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Methodological Issues in Nutritional Epidemiology Research-Sorting Through the Confusion
Journal article   Peer reviewed

Methodological Issues in Nutritional Epidemiology Research-Sorting Through the Confusion

Miguel Cainzos-Achirica, Usama Bilal, Karan Kapoor, Renato Quispe Ayala, John W. McEvoy, Manel Pladevall-Vila, Roger S. Blumenthal and Michael J. Blaha
Current cardiovascular risk reports, v 12(2)
01 Feb 2018
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Cardiac & Cardiovascular Systems Cardiovascular System & Cardiology Life Sciences & Biomedicine Science & Technology
Purpose of Review Our purpose was to discuss the methodological limitations of observational nutritional epidemiology research, using observational studies on coffee intake and health as a case example. Recent Findings A number of recent observational studies on the potential health effects of daily coffee intake have reported protective associations between higher coffee intake and a variety of health outcomes, including death. This is inconsistent with the findings from classic studies showing an increased risk of coronary heart disease events, performed in young adults with a homogeneous education level, and adjusting for tobacco use. Summary Many nutritional epidemiological studies have important limitations, which limit their validity. These include the use of prevalent user designs, risk of reverse causality, measurement error particularly of the exposure of interest, and residual confounding by socioeconomic status. In this review, we discuss these potential issues and provide constructive recommendations intended to help minimize them.

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Cardiac & Cardiovascular Systems
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