Assoc Prof Nutrition & Epidemiology; Director & Co-founder https://nitter.gq/t.co/8RfJgB0hUt; Middlepath š„cate; Promotion of fully-informed, shared decision-making
Texas A&M University
Joined March 2019
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State of the art CPGs on pediatric obesity mgmt now published THX to the labor & inputs >50 collaborators incl those with lived obesity exper, students, faculty & ā¦@ObesityCanā©. ā¦ā¦@ObesitySocietyā© ā¦@ECOGobesityā© ā¦@ConscienHealthā© cmaj.ca/content/197/14/E372
āWe would want our students to excel at writing well-crafted prompts. But one cannot learn to ask good questions, without first submitting to the cloister disciplineā¦, acquiring the skills that can nowadays be acquired only in strict seclusion from AIā thetimes.com/comment/columniā¦
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Congrats Dr. Ruth Ghosh! PhD successfully defended! Ruth led very impt work to document & promote Evidence-Based Practice competencies in NUTR profession; work will hopefully inform ACEND 2027 k/crdns! shorturl.at/7Z6pu @aglifesciences @TAMUnutrition @nirjharRuth
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Congrats Dr. Ruth Ghosh! PhD successfully defended! Ruth led very impt work to document & promote Evidence-Based Practice competencies in NUTR profession; work will hopefully inform ACEND 2027 k/crdns! shorturl.at/7Z6 @aglifesciences @TAMUnutrition @nirjharRuth @GuyattGH
Like most allied health professions, RDs report not having had enough training in evidence-based practice (and most want more training). Lots of room for uplifting EBP, starting with crdns and krdns (which drive national examinations)! See Table 1: pubmed.ncbi.nlm.nih.gov/3815ā¦
We need evidence-based āresearchā, where high quality, original, up to date systematic reviews and guidelines identify the gaps, and drive much needed clinical nutrition trials. And the trials need to measure outcomes that matter to patients and the public
As corresponding author, I agree about fallacies of low fat, low carb. Using such a lens allows for diet categorization, but grossly oversimplifies. The NMA of 14 diets shows best was Mediet (& lifestyle), which is not very restrictive. Needed: RCTs on whole food vs X vs Y diet
Diets focusing on restricting a particular macronutrient (i.e. low fat, low carbohydrate) largely perform the same at weight loss, blood pressure reduction.
Until the evidence around benefits of different eating patterns is strengthened, we should instead focus on the core dimensions common among them:
ā¬ļø Non-starchy vegetables š„ , whole fruitsš , legumesš« , whole grainsš„£ , nutsš„ , seedsš» , low-fat dairy products š„
ā¬ļø meatsš , sugar-sweetened beveragesš„¤ , refined grainsš„ , ultra-processed foodsš š
Need more guidance? Consult your friendly neighborhood dietician!
Source: ADA Standards of Care in Diabetes 2024
GRADE Planetary Health, an important initiative, with guidance coming for guideline developers! "To facilitate progress on this topic, a clear operational defn of environm sustainab health care needed, as well as robust, comparable & timely measurements" pubmed.ncbi.nlm.nih.gov/3924ā¦
EvidenceAlerts on cardiovascular risk mgmt | Discontinuation versus continuation of statins: A systematic review evidencealerts.com/Social/Arā¦
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Agree, big problem. Publishing becoming monetized & p. review is these journals is often horrendous. Reason to understand & prioritize methods > results. 1st question in appraising methods, did authors follow detailed, published protocol & are any deviations explained & sensible
A nuanced perspective. Who and what to believe? One complex answer: do your research, think more and discuss more
reflections covid19 vac @scienceupfirst
i) absolute estimates slides 1 & 2 on risk of adverse CV events - good
ii) why switch to relative effects slide 7 likelihood CV benefit?
iii) are any citations systematic reviews?
I hope you are right, room to improve evidence summary
There is still a lot of misinformation circulating on social media about a possible link between COVID-19 vaccination and heart conditions.
We summarize the facts based on evidence here šscienceupfirst.com/project/mā¦
#ScienceUpFirst
ALT Misinformation about COVID-19 vaccines and cardiac events are still pumping through social media. Letās look at the facts
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Based on low certainty evidence, āwalking, running, strength training, yoga and mixed aerobic exercise seemed more effective than antidepressant medication aloneā¦ā bmj.com/content/384/bmj-2023ā¦
A nice article illustrating debates btw EBP & PH experts, using covid & toxicology exs. Unfortunately it uses familiar false narrative pitting RCT against non-RCT evidence! EBP practitioners embrace all evidence to aid transparent, fully informed decisions
Are Evidence-Based Medicine and Public Health Incompatible? undark.org/2024/02/21/evidenā¦ via @undarkmag
Some excellent lit search tips for those looking for nutrition evidence. From the #TAMU #NIDDKR25 #EBNut Workshops! @FarhadShokrane youtube.com/watch?v=P63FAs4Gā¦
Synopsis of the totality of published research on evidence-based practice (EBP) competencies in nutrition field. Opportunity for more & optimal training globally. Join us for NIDDK sponsored Workshops starting Jan 27th cped.tamu.edu/?query=nutritiā¦ @pennutrition @eatright @efad_org
Nice to start the year off with a paper acceptance! Congrats to @NirjharRuth & @methodsnerd for leading this systematic review of EBP competencies amongst dietetic professionals/trainees. Need 4 more research & curricula development #RDchat @jnutritionorg jn.nutrition.org/article/S00ā¦
An exciting opportunity to learn & develop skills in Evidence-Based Nutrition Practice from internationally renowned leaders/teachers in the field š #EBNut @guyattGH @FarhadShokrane @MalgorzataBala @RozgaMary @PabloACoello Join Us!
Understanding results (effect size, 95%CI, certainty of evidence) & applicability of results are core skills of "health professionals" curriculum. Major CMAJ paper to support this position š pubmed.ncbi.nlm.nih.gov/2650ā¦
NB: To some critical appr involves RoB, results & applicability
Understanding of research results, evidence summaries and their applicabilityānot critical appraisalāare core skills of medical curriculum
mobidrive.com/sharelink/p/cGā¦ via @KariTikkinen & @GuyattGH
Proud of PhD students who presented on MID estimates at ObesityWeek (Dallas), work to support Cdn Ped Obesity Guidelines, and shared, fully-informed patient/family health care decisions. @ObesityCan @obesitysociety #OW2023
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