Continuing Debate Regarding the Validity of the Evidence Used to Create the 2015 Dietary Guidelines Presented in Mayo Clinic Proceedings
“What did you eat yesterday and should we believe you?” The answer to that question, and others like it, are part of a continuing controversy about U.S. government-issued dietary recommendations presented in The Dietary Guidelines for Americans 2015-2020, which was released on January 7. Two Letters to the Editor of Mayo Clinic Proceedings follow up on a recent study and the accompanying editorial about data from the National Health and Nutrition Examination Survey (NHANES), a widely-cited source within the nutrition community.
These letters continue the debate about the validity of memory-based dietary assessment methods (M-BMs) in formulating dietary policies and recommendations for the general public. In the original article, an obesity theorist and cardiovascular health researchers claimed that the main source of dietary information used by the U.S. government’s 2015 Dietary Guidelines Advisory Committee (DGAC) is scientifically inadmissible because it is based on M-BMs and people do not accurately report what they eat. In an editorial response to that article, health researchers suggested that the purported flaws are well-appreciated by nutritional researchers and can be mitigated by using multiple data sources, resulting in valid data.
While not specifically addressing the use of M-BMs, the U.S. House Committee on Agriculture met on October 7, 2015, to discuss the 2015 Dietary Guidelines for Americans. Both Tom Vilsack, Secretary of the Department of Agriculture (USDA), and Sylvia Burwell, Secretary of the Department of Health and Human Services (DHHS), testified about the DGAC, the Guidelines, and the more than 29,000 public comments that were submitted. A significant number of questions from the committee concerned the credibility of recommendations that have changed over time.
Lead author Edward Archer, PhD, of the Office of Energetics, Nutrition Obesity Research Center, University of Alabama at Birmingham, Birmingham, AL, and co-authors Gregory Pavela, PhD, and Carl J. Lavie, MD, from the Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - the University of Queensland School of Medicine, New Orleans, LA, have now commented on their original article and the editorial response. They continue to maintain that M-BMs are scientifically invalid and further that defenders of their use have ignored repeated empirical refutation and have not presented valid counter-arguments.
Archer, Pavela, and Lavie reiterate that M-BMs are “are pseudoscientific and inadmissible in scientific research and the formulation of national dietary guidelines.” They continue, “it is time for the U.S. Department of Agriculture, Centers for Disease Control and Prevention, and the National Institutes of Health to recognize and acknowledge the empirical refutation of M-BMs and reexamine the extensive utilization and funding of these data collection protocols.”
In a response from the authors of the original editorial, Brenda M. Davy, PhD, RD, and Paul A. Estabrooks, PhD, both from the Department of Human Nutrition, Foods, and Exercise, Virginia Tech, Blacksburg, VA, review what they consider misrepresentations and inaccuracies in the Archer et al letter. They cite references to other studies that have discussed M-BMs and their recognized limitations. “DGAC does in fact highlight the need for randomized controlled trials in many subject areas to strengthen the evidence base, as well as the need for dietary biomarker research, to better inform future dietary guidelines,” explain Davy and Estabrooks.
Davy and Estabrooks also suggest another factor that may be fueling some of the controversy. Specifically, they note that there have been significant efforts by the food industry to fight proposed dietary guidelines.
According to William L. Lanier, MD, Editor-in-Chief of the Proceedings, “The collective comments of these authors reflect widely held concerns among experts as well as lay people regarding the scientific foundations of governmental dietary guidelines, the interpretation of the available data, and the magnitude and direction of recent guideline changes. There may be a multiplicity of interpretations, filtered through the expertise, experiences, and goals of the interpreter. As such, it appears that thoughtful disagreements — as seen in the exchanges between Archer et al and Davy and Estabrooks — will continue, especially in light of the scientific, economic, and political perspectives of the multiple constituencies involved.”
- - -
Notes for editors
Letter to the Editor:
“A Discussion of the Refutation of Memory-Based Dietary Assessment Methods (M-BMs): The Rhetorical Defense of Pseudoscientific and Inadmissible Evidence,” by Edward Archer, PhD, Gregory Pavela, PhD, and Carl J Lavie, MD. (DOI: http://dx.doi.org/10.1016/j.mayocp.2015.10.003)
Letter to the Editor:
“In Reply – A Discussion of the Refutation of Memory-Based Dietary Assessment Methods (M-BMs): The Rhetorical Defense of Pseudoscientific and Inadmissible Evidence,” by Brenda M. Davy, PhD, RD, and Paul A. Estabrooks, PhD. (DOI: http://dx.doi.org/10.1016/j.mayocp.2015.10.002)
Both are published in Mayo Clinic Proceedings,Volume 90, Issue 12 (December 2015), published by Elsevier.
Full text of these letters is available to credentialed journalists upon request. Contact Rachael Zaleski at 215-239-3658 or email@example.com to obtain copies. Journalists wishing to interview Edward Archer, Gregory Pavela, or Carl J. Lavie should contact Giselle Hecker, Ochsner Health Systems, at 504-842-9219 or firstname.lastname@example.org, or Dr. Edward Archer at 205-975-9105 or Archer1@uab.edu. Brenda M. Davy may be reached for comment at email@example.com.
The original article and editorial to which these Letters to the Editor refer are:
“The Inadmissibility of What We Eat in America and NHANES Dietary Data in Nutrition and Obesity Research and the Scientific Formulation of National Dietary Guidelines,” by Edward Archer, PhD; Gregory Pavela, PhD; and Carl J. Lavie, MD (DOI: http://dx.doi.org/10.1016/j.mayocp.2015.04.009)
“The Validity of Self-Reported Dietary Intake Data: Focus on the ‘What We Eat In America’ Component of the National Health and Nutrition Examination Survey Research Initiative,” by Brenda M. Davy, PhD RD, and Paul A. Estabrooks, PhD (DOI: http://dx.doi.org/10.1016/j.mayocp.2015.05.009)
About Mayo Clinic Proceedings
The flagship journal of Mayo Clinic and one of the premier peer-reviewed clinical journals in general medicine, Mayo Clinic Proceedings is among the most widely read and highly cited scientific publications for physicians, with a circulation of approximately 125,000. While the Journal is sponsored by Mayo Clinic, it welcomes submissions from authors worldwide, publishing articles that focus on clinical medicine and support the professional and educational needs of its readers. www.mayoclinicproceedings.org
About Mayo Clinic
Mayo Clinic is a nonprofit worldwide leader in medical care, research, and education for people from all walks of life. For more information visit www.mayoclinic.org/about and www.mayoclinic.org/news.
Elsevier is a global information analytics company that helps institutions and professionals progress science, advance healthcare and improve performance for the benefit of humanity. Elsevier provides digital solutions and tools in the areas of strategic research management, R&D performance, clinical decision support, and professional education; including ScienceDirect, Scopus, ClinicalKey and Sherpath. Elsevier publishes over 2,500 digitized journals, including The Lancet and Cell, more than 35,000 e-book titles and many iconic reference works, including Gray's Anatomy. Elsevier is part of RELX Group, a world-leading provider of information and analytics to professionals and business customers, in a wide range of industries. www.elsevier.com
Marketing Communications Manager