News for hackers. Stuff that matters.
Re:Anti-Salt Narrative Needs a Shakeup by joshgel on Saturday June 16, 2018 @08:04PM (#17330181)
There is just such a lack of good, well-done dietary research that it's almost impossible to know what advice is true, what advice is probably true and what advice is just made up. Obviously these studies are extremely difficult to do well, and hence why they haven't been done. But the cost to society is much, much greater than the cost of these studies.
Re:Anti-Salt Narrative Needs a Shakeup by narag on Saturday June 16, 2018 @10:46PM (#17330647)
There is a way to know: self-experimentation. I do realize you mean knowledge as a society. But I'm happy there's at least a way to resist the generalized brainwashing. And maybe if more people tried by themselves, it would be more difficult to get away with the current bs.

A few advantages are that you find out what's good for you in particular, not every body works the same, that you don't get confused with partial results that get canceled and, my fav, that you learn what works in practice: it's useless to know that you can lose fat with a diet you are unable to follow.

You've probably realized that my experience is about losing weight and general wellness, but that's just the problem with nutrition for most people.

Re:Anti-Salt Narrative Needs a Shakeup by skookum on Sunday June 17, 2018 @12:24PM (#17333020)
Given the number of variables that can be adjusted, the extent to which they can be adjusted, and the time it takes to see results, self-experimentation is barely viable for even trivial short-term goals. How many chances does one have to try a different set of inputs for 3 months apiece?

Even for short-term goals anything non-measurable is highly prone to confirmation bias - e.g.: "I feel more energetic on this keto diet!" because I expected to feel more energetic on this keto diet and these Instagram accounts I follow keep reinforcing that this is what I should expect. Additionally there is the issue that the human body is a complex system where things that seem good in the short term can be quite bad in the long term - e.g.: "These 6 cigarettes a day are really helping with the over-eating I'd been struggling with!".

For many of us who care to research nutrition more than superficially the goals tend to be more long-term ones like not developing Alzheimer's, cancers, atherosclerosis, organ failures, etc., all in support of staying healthy & active for as long as possible. Those goals don't lend themselves to a hill-climbing optimization via self-experimentation.

Re:Anti-Salt Narrative Needs a Shakeup by narag on Sunday June 17, 2018 @07:57PM (#17335062)
How many chances does one have to try a different set of inputs for 3 months apiece?

No need to spend three months. The body raise all kind of signals in reaction to food, almost instantly.

Even for short-term goals anything non-measurable is highly prone to confirmation bias

Are bathroom scales also affected? Are keto test sticks too?

For many of us who care to research nutrition more than superficially the goals tend to be more long-term ones like not developing Alzheimer's, cancers, atherosclerosis, organ failures, etc.

Don't worry. Considering the level of aggressiveness industry has shown against low carbs diets, if any of those scares had any minimum basis, we would know by now.

Look, this post is no longer in front page, so it's doubtful anyone except us is reading it. I take for granted that you genuinely think what you say and hope you give me the same benefit of doubt. I haven't done keto in like twenty years? (not sure) but I can't tell you this: it works. Last time I did it, I spent two years in low carb with no adverse effects whatsoever. I ran every other day, was in a very good shape.

I can't help chuckling when I read hit pieces like what Wikipedia has to say:

https://en.wikipedia.org/wiki/Atkins_diet

If you read carefully you'll see that they suggest that it doesn't work at all and that it's just placebo, "nutritional nonsense", water losing or simply caloric reduction due to unpalatable plan. That's idiotic, as you can see if you go to other more technical article:

https://en.wikipedia.org/wiki/Ketosis

Surprise! It seems that there is actually a non-contentious, perfectly known mechanism to burn fatty acids induced by fasting or reducing carbs intake.

Try to reconcile that with: The Atkins diet is promoted with questionable claims that carbohydrate restriction is the "key" to weight loss. Questionable my ass. That's what the diet is and it works. If you don't like the kind or food you need to eat to follow the diet, it's OK and it's really the reason most people quit.

If you're worried about unknown long term risks, choose your poison: do you think it's safer to be fat? can you achieve the same results as easily with other diets? Power to you. But don't believe the army of liars that's been spreading FUD consistently over the years.

Re:Anti-Salt Narrative Needs a Shakeup by skookum on Monday June 18, 2018 @02:13AM (#17336261)
You seem quite defensive about keto and missed most of the point of my post. I wasn't writing about keto specifically, I just needed a few examples and that was one that came to mind at the time. You can sub in "eating nothing but sauerkraut and grapefruit" or anything else that springs to kind. My post was about self-experimentation in general. The "scares" you refer to, I did not claim were a result of a low carb diet - they were examples of the types of long-term issues that some of us would like to avoid. Unfortunately the impact of diet & lifestyle on those can be decades in the making - not to mention that some, like Alzheimer's, don't allow for do-overs - which makes it rather hard for an individual to employ self-experimentation to avoid them. The fact is that an individual won't be able to determine if consuming more or less of vitamin X or mineral Y will increase or decrease their probability of developing condition Z via self-experimentation for most of the scary conditions, let alone if vitamin X needs to be present in combination with compound Z, etc.

> choose your poison: do you think it's safer to be fat?

This is a false dichotomy. The choice is not keto or obesity. And losing/maintaining weight is one of the short-term & measurable goals I was alluding to. It's trivially achievable in a fairly short time with various approaches and keto is certainly one of them. Many of the others require less self-discipline than keto however, and a number of those have orders of magnitude more man-years of aggregated long-duration testing behind them.

> But don't believe the army of liars that's been spreading FUD consistently over the years.

That's good advice, but how do I identify which one is the army of liars and which one is the army of truth? :)

Re:Anti-Salt Narrative Needs a Shakeup by narag on Monday June 18, 2018 @05:24AM (#17336851)
How body work is a complex subject indeed. But if you remember, this all began as a response to joshgel complaining that it's impossible to tell good advice from bad one.

I'm not proposing that every person invents own diet, just to use common sense if a diet works for you and another doesn't.

As to how to identify who's lying, how about people telling lies? When Atkins wrote the book in the seventies, his critics told that his diet didn't work and provoked a series of terrible side effects, none of what was true.

The fact was that thousands of people were trying the diet and it worked and it didn't make them sick. So where did the criticism come from? You can tell me that there are unknown risks and ask for caution. But if someone is saying in no uncertain terms what they said in the face of evidence, that's a strong indication that they have no interest in truth.

Of course, diet is not the only matter in what some powerful entities try to manipulate the public, it happens in a variety of matters where science, politics and private interests meet. The first principle here is follow the money.

Re:Anti-Salt Narrative Needs a Shakeup by skookum on Monday June 18, 2018 @12:24PM (#17339469)
You first make the claim that your chosen diet must be safe because if it weren't safe there would be evidence to the contrary. Then you dismiss those people who try to bring forward evidence to the contrary as liars. You can't have it both ways.

It's funny that you should bring up Atkins and then suggest "following the money"... Atkins Nutritionals sued some of the people that you are labelling as liars, and lost all of their lawsuits. If there's one thing I've learned from my two decades living in America it's that when a corporation loses a lawsuit to individuals here, the individuals are probably barking up the right tree.

Have you considered the possibility that what you are terming "liars" is just "people that disagree with my strongly-held belief"?

Re:Anti-Salt Narrative Needs a Shakeup by njarboe on Sunday June 17, 2018 @10:43AM (#17332550)
This is probably the best way to go at the moment. There are some general health advice that works for all humans (your gums are bleeding during a 6 month sea voyage. Eat some vitamin C). And things we were told were true but now are likely not true (eating fat makes you fat). Each personal genome and life history will have its own quirks in how it interacts with diet, exercise, sleep, etc. Maybe with individual DNA sequencing we might get some more personal insight, but the best thing at the moment might be try out some food and health ideas your ancestors used before the modern era (1900?) industrial food and marketing complex got rolling.
Re:Anti-Salt Narrative Needs a Shakeup by wool_gather on Sunday June 17, 2018 @10:24AM (#17332481)
Even this is hard to do conclusively, since your body is changing as you go through life (i.e. get older). You can certainly figure out what works for you at any given phase, but I think it's hard to generalize from that: certainly you couldn't start telling other people what is good based on your own experience (although some do try).

Acknowledging the problems with formal studies, one advantage they have is the ability to get lots of similar input and look at medians, distributions, etc.

Re:Anti-Salt Narrative Needs a Shakeup by cageface on Saturday June 16, 2018 @09:36PM (#17330475)
There are also a ton of "studies" funded by various industry groups. In a lot of cases you don't even have to prove that your product is healthy, you just have to cast doubt on any previous research that says it isn't. Sow a bit of confusion and people just throw up their hands and eat what they want.

It's a tactic the tobacco industry used to fend off attacks for decades.

Re:Anti-Salt Narrative Needs a Shakeup by acdha on Sunday June 17, 2018 @11:02AM (#17332644)
One important distinction is between research and the dietary guidelines issued. Most of the bad advice given in the 20th century was not well supported but there were strong ideological reasons which pushed it forward.

There was an interesting interview with one of the people on the Nixon-era group which was repurposed from focusing on hunger to the obesity crisis on the political aspects:

«Dr. Mark Hegsted, professor of nutrition at Harvard University and one of the three nutritionists who helped write the report, said:

"There will undoubtedly be many people who will say we have not proven our point; we have not demonstrated that the dietary modifications we recommend will yield the dividends expected.

"The question to be asked therefore, is not why should we change our diet, but why not. "What are the risks associated with eating less meat, less fat, less saturated fat, less cholesterol, less sugar, less salt and more fruits, vegetables, unsaturated fat - and cereal products - especially whole-grain cereals? There are none that can be identified and important benefits can be expected."»

https://www.washingtonpost.com/archive/lifestyle/1977/01/20/...

I don’t think they set out intending to make the problem worse, or that they were getting paid off by industry, and they weren’t wrong about everything but the President wanted To Do Something and they went ahead even though the evidence for salt, fat, cholesterol, and meat was very sketchy at the time and generally debunked with a decade or so when people did bigger studies with good methodology, in particular having good control groups. The problem is that by then you had a bunch of senior people whose careers had been based on this who weren’t keen on substantially reversing the recommendations and so it’s taken much longer to reverse them than it did to create them.

Re:Anti-Salt Narrative Needs a Shakeup by coaxial on Saturday June 16, 2018 @08:42PM (#17330314)
I remember reading that it's because they're impossible to do: the only option would be to lock people up in a room and only feed them exactly the same food on a schedule for months.
Re:Anti-Salt Narrative Needs a Shakeup by enturn on Saturday June 16, 2018 @09:04PM (#17330374)
There were some interesting observations about salt with people who did a 135-day simulation of life on the Mir space station. https://www.nytimes.com/2017/05/08/health/salt-health-effect...
Re:Anti-Salt Narrative Needs a Shakeup by stevenwoo on Saturday June 16, 2018 @09:10PM (#17330386)
There is also the confounding factor of gut microbiome (people who had more fiber continuously IIRC having a more diverse/probably better for health, microbiome) influencing results of diet or vice versa.
Re:Anti-Salt Narrative Needs a Shakeup by cimmanom on Sunday June 17, 2018 @07:31AM (#17331920)
Haven't they done nutrition studies in the military and in prisons because of the level of control over food intake?
Re:Anti-Salt Narrative Needs a Shakeup by coaxial on Sunday June 17, 2018 @07:50AM (#17331976)
Maybe, but how biased is the population? People in the army do a lot more physical exercise than most, people in jail have a different way of living than the rest of the population because of their circumstances.
Re:Anti-Salt Narrative Needs a Shakeup by cimmanom on Wednesday June 20, 2018 @05:09PM (#17359801)
Isn't that what control groups are for? Then you could rule out exercise or jail conditions as a factor.
Re:Anti-Salt Narrative Needs a Shakeup by billfruit on Sunday June 17, 2018 @12:06AM (#17330819)
But isn't there, atleast for Americans, the FDA, who is a final authority on food product safety; So till the time that FDA is convinced to make an advice, there is no credible advice; irregardless of any other published study.