Podcast
Questions and Answers
What is the primary goal of scientists when conducting research?
What is the primary goal of scientists when conducting research?
What type of experiment is conducted on cells or components derived from living organisms?
What type of experiment is conducted on cells or components derived from living organisms?
What is the purpose of a control group in an experiment?
What is the purpose of a control group in an experiment?
Why is it necessary to control variables in an experiment?
Why is it necessary to control variables in an experiment?
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What is the purpose of a literature review in the scientific method?
What is the purpose of a literature review in the scientific method?
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What is the main difference between in vivo and in vitro experiments?
What is the main difference between in vivo and in vitro experiments?
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What is a variable in an experiment?
What is a variable in an experiment?
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Why do medical researchers need to be cautious when applying the results of in vivo animal studies to humans?
Why do medical researchers need to be cautious when applying the results of in vivo animal studies to humans?
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What is the purpose of making observations in the scientific method?
What is the purpose of making observations in the scientific method?
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What is the sequence of steps in the scientific method?
What is the sequence of steps in the scientific method?
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What is the primary goal of understanding the scientific method in nutrition?
What is the primary goal of understanding the scientific method in nutrition?
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What is the main limitation of relying on anecdotes and testimonials in nutrition?
What is the main limitation of relying on anecdotes and testimonials in nutrition?
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What is the purpose of controls in experiments?
What is the purpose of controls in experiments?
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What is the difference between a direct and an inverse relationship between two variables?
What is the difference between a direct and an inverse relationship between two variables?
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Why do registered dietitian nutritionists (RDNs) discard conventional beliefs and practices?
Why do registered dietitian nutritionists (RDNs) discard conventional beliefs and practices?
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What is the main challenge for consumers of nutrition information?
What is the main challenge for consumers of nutrition information?
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What is the primary purpose of learning about the scientific method in nutrition?
What is the primary purpose of learning about the scientific method in nutrition?
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Why do similar scientific studies often have different results?
Why do similar scientific studies often have different results?
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What type of research involves human subjects and is used to obtain information about health conditions that may result from specific dietary practices?
What type of research involves human subjects and is used to obtain information about health conditions that may result from specific dietary practices?
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What is the purpose of random assignment in an experimental study involving human subjects?
What is the purpose of random assignment in an experimental study involving human subjects?
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What is the purpose of a placebo in an experimental study?
What is the purpose of a placebo in an experimental study?
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What was the primary diet associated with poverty in the southern United States?
What was the primary diet associated with poverty in the southern United States?
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Why do researchers need a large group of human subjects in an experimental study?
Why do researchers need a large group of human subjects in an experimental study?
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What was Dr. Goldberger's initial hypothesis about pellagra?
What was Dr. Goldberger's initial hypothesis about pellagra?
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What is the purpose of a randomized controlled trial (RCT)?
What is the purpose of a randomized controlled trial (RCT)?
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What is the difference between the treatment group and the control group in an experimental study?
What is the difference between the treatment group and the control group in an experimental study?
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What did Dr. Goldberger give to patients in a Georgia mental institution to test his dietary hypothesis?
What did Dr. Goldberger give to patients in a Georgia mental institution to test his dietary hypothesis?
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What was the result of Dr. Goldberger's experiment on himself and volunteers in 1916?
What was the result of Dr. Goldberger's experiment on himself and volunteers in 1916?
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What was the main idea that Dr. Joseph Goldberger observed about pellagra?
What was the main idea that Dr. Joseph Goldberger observed about pellagra?
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What did Dr. Joseph Goldberger notice about the prisoners who ate a diet that was typically eaten by other people with pellagra?
What did Dr. Joseph Goldberger notice about the prisoners who ate a diet that was typically eaten by other people with pellagra?
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Who isolated a form of the vitamin niacin from liver extracts?
Who isolated a form of the vitamin niacin from liver extracts?
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What is the purpose of a double-blind study?
What is the purpose of a double-blind study?
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What is the definition of a randomized controlled trial (RCT)?
What is the definition of a randomized controlled trial (RCT)?
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What is the primary advantage of using codes to identify group assignments in a double-blind study?
What is the primary advantage of using codes to identify group assignments in a double-blind study?
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Why do researchers provide placebos to members of the control group in an experimental study?
Why do researchers provide placebos to members of the control group in an experimental study?
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What is a potential problem with single-blind studies?
What is a potential problem with single-blind studies?
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What is a potential consequence if a subject suspects they are in the control group?
What is a potential consequence if a subject suspects they are in the control group?
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What is the primary purpose of using placebos in human studies?
What is the primary purpose of using placebos in human studies?
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What is the primary focus of nutritional epidemiologists?
What is the primary focus of nutritional epidemiologists?
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What is the main advantage of a cohort study?
What is the main advantage of a cohort study?
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What is the purpose of a case-control study?
What is the purpose of a case-control study?
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What is the term for a study that 'looks back' in time?
What is the term for a study that 'looks back' in time?
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What type of information do researchers typically collect in a retrospective dietary study?
What type of information do researchers typically collect in a retrospective dietary study?
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What is the role of diet in the development of chronic diseases?
What is the role of diet in the development of chronic diseases?
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What is the purpose of NHANES?
What is the purpose of NHANES?
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What do researchers collect and analyze in a cohort study?
What do researchers collect and analyze in a cohort study?
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What is the main difference between retrospective and prospective cohort studies?
What is the main difference between retrospective and prospective cohort studies?
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What is an example of a type of information that might be collected in a case-control study?
What is an example of a type of information that might be collected in a case-control study?
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What is the primary reason why researchers should not allow subjects to figure out their group assignment during an experiment?
What is the primary reason why researchers should not allow subjects to figure out their group assignment during an experiment?
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What is the term for the phenomenon where people report positive results due to their expectations of a treatment?
What is the term for the phenomenon where people report positive results due to their expectations of a treatment?
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What is the term for the number of people in a particular population who have a disease?
What is the term for the number of people in a particular population who have a disease?
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What is the study of the occurrence, distribution, and causes of health problems in populations?
What is the study of the occurrence, distribution, and causes of health problems in populations?
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What is the primary purpose of epidemiological studies?
What is the primary purpose of epidemiological studies?
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What is the term for the phenomenon where people report negative results due to their expectations of a treatment?
What is the term for the phenomenon where people report negative results due to their expectations of a treatment?
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What is the benefit of placebos in certain medical conditions?
What is the benefit of placebos in certain medical conditions?
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What is the purpose of conducting surveys in epidemiological studies?
What is the purpose of conducting surveys in epidemiological studies?
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What is the term for the study of the occurrence, distribution, and causes of a specific disease?
What is the term for the study of the occurrence, distribution, and causes of a specific disease?
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What is the primary goal of epidemiologists in conducting a study?
What is the primary goal of epidemiologists in conducting a study?
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What is a limitation of epidemiological studies?
What is a limitation of epidemiological studies?
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What is the main difference between a retrospective cohort study and a prospective cohort study?
What is the main difference between a retrospective cohort study and a prospective cohort study?
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What type of correlation occurs when two variables change in the same direction?
What type of correlation occurs when two variables change in the same direction?
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What is an example of a correlation that may not be a cause-and-effect relationship?
What is an example of a correlation that may not be a cause-and-effect relationship?
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What is a characteristic of a prospective cohort study?
What is a characteristic of a prospective cohort study?
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What is the purpose of a cohort study?
What is the purpose of a cohort study?
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What is the Framingham Heart Study?
What is the Framingham Heart Study?
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Why may the findings of retrospective cohort studies be limited?
Why may the findings of retrospective cohort studies be limited?
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What is an example of an inverse correlation?
What is an example of an inverse correlation?
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What is the main purpose of epidemiological research?
What is the main purpose of epidemiological research?
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What is the likely reason for the relationship between snow skiing and lemonade drinking?
What is the likely reason for the relationship between snow skiing and lemonade drinking?
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What is the purpose of peer review in scientific journals?
What is the purpose of peer review in scientific journals?
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What is a potential source of bias in scientific research?
What is a potential source of bias in scientific research?
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Why might the beef industry not fund a study on the link between beef consumption and cancer risk?
Why might the beef industry not fund a study on the link between beef consumption and cancer risk?
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What was a major shift in the leading causes of death in the United States in the mid-20th century?
What was a major shift in the leading causes of death in the United States in the mid-20th century?
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Which of the following was a hypothesis concerning dietary 'causes' of heart disease?
Which of the following was a hypothesis concerning dietary 'causes' of heart disease?
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What is the purpose of statistical methods in nutrition research?
What is the purpose of statistical methods in nutrition research?
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Why is it important for scientists to avoid relying on their personal attitudes and biases?
Why is it important for scientists to avoid relying on their personal attitudes and biases?
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What is the purpose of summarizing the findings of a study?
What is the purpose of summarizing the findings of a study?
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Which of the following is an example of a peer-reviewed medical and nutrition journal?
Which of the following is an example of a peer-reviewed medical and nutrition journal?
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What may have contributed to the development of the dietary pork taboo among followers of Islam and Judaism?
What may have contributed to the development of the dietary pork taboo among followers of Islam and Judaism?
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Why are pigs not easy to raise and herd for food?
Why are pigs not easy to raise and herd for food?
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What is the likely reason why pigs compete with humans for food and water?
What is the likely reason why pigs compete with humans for food and water?
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What is the significance of the context in which Islam and Judaism originated?
What is the significance of the context in which Islam and Judaism originated?
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What is the likely outcome of raising pigs in a nomadic setting?
What is the likely outcome of raising pigs in a nomadic setting?
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What is the impact of trichinosis on human health?
What is the impact of trichinosis on human health?
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What can consumers be trained to look for to distinguish popular sources of nutrition information from peer-reviewed scientific journals?
What can consumers be trained to look for to distinguish popular sources of nutrition information from peer-reviewed scientific journals?
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What is often the result of conflicting findings in nutrition studies?
What is often the result of conflicting findings in nutrition studies?
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Why do different groups of scientists often conduct their studies and analyze the results differently?
Why do different groups of scientists often conduct their studies and analyze the results differently?
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What is a characteristic of the science of nutrition?
What is a characteristic of the science of nutrition?
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What is a taboo?
What is a taboo?
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Why do food taboos tend to be cultural traditions?
Why do food taboos tend to be cultural traditions?
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What is often the basis of food taboos?
What is often the basis of food taboos?
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Why do Muslims and Jews who follow their religions' dietary laws not eat pork?
Why do Muslims and Jews who follow their religions' dietary laws not eat pork?
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What is a result of one study being rarely enough to gain widespread acceptance for new or unusual findings?
What is a result of one study being rarely enough to gain widespread acceptance for new or unusual findings?
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What is the importance of recognizing that conflicting findings often result from differences in the ways various studies are designed?
What is the importance of recognizing that conflicting findings often result from differences in the ways various studies are designed?
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What was the main goal of the Sugar Research Foundation (SRF) in the 1960s?
What was the main goal of the Sugar Research Foundation (SRF) in the 1960s?
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What did the 1967 paper published in The New England Journal of Medicine blame for heart disease?
What did the 1967 paper published in The New England Journal of Medicine blame for heart disease?
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What is a common issue with scientists whose research is funded by the food and wellness industries?
What is a common issue with scientists whose research is funded by the food and wellness industries?
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What is the purpose of disclosing sources of funding in scientific journals?
What is the purpose of disclosing sources of funding in scientific journals?
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What is a characteristic of peer-reviewed scientific journals?
What is a characteristic of peer-reviewed scientific journals?
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Why are popular sources of nutrition information, such as magazines and the Internet, often unreliable?
Why are popular sources of nutrition information, such as magazines and the Internet, often unreliable?
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What is the purpose of peer review in scientific journals?
What is the purpose of peer review in scientific journals?
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How do scientists typically first learn about the results of a nutrition-related study?
How do scientists typically first learn about the results of a nutrition-related study?
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What is a common feature of popular magazines that cover nutrition topics?
What is a common feature of popular magazines that cover nutrition topics?
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Why may media reports of nutrition research be oversimplified or misleading?
Why may media reports of nutrition research be oversimplified or misleading?
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Why should you be cautious about believing the testimonial from the actress in the FatMegaMelter advertisement?
Why should you be cautious about believing the testimonial from the actress in the FatMegaMelter advertisement?
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What is the primary problem with relying on anecdotes, such as your friend's experience with FatMegaMelter, to inform nutrition decisions?
What is the primary problem with relying on anecdotes, such as your friend's experience with FatMegaMelter, to inform nutrition decisions?
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Why should you be skeptical of the claim that FatMegaMelter can help you lose up to 30 pounds in 30 days?
Why should you be skeptical of the claim that FatMegaMelter can help you lose up to 30 pounds in 30 days?
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What is the main challenge for consumers of nutrition information?
What is the main challenge for consumers of nutrition information?
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What is a red flag that may indicate nutrition misinformation?
What is a red flag that may indicate nutrition misinformation?
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Why is it important to be a critical and careful consumer of nutrition information?
Why is it important to be a critical and careful consumer of nutrition information?
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What is a key difference between scientific evidence and anecdotal evidence?
What is a key difference between scientific evidence and anecdotal evidence?
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Why may it be difficult to evaluate the credibility of sources of nutrition information?
Why may it be difficult to evaluate the credibility of sources of nutrition information?
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Why is it difficult for consumers to verify the accuracy of nutrition information presented in popular media?
Why is it difficult for consumers to verify the accuracy of nutrition information presented in popular media?
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What is a common marketing tactic used by promoters of worthless nutrition products?
What is a common marketing tactic used by promoters of worthless nutrition products?
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What is the main goal of promoters who use pseudoscientific information?
What is the main goal of promoters who use pseudoscientific information?
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Why do physicians have nothing to gain from concealing a cure from the public?
Why do physicians have nothing to gain from concealing a cure from the public?
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What is a challenge that consumers face when evaluating nutrition information?
What is a challenge that consumers face when evaluating nutrition information?
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What is the role of the FDA in regulating nutrition-related claims?
What is the role of the FDA in regulating nutrition-related claims?
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Why do promoters of nutrition misinformation often use testimonials and anecdotes?
Why do promoters of nutrition misinformation often use testimonials and anecdotes?
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What is the main problem with relying on anecdotes and testimonials in nutrition?
What is the main problem with relying on anecdotes and testimonials in nutrition?
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What is the main reason why consumers should be cautious of nutrition information presented in popular media?
What is the main reason why consumers should be cautious of nutrition information presented in popular media?
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What is the main limitation of relying on popular media sources for nutrition information?
What is the main limitation of relying on popular media sources for nutrition information?
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What motivates promoters of nutrition-related products and information?
What motivates promoters of nutrition-related products and information?
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What is a key consideration when evaluating sources of nutrition information?
What is a key consideration when evaluating sources of nutrition information?
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What should you do when evaluating sources of nutrition information?
What should you do when evaluating sources of nutrition information?
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What should you be wary of when evaluating sources of nutrition information?
What should you be wary of when evaluating sources of nutrition information?
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Why should you be cautious of sources that claim to be 'scientific'?
Why should you be cautious of sources that claim to be 'scientific'?
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What is a key consideration when evaluating the credibility of a nutrition expert?
What is a key consideration when evaluating the credibility of a nutrition expert?
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Why should you be cautious of salespeople who promote nutrition-related products?
Why should you be cautious of salespeople who promote nutrition-related products?
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What is a key consideration when evaluating the results of a study?
What is a key consideration when evaluating the results of a study?
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Why should you be cautious of sources that claim to have 'scientific proof'?
Why should you be cautious of sources that claim to have 'scientific proof'?
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What is the main challenge for consumers of nutrition information?
What is the main challenge for consumers of nutrition information?
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What should you primarily rely on when searching for science-based published articles?
What should you primarily rely on when searching for science-based published articles?
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What should you look for at the bottom of the main page of a website to ensure the reliability of health information?
What should you look for at the bottom of the main page of a website to ensure the reliability of health information?
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What should you do when evaluating health information on the internet?
What should you do when evaluating health information on the internet?
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What can you find on the Federal Trade Commission (FTC) website?
What can you find on the Federal Trade Commission (FTC) website?
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What is the term used to describe the activity of providing nutrition information and advice without proper training and licensing?
What is the term used to describe the activity of providing nutrition information and advice without proper training and licensing?
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How can you evaluate the credentials of a nutrition expert?
How can you evaluate the credentials of a nutrition expert?
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Why should you search online for reliable reviews and ratings of food, nutrition, and fitness-related apps?
Why should you search online for reliable reviews and ratings of food, nutrition, and fitness-related apps?
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What should you be cautious of when searching for recipes online?
What should you be cautious of when searching for recipes online?
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What is the term used to describe colloidal silver preparation that is not recognized as safe and effective for preventing or treating COVID-19?
What is the term used to describe colloidal silver preparation that is not recognized as safe and effective for preventing or treating COVID-19?
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What can you find on the Health on the Net Foundation website?
What can you find on the Health on the Net Foundation website?
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What is a common red flag that indicates a source of nutrition information is unreliable?
What is a common red flag that indicates a source of nutrition information is unreliable?
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What should you do when evaluating the credibility of a website?
What should you do when evaluating the credibility of a website?
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What action did the court take against the owners of a business that marketed and distributed a silver-containing product as a cure or treatment for COVID-19?
What action did the court take against the owners of a business that marketed and distributed a silver-containing product as a cure or treatment for COVID-19?
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What should you beware of when searching for nutrition information online?
What should you beware of when searching for nutrition information online?
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Why should you be cautious of a source of nutrition information that uses scare tactics?
Why should you be cautious of a source of nutrition information that uses scare tactics?
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What should you do if you encounter a claim that sounds too good to be true?
What should you do if you encounter a claim that sounds too good to be true?
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What is the purpose of the website www.quackwatch.org?
What is the purpose of the website www.quackwatch.org?
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Why is it important to evaluate the credentials of a nutrition expert?
Why is it important to evaluate the credentials of a nutrition expert?
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What is the term used to describe a person who promotes useless medical treatments without proper training and licensing?
What is the term used to describe a person who promotes useless medical treatments without proper training and licensing?
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What is a red flag when evaluating the credibility of nutrition information online?
What is a red flag when evaluating the credibility of nutrition information online?
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What is a common pitfall of using online sources for nutrition information?
What is a common pitfall of using online sources for nutrition information?
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What is a characteristic of reliable nutrition information?
What is a characteristic of reliable nutrition information?
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What should you do when evaluating the credibility of a website providing nutrition information?
What should you do when evaluating the credibility of a website providing nutrition information?
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What is a common tactic used by manufacturers to promote dietary supplements?
What is a common tactic used by manufacturers to promote dietary supplements?
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Why should you be cautious of websites that enable you to purchase dietary supplements online?
Why should you be cautious of websites that enable you to purchase dietary supplements online?
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What is a characteristic of a reliable source of nutrition information?
What is a characteristic of a reliable source of nutrition information?
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What should you check for when evaluating the credibility of a website providing nutrition information?
What should you check for when evaluating the credibility of a website providing nutrition information?
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What is a red flag when evaluating the credibility of a dietary supplement?
What is a red flag when evaluating the credibility of a dietary supplement?
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Why should you be wary of websites with disclaimers such as 'Results may vary'?
Why should you be wary of websites with disclaimers such as 'Results may vary'?
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What is the primary reason why someone who calls themselves a nutritionist may not be a reliable source of nutrition information?
What is the primary reason why someone who calls themselves a nutritionist may not be a reliable source of nutrition information?
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Where can you find reliable nutrition experts?
Where can you find reliable nutrition experts?
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What is the main difference between a registered dietitian (RD) and a registered dietitian nutritionist (RDN)?
What is the main difference between a registered dietitian (RD) and a registered dietitian nutritionist (RDN)?
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What is the primary way to locate a registered dietitian nutritionist (RDN)?
What is the primary way to locate a registered dietitian nutritionist (RDN)?
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What are the three major professional divisions for RDNs?
What are the three major professional divisions for RDNs?
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What can a clinical dietitian do?
What can a clinical dietitian do?
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Why should you not rely on a physician for nutrition advice?
Why should you not rely on a physician for nutrition advice?
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What does the title 'registered dietitian nutritionist (RDN)' imply?
What does the title 'registered dietitian nutritionist (RDN)' imply?
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Where do food systems management dietitians typically work?
Where do food systems management dietitians typically work?
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What is the typical duration of supervised practice required for a student dietitian nutritionist?
What is the typical duration of supervised practice required for a student dietitian nutritionist?
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What is the primary organization that accredits dietetics programs in the United States?
What is the primary organization that accredits dietetics programs in the United States?
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What type of professionals can work in corporate wellness programs as developers and managers?
What type of professionals can work in corporate wellness programs as developers and managers?
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What is the term for a training program that prepares student dietitian nutritionists for an entry-level position?
What is the term for a training program that prepares student dietitian nutritionists for an entry-level position?
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What is the main difference between a registered dietitian nutritionist (RDN) and a nutritionist?
What is the main difference between a registered dietitian nutritionist (RDN) and a nutritionist?
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What is the purpose of a national registration examination for registered dietitian nutritionists?
What is the purpose of a national registration examination for registered dietitian nutritionists?
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What type of professionals can work in universities as educators, research scientists, and wellness specialists?
What type of professionals can work in universities as educators, research scientists, and wellness specialists?
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What is the purpose of continuing education requirements for registered dietitian nutritionists?
What is the purpose of continuing education requirements for registered dietitian nutritionists?
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What type of professionals can work in sports nutrition as nutrition 'coaches'?
What type of professionals can work in sports nutrition as nutrition 'coaches'?
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According to the Dietary Supplement Health and Education Act of 1994, what is a characteristic of a dietary supplement?
According to the Dietary Supplement Health and Education Act of 1994, what is a characteristic of a dietary supplement?
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What percentage of the American population takes one or more dietary supplements regularly?
What percentage of the American population takes one or more dietary supplements regularly?
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What type of product is among the most commonly used dietary supplements in the United States?
What type of product is among the most commonly used dietary supplements in the United States?
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What is the term used to describe dietary supplements that are not legally defined?
What is the term used to describe dietary supplements that are not legally defined?
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What is a characteristic of dietary supplements?
What is a characteristic of dietary supplements?
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What is the main difference between dietary supplements and conventional medicines?
What is the main difference between dietary supplements and conventional medicines?
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Why do people take dietary supplements?
Why do people take dietary supplements?
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What is the purpose of the Dietary Supplement Health and Education Act of 1994?
What is the purpose of the Dietary Supplement Health and Education Act of 1994?
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What is the primary health benefit of garlic?
What is the primary health benefit of garlic?
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What is the primary use of ginger?
What is the primary use of ginger?
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What is the primary health benefit of glucosamine sulfate?
What is the primary health benefit of glucosamine sulfate?
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What is the primary health benefit of green tea?
What is the primary health benefit of green tea?
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What is the primary health benefit of L-arginine?
What is the primary health benefit of L-arginine?
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What is the primary health benefit of melatonin?
What is the primary health benefit of melatonin?
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Why should pregnant women avoid taking certain supplements?
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Study Notes
Nutrition: Science for Consumers
- The scientific method is used to collect evidence about nutrition and health to inform consumers.
The Scientific Method
- The scientific method involves making observations, generating questions, developing a hypothesis, reviewing literature, designing an experiment, collecting and analyzing data, and drawing conclusions.
- Nutrition scientists use the scientific method to discard conventional beliefs and practices that are not supported by evidence.
Laboratory Experiments
- Laboratory experiments involve testing a hypothesis using a systematic approach.
- Animal experiments (in vivo) and cell-based experiments (in vitro) are used to test hypotheses.
- Animal experiments are used to establish safety and efficacy before conducting human studies.
Using the Scientific Method: Animal Experimentation
- An example of an experiment involves testing the effect of "chemical X" on mice.
- The experiment involves dividing mice into treatment and control groups, and controlling variables such as feeding and handling.
- The results of the experiment are used to determine whether the treatment had an effect.
Human Research: Experimental (Intervention) Studies
- Experimental studies involve randomly assigning human subjects to treatment and control groups.
- Randomized controlled trials (RCTs) are used to test hypotheses.
- Placebos are used to control for variables and ensure that the treatment is the cause of any observed effects.
Characteristics of Human Research
- Human research involves variability among subjects, which can affect the results of the study.
- Large sample sizes are needed to account for this variability.
- Random assignment helps to ensure that the treatment and control groups are similar.
Randomized Controlled Trials (RCTs)
- RCTs are used to test hypotheses in human research.
- Subjects are randomly assigned to treatment and control groups.
- Placebos are used to control for variables.
Placebo and Nocebo Effects
- The placebo effect is a positive response to a treatment due to expectation.
- The nocebo effect is a negative response to a treatment due to expectation.
- Placebos can produce beneficial physiological and psychological changes.
Human Research: Epidemiological Studies
- Epidemiological studies involve the study of the occurrence, distribution, and causes of health problems in populations.
- These studies are used to identify factors that affect the health of a population.
- Data are collected from physical examinations, laboratory tests, and surveys.
Types of Epidemiological Studies
- Case-control studies compare individuals with a health condition (cases) to individuals without the condition (controls).
- Cohort studies involve following a group of people over time to identify factors that contribute to the development of a health condition.
Importance of Epidemiological Studies
- Epidemiological studies help to identify factors that contribute to the development of health problems.
- They inform public health policy and prevention strategies.
- They provide a basis for further research into the causes of health problems.### Epidemiology and Study Designs
- Epidemiology is the study of the distribution and determinants of health-related events or characteristics among populations.
- Epidemiological studies involve observing and analyzing large groups of people to identify patterns and correlations between variables and health outcomes.
Case-Control Study
- A case-control study involves matching people with a health condition (cases) with people who are healthy (controls) but have similar characteristics.
- The goal is to identify differences in exposures or behaviors between the two groups that may be associated with the development of the health condition.
Cohort Study
- A cohort study involves collecting and analyzing data on a large group of people over time.
- The study can be retrospective or prospective.
- Retrospective cohort study: collects data on past exposures and current health outcomes.
- Prospective cohort study: collects data on exposures at the beginning of the study and follows participants over time to record health outcomes.
Limitations of Epidemiological Studies
- Epidemiological studies cannot establish causation, only correlation.
- Correlation occurs when two variables change over the same period.
- Types of correlation: direct (positive), inverse (negative), and coincidental.
- Coincidental correlations occur when two variables are associated with a third variable, rather than with each other.
Analyzing Data and Drawing Conclusions
- Nutrition researchers use statistical methods to analyze data and identify relationships between variables and health outcomes.
- Researchers must avoid research bias and report results objectively and honestly.
- Peer review is a critical analysis of research conducted by experts in the field to ensure the study was well-conducted and the results are fairly represented.
Research Bias
- Research bias occurs when funding sources or personal attitudes influence the results of a study.
- Examples of research bias: the beef industry funding studies that support the benefits of beef consumption, or the sugar industry influencing research to downplay the role of sugar in heart disease.
Peer-Reviewed Articles
- Peer-reviewed articles are published in scientific journals and have undergone critical analysis by experts in the field.
- Examples of peer-reviewed medical and nutrition journals: Journal of the Academy of Nutrition and Dietetics, The New England Journal of Medicine, Journal of the American Medical Association.
- Peer-reviewed articles are more reliable than popular sources of nutrition information, such as magazines and internet sources.
Confusion and Conflict
- Conflicting results can occur due to differences in study design, population, and analysis.
- Genetic differences, lifestyle, and individual responses to treatments can also contribute to conflicting results.
- The science of nutrition is constantly evolving, and new findings can lead to changes in practices and recommendations.
Nutrition Information: Fact or Fiction
Why There is So Much Nutrition Misinformation
- Misinformation can come from popular magazine articles, best-selling books, or TV programs
- The First Amendment protects freedom of speech and press, but not freedom from misinformation
- Promoters of nutrition-related products may use sophisticated marketing methods to lure consumers
Becoming a Critical Consumer of Nutrition Information
- Be wary of testimonials and anecdotes as proof of a product's effectiveness
- Check the source of the information: is it scientific, peer-reviewed, and based on human studies?
- Evaluate the motivations of the authors, promoters, or sponsors: are they more interested in your health or selling a product?
- Check for red flags, such as promises of quick fixes, scare tactics, and personal attacks on scientists
Red Flags to Look Out For
- Promises of quick and easy remedies for complex health problems
- Claims that sound too good to be true
- Scare tactics, such as sensational or misleading statements about a food or health condition
- Personal attacks on the motives and ethical standards of registered dietitian nutritionists or conventional scientists
- Statements about the superiority of certain dietary supplements or unconventional medical practices
- Testimonials and anecdotes as evidence of effectiveness
- Information that promotes a product's benefits while overlooking its risks
- Vague, meaningless, or scientific-sounding terms to impress or confuse consumers
- Sensational statements with incomplete references of sources
- Recommendations based on a single study
- Results disclaimers, usually in small or difficult-to-read print
Evaluating Online Sources of Nutrition Information
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Be cautious of websites that promote or sell products for profit (*.com)
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Look for websites sponsored by nationally recognized health associations (.org) and government agencies (.gov)
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Use multiple sites, especially government sites, as well as the sites of nationally recognized nutrition- or health-related associations
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Use PubMed as a resource when searching for science-based published articles
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Rely primarily on sites that are managed or reviewed by qualified health professionals
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Look for the HONcode symbol at the bottom of the main page of the website
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Do not trust information at a site that does not indicate valid sources, such as well-respected peer-reviewed scientific journals or nationally recognized medical centers### Federal Trade Commission (FTC)
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Enforces consumer protection laws and investigates complaints about false or misleading health claims on the Internet
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Provides information to help evaluate nutrition and health-related claims on its website (www.consumer.ftc.gov/articles/0167-miracle-health-claims)
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Allows consumers to submit complaints through an online form or call the toll-free line (1-877-382-4357)
Mobile Apps for Health and Nutrition
- In 2018, 89% of undergraduate U.S. college students had access to smartphones
- Thousands of apps available to monitor and improve diets, energy intakes, physical activity levels, and other health-related behaviors
- Many apps have not been tested for effectiveness, so it's essential to search online for reliable reviews and ratings before using them
Food and Nutrition Tips
- The Internet provides access to numerous recipes and cooking tips from various countries and ethnic groups
- When searching for recipes, recognize that food manufacturers may promote their products in recipes
- Be cautious when using recipes online, as they may not provide accurate nutrition information or have been tested for quality
- It's a good idea to check multiple sites for a recipe and compare the information
Concept Checkpoint
- A testimonial is a statement or endorsement from a person, whereas an anecdote is a personal experience or story
- Red flags indicating a questionable source of nutrition information include:
- Unrealistic or exaggerated claims
- Lack of scientific evidence or research
- Unqualified or biased sources
- Tips for using the Internet as a reliable source of nutrition information include:
- Verify information through reputable sources
- Check for scientific evidence and research
- Evaluate the credibility of the source
Identifying Reliable Nutrition Experts
- Not all individuals who call themselves "nutritionists" or "nutritionalists" can provide reliable nutrition information due to lack of standard legal definitions.
- Physicians are not necessarily the best sources of nutrition information because they may not have extensive college coursework in the subject.
Registered Dietitian Nutritionists (RDNs)
- RDNs are college-trained healthcare professionals with extensive knowledge of foods, nutrition, and dietetics.
- The titles "registered dietitian (RD)" and "registered dietitian nutritionist (RDN)" are legally protected, requiring certification by the appropriate accrediting agency.
- RDNs can be found through online directories, local dietetic associations, hospital dietary departments, or the Academy of Nutrition and Dietetics website (www.eatright.org) or the Dietitians of Canada website (www.dietitians.ca).
Becoming a Registered Dietitian Nutritionist
- RDNs must complete a baccalaureate degree program approved by the Accreditation Council for Education in Nutrition and Dietetics (ACEND) of the Academy of Nutrition and Dietetics.
- The program includes a wide variety of college-level courses, such as food and nutrition sciences, organic chemistry, biochemistry, anatomy, physiology, microbiology, statistics, management, and communications.
- RDNs must also obtain at least 1200 hours of supervised practice (training) in a health care facility, such as a university hospital.
- After completing the training, RDNs must pass the national registration examination to become certified.
Career Paths for RDNs
- RDNs can work in hospitals, day-care centers, school districts, prisons, long-term care facilities, and universities as managers of food service operations.
- They can also work in corporations, pharmaceutical industrial settings, sports nutrition, food and agriculture industry, universities, governmental agencies, media, and private practice.
- RDNs can pursue various roles, such as nutrition "coaches", consumer affairs specialists, recipe developers, culinary medicine experts, and advocates for farmers and sustainable farming practices.
Nutrition Matters: What Are Dietary Supplements?
- A dietary supplement is a product that adds to a person's dietary intake, contains one or more dietary ingredients (e.g., nutrients, botanicals), and is taken by mouth.
- Examples of dietary supplements include nutrient pills, protein powders, and herbal extracts.
Conventional Medicine vs. Alternative Health Care
- Conventional medicine involves scientifically tested and evaluated health care practices, such as surgical procedures, FDA-approved medications, and dietary patterns.
- Alternative health care promotes practices that may or may not have been scientifically tested for safety and effectiveness, such as dietary supplements, yoga, and meditation.
Regulation of Dietary Supplements
- The FDA regulates dietary supplements as a nontraditional category of foods, with different rules than for medications.
- Manufacturers do not need FDA approval before manufacturing or marketing dietary supplements, but must notify the FDA and provide information about safety.
- The FDA does not test dietary supplements for quality, but manufacturers can have their products tested by third-party agencies.
Risks and Benefits of Dietary Supplements
- Many dietary supplements, especially micronutrient products, are generally safe when used properly.
- Herbal supplements can be toxic, cause allergic reactions, or interact with medications.
- Consumers should be aware of potential interactions between dietary supplements and medications, and inform their physicians about supplement use.
Using Dietary Supplements Wisely
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Determine whether a supplement is necessary, and consult a physician or registered dietitian nutritionist before using it.
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Treat dietary supplements as drugs, and store them away from children.
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Consult a physician if symptoms of a serious illness develop, and do not use supplements to treat serious diseases instead of seeking conventional medical care.### Dietary Supplements: Risks and Precautions
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Delaying or forgoing medical treatment in favor of supplements can worsen conditions or be life-threatening.
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Be cautious of supplement claims and investigate their benefits before use.
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Reliable government websites for supplement information:
- U.S. National Library of Medicine (https://medlineplus.gov/druginfo/herb_All.html)
- Food and Drug Administration (www.fda.gov/Food/DietarySupplements/default.htm)
- National Institutes of Health, National Center for Complementary and Integrative Health (https://nccih.nih.gov/health/herbsataglance.htm)
Hazards of Dietary Supplements
- Determine hazards associated with taking supplements, and research risks and benefits at the Office of Dietary Supplements' website (https://ods.od.nih.gov/).
- Avoid using supplements as substitutes for nutritious foods, as they may lose beneficial properties when isolated from plants.
- Plant foods provide a wide array of phytochemicals with potential health benefits when consumed in their natural forms.
Safety Precautions
- If you experience negative side effects after using a supplement, seek immediate medical attention.
- Report problems to the FDA's MedWatch program by calling (800) FDA-1088 or visiting their website (www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program).
Industry and Health Impacts
- The dietary supplement industry is a profitable industry in the United States, with Americans spending over $39 billion on supplements in 2019.
- Healthy people do not benefit from taking dietary supplements, and they may be harmful to health; instead, spend money on natural sources of nutrients and phytochemicals, such as fruits, vegetables, and whole-grain cereals.
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Test your knowledge of the scientific method and its application in nutrition studies. Learn about the importance of controls, study design, and evidence-based research in nutrition science.