vetted link repository.)

I'm really not a web guy, so I'm surprised that this problem hasn't been solved for most content management systems.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by kragen on Tuesday October 27, 2015 @02:16PM (#10460004)
Linkrot is a huge problem, and we need IPFS or a similar system to prevent it.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by cookiecaper on Tuesday October 27, 2015 @12:57PM (#10459329)
It makes it harder for the reader to find mistakes and harder for the paper to sensationalize. It diminishes the ability to use a study as either commercial or political propaganda (which is not to say the studies themselves aren't commercial or political propaganda in the first place).

Media outlets want viewership more than anything else and the way to get and keep viewership is to tell people what they want to hear. It's why media outlets always have a consistent "slant"; MSNBC people watch MSNBC because it aligns more directly with their worldview than Fox News, and vice-versa. There is minimal tolerance within the audience for a host or pundit that appears to disagree on important factors.

You'll never see Bill 'O Reilly and Rachel Maddow on the same network, because that network would not have any viewers; conservatives want their conservative beliefs reinforced, liberals want their liberal beliefs reinforced, and both will only consume media that performs that function. Most people are not open to having their beliefs challenged even slightly.

All that said, I do find such articles often do state the university and/or the professors that were involved in the study or studies. Some of it may just be convention established before hyperlinks existed, though in many cases, the actual study is not publicly accessible.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by wutbrodo on Tuesday October 27, 2015 @02:39PM (#10460160)
Joe Scarborough has a 95% lifetime rating from the American conservative Union, and he's on msnbc. Your statements are a lot more universal than the evidence supports and there are plenty of people who don't run for the hills if their network of choice has a diversity of viewpoints.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by cookiecaper on Tuesday October 27, 2015 @03:07PM (#10460330)
Personal POV doesn't have to align with what you spend your day spouting on TV.

"Morning Joe" is a different type of program than the primetime "rage pundits" and Scarborough is one of MSNBC's more moderate hosts, but he still spends his day pandering to MSNBC's core audience. Bias goes much deeper than the words that do or don't come out of a host's mouth; the networks sets the agenda, frames the debate, and procures the guests that will cater to their primary viewership target, and Scarborough passively rides the gravy train. Anchors are performers more than anything, putting on the show that the network has paid them to put on.

What politician is going to turn down the opportunity to have his face in front of tens of thousands of viewers for 2 hours every day, even if it means he has to play nice with the other side?

If there were plenty of people who wanted a "diversity of viewpoints", you'd see this in the marketplace. Could you point out one place where this is actually true? Even NPR, which has a much smaller profit motive and thus should be less concerned with viewership and more concerned with integrity, panders constantly to its audience and refrains from creating a "diversity of viewpoints".

How often do you hear a fair story on NPR about what the conservatives perceive as problems with abortion or same-sex marriage (meaning, a story that doesn't reduce these, either the beliefs and or the believers, to a gross caricature)? Never, because it would make NPR's listener base really mad, because they don't agree that there are problems with those things.

Very few, if any, news outlets are neutral. They pander to their audience's beliefs and they set the dialogue by choosing the stories to give airtime and feed to the base.

Even the "neutral stories" are framed to push a specific viewpoint. They usually go like this: open up with a brief, slanted statement of events. Call someone who supports your POV and ask for their comment. Spend 2 minutes making their argument and bringing it in. About 75% through, put on a 1 or 2 sentence clip from the other side that basically amounts to "we disagree because bad reason x" (bad reason provided either by editing the clip or selecting a bad rep of opposite viewpoint), and then follow it up with another comment from the first person, the person whose argument and authority you spent the first 74% of the story establishing, that says "Well, bad reason x is just ridiculous". Then sign off.

I guarantee you 90% of TV and radio news stories that discuss a news event in a supposedly "neutral" way approximate that pattern. They do it because they're trying to reinforce the beliefs that they believe will make them more money.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by frandroid on Tuesday October 27, 2015 @12:54PM (#10459301)
Because news organizations are still operating under a newsprint paradigm where citations are considered a waste of ink. Like I'm not saying they actually still think about column inches, but that's how this became standard and people are still just following the standard. This is actually a good litmus test to see if a news organization has moved to the online-first mindset or not.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Balgair on Tuesday October 27, 2015 @12:09PM (#10458925)
It might be correlated to journals that charge $70.00 per paper. If the NYT publishes a story citing a journal, the journal may go back, see that the NYT never actually bought the paper and a journalist just got a copy from somewhere, and then try to sue the NYT. The 'study' may be a weasel word that is used to avoid this outcome. And yes, over one article this is frivolous, but if the journal waits a few years and amasses 100 instances where this happened, then the NYT may actually go to court.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by albertsun on Tuesday October 27, 2015 @01:13PM (#10459471)
That's definitely not the case... Journals provide news outlets with complimentary copies of papers specifically so that they can be written about. Often, but not always, they're even provided in advance of official publication.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Balgair on Wednesday October 28, 2015 @02:30PM (#10466333)
Ahhh, so it is laziness then. I should have known, never assume conspiracy when idiocy will do.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by nommm-nommm on Tuesday October 27, 2015 @12:23PM (#10459069)
How so?

Borrowing material from the library is a "thing" as far as I know.

I don't think you have to own a copy of something to write about it. That would be insane.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by JustSomeNobody on Tuesday October 27, 2015 @11:44AM (#10458727)
Because they are now competing with blogs for readership.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by JamesBarney on Tuesday October 27, 2015 @11:53AM (#10458796)
In my experience blogs are usually much better about citing studies than newspapers.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by superuser2 on Tuesday October 27, 2015 @11:48AM (#10458758)
Most readers are not on university networks and so would not be able to read the study anyway, except in rare cases of open access journals.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by obstacle1 on Tuesday October 27, 2015 @12:13PM (#10458964)
So what? Whether or not you give someone credit for their work or provide evidence for a claim you make is not contingent on your audience's having immediate access to the fulltext of your source. If the source exists, you cite it, and link to it -- period.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Jemmeh on Tuesday October 27, 2015 @12:20PM (#10459028)
It's not about the audience not having access.

It's that the reporter is getting access without having ever paid for it. (Pirating, reading from another article, etc)

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by obstacle1 on Tuesday October 27, 2015 @01:29PM (#10459616)
Nobody could ever prove how the author accessed it. It just isn't even an issue, legally or otherwise.

Setting aside the fact that it is a non-issue, in any case many news agencies have various DB subscriptions, most public libraries have DB access, most universities have 'reader' accounts which grant access to these DBs for like $100 a year, etc.

Any reporter who wants to access an article legitimately can easily do so. Else, they really do not belong in the profession of journalism, which relies on practitioners being resourceful and researching things in order to convey accurate information to others.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Jemmeh on Tuesday October 27, 2015 @02:51PM (#10460232)
Shoot. I could have sworn this thread was nested under Balgair's comment about journals that charge $70 per paper. I must have misread something.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by rsfern on Wednesday October 28, 2015 @09:21AM (#10464245)
I almost think that's a good thing. It would be a talking point for gathering support for widespread open access policy.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by toufka on Tuesday October 27, 2015 @02:09PM (#10459959)
So only cite open access articles (like this one). It'd certainly be a win for the public.
Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by dredmorbius on Tuesday October 27, 2015 @03:18PM (#10460402)
The New York Times is especially guilty of this, the more so in its health and science reporting. I noted and specifically called out, IIRC, the LA Times for specifically referencing and linking a source.

The Times needs to get with the times.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by Bud on Tuesday October 27, 2015 @05:21PM (#10461238)
I noticed nobody in the thread seems to be pointing this out, so I'll do it:

Scientific research articles are very often behind a paywall. So citing them wouldn't really give the reader much more information.

Re:Cutting Back Sugar Improves Obese Children's Health in Ju... by debacle on Tuesday October 27, 2015 @11:22AM (#10458545)
Because most news organizations are not rigorous and care more about clicks than journalism.