Currently browsing posts about: Sponsored-research

Thanks to Larissa Zimberoff (“Technically Food”) for forwarding this gem of a press release.

Grape Consumption Helps Counter UV Damage to Skin

Recent study reinforces promising role of grapes in photoprotection

A recent human study published in the scientific journal Antioxidants found that consuming grapes protected against ultraviolet (UV) damage to the skin.^[1]  Study subjects showed increased resistance to sunburn after consuming 2 ¼ cups of grapes [sic] every day for two weeks. Additionally, subjects displaying UV resistance also demonstrated unique microbiomic and metabolomic profiles suggesting a correlation between the gut and skin. Natural components found in grapes known as polyphenols are thought to be responsible for these beneficial effects.

The title alone makes me ask: Who paid for this?

Here’s the study: ^[1] Pezzuto, J.M.; Dave, A.; Park, E.-J.; Beyoğlu, D.; Idle, J.R. Short-Term Grape Consumption Diminishes UV-Induced Skin Erythema. Antioxidants 2022, 11, 2372. https://doi.org/10.3390/antiox11122372

Funding: “This work was supported in part by the California Table Grape Commission (J.M.P and J.R.I./D.B.).”  The funding statement continues:

The sponsor was not involved in the preparation of the article; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit this article for publication.

Comment: That’s what they all say, despite much overall evidence to the contrary.

Why the sic?  The study was not, in fact, done wtih grapes.,  It was done with “whole grape powder – equivalent to 2.25 cups of grapes per day – for 14 days.”

Are powdered grapes the same as whole grapes?  Would anyone be willing to eat 2.25 cups of whole grapes every day for 14 days?

I like grapes, and grow two kinds on a fence in Ithaca, some for eating, the Concord ones for jam.  Grapes are fruit.  Fruit is good for health.  Eat them if you like them.  They are useful parts of healthy diets.

Are grapes the only fruit that helps counter UV damage to skin?  I doubt it.  But I’m guessing sunscreens work better.

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As regular readers know, I subscribe to the weekly newsletter, Obesity and Energetics Offerings, and particularly enjoy its section on Headline vs Study.

Here’s a particularly amusing example, which right away triggers my question: Who paid for this?

Headline vs Study

• Headline: Snacking on Almonds Can Help People Reduce Calorie Intake: Study.  
• Press Release: Believe It or ‘Nut’, Almonds Can Help You Cut Calories, Study Finds.  
• Study: “There was no significant difference in total energy intake ([…] p = 0.286) or energy from core ([…] p = 0.860) or discretionary foods ([…] p = 0.158) between [almonds and an isocaloric carbohydrate-rich snack bar].”

Let’s take a look.

Headline: Snacking on Almonds Can Help People Reduce Calorie Intake: Study.

A handful of almonds may be the latest weight loss hack, new research suggests.

A new study from the University of South Australia found that eating 30 to 50 grams of almonds could regulate appetite, leading to less calories consumed each day.

The research, which examined both the hormones that regulate appetite and how almonds could aid in controlling hunger, discovered that the consumption of the nut ultimately led to about 300 fewer calories [sic*]consumed at the following meal.

Press Release: Believe It or ‘Nut’, Almonds Can Help You Cut Calories, Study Finds.

Examining how almonds can affect appetite, researchers found that a snack of 30-50 grams of almonds could help people cut back on the number of kilojoules they consume each day.

Published in the European Journal of Nutrition, the study found that people who consumed almonds — as opposed to an energy-equivalent carbohydrate snack — lowered their energy intake by 300 kilojoules (most of which came from junk food) at the subsequent meal.

Study:  Acute feeding with almonds compared to a carbohydrate-based snack improves appetite-regulating hormones with no effect on self-reported appetite sensations: a randomised controlled trial. Carter, S., Hill, A.M., Buckley, J.D. et al.Eur J Nutr (2022). https://doi.org/10.1007/s00394-022-03027-2

Results: “…Cholecystokinin, ghrelin, glucagon-like peptide-1, leptin and polypeptide YY AUCs were not different between groups. Self-reported appetite ratings and energy intake following the buffet did not differ between groups.”

Conclusion: “More favourable appetite-regulating hormone responses to AL did not translate into better self-reported appetite or reduced short-term energy consumption. Future studies should investigate implications for longer term appetite regulation.”

Funding: “This work was funded by the Almond Board of California. This funding source had no role in the design of this study or the analysis and interpretation of the data.”

Conflict of interest: “AMC has consulted for Nuts for Life (an initiative of the Australian Tree Nut Industry). S-YT has previously been involved in studies funded by the Californian Walnut Commission. AMC, JDB and S-YT have previously been involved in studies funded by International Nut and Dried Fruit Council.”

*Comment: How could the headline get it so wrong?  The authors write: “Although not significant, the AL group consumed 300 kJ less energy in the meal challenge than the SB group, 270 kJ of which came from discretionary foods, which may be a clinically important benefit in weight management.”  The sic partly explains the problem.  The 300 refers to kilojoules (kj), not calories.  300 kj = 72 calories, not 300.  No wonder the result wasn’t statistically significant.

But the press release and resulting headline explain why the nut industry funds studies like this.  Even when the result shows no difference, the PR people can spin the data to produce the expected favorable result.

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Beyond Meat is taking a beating these days, and this study only adds to its  woes.

Assessing the effects of alternative plant-based meats v. animal meats on biomarkers of inflammation: a secondary analysis of the SWAP-MEAT randomized crossover trial.  Crimarco A, Landry MJ, Carter MM, Gardner CD.  J Nutr Sci.  2022;11:e82.  doi:10.1017/jns.2022.84

Abstract: Alternative plant-based meats have grown in popularity with consumers recently and researchers are examining the potential health effects, or risks, from
consuming these products…the purpose of this work was to conduct a secondary analysis of…a randomised crossover trial that involved generally healthy adults eating 2 or more servings of plant-based meats per day for 8 weeks (i.e. Plant phase) followed by 2 or more servings of animal meats per day for 8 weeks (i.e. Animal phase). Results of linear mixed-effects models indicated only 4 out of 92 biomarkers reached statistical significance. The results were contrary to our hypothesis, since we expected relative improvements in biomarkers of inflammation from the plant-based meats.

Conflicts of interest: “Gardner [the senior author] received gift funding from Beyond Meat which was used to conduct the original research study.”

Comment:  This is a follow up to the original research, which I wrote about previously.  That study found a positive result:

A diet that includes an average of two servings of plant-based meat alternatives lowers some cardiovascular risk factors compared with a diet that instead includes the same amount of animal meat…This study found several beneficial effects and no adverse effects from the consumption of plant-based meats.

The investigators tested the effects of substituting Beyond Meat for animal meats on 92 biomarkers of inflammation.  They found hardly any to be improved by the Beyond Meat substitution.

This disappointed the investigators but I’ll bet it disappointed Beyond Meat even more.

This study was not specifically funded by Beyond Meat.

This work was supported by Stanford University’s Precision Health and Integrated Diagnostics Center (PHIND) and in part by a training grant from the NIH National Heart, Lung, and Blood Institute [T32 HL007034].

It is consistent with the overall observation that industry-funded research tends to find results favorable to the sponsor’s interest; independently funded research can go either way.  See my book, Unsavory Truth, for details and references.

Thanks to Stephen Zwick for sending this one.

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My theme for this week is meat, poultry, and their alternatives, starting today with this:

The study: Unprocessed red meat in the dietary treatment of obesity: a randomized controlled trial of beef supplementation during weight maintenance after successful weight loss.  Faidon Magkos, Sidse I Rasmussen, Mads F Hjorth, Sarah Asping, Maria I Rosenkrans, Anders M Sjödin, Arne V Astrup, Nina R W Geiker.  The American Journal of Clinical Nutrition, nqac152, https://doi.org/10.1093/ajcn/nqac152.  

Objectives: “We sought to investigate the effects of healthy diets that include small or large amounts of red meat on the maintenance of lost weight after successful weight loss….”

Hat tip to Matthew Kadey for this one.  It’s a great example of a study title that makes me want to know : Who paid for this?

• The study: Randy L. Aldret, Michael McDermott, Stephanie Aldret, Greggory Davis and David Bellar. The Acute Effects of a Maple Water Drink on Exercise Responses, Oxidative Stress and Inflammation in Overweight College Males. Journal of Food and Nutrition Research. 2022; 10(9):593-599. doi: 10.12691/jfnr-10-9-2
• Rationale: “The purpose of this study was to examine the acute effect of maple water on exercise responses and biomarkers of post-exercise inflammation and muscle damage in an overweight male college population.”
• Method: “The treatments for the study consisted of 12 fluid ounces (355ml) of pure MW (Drink Simple Maple Water, Drink Maple LLC) or an identical volume of distilled water flavored with maple extract to mimic the smell and taste.”
• Conclusion: “Early outcomes indicate maple water has positive benefits for those that exercise in the areas of cardiovascular fitness and post exercise inflammation.”
• Competing Interests: “The authors declare the following real or perceived conflicts of interest in the context of this study: financial conflict of interest, as this study was funded in part by grants from Drink Simple LLC (Grant #370261).”
• Comment:  The comparison here is maple water versus plain water.  Maple water contains sugars and electrolytes (potassium, manganese, calcium); the water placebo does not.  The result seems predictable from the funder, as is the study design.

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TODAY: KPFA book talk in Berkeley.  The Back Room, 1984 Bonita Avenue, 7:00 pm.  Ticketing info is here.

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Jim Krieger, who I will see in Seattle on Saturday, sent this one.

The study: Protocol for a multicentre, parallel, randomised, controlled trial on the effect of sweeteners and sweetness enhancers on health, obesity and safety in overweight adults and children: the SWEET project.  Louise Kjølbæk ¹, Yannis Manios ^2 3, Ellen E Blaak ⁴, J Alfredo Martínez ^5 6, Edith J M Feskens ⁷, Graham Finlayson ⁸, Sabina S H Andersen ⁹, Kyriakos Reppas ², Santiago Navas-Carretero ^5 10, Tanja C Adam ¹¹, Charo E Hodgkins ¹², Marta Del Álamo ¹³, Tony Lam ¹⁴, Hariklia Moshoyiannis ¹⁵, Jason C G Halford ^8 16, Joanne A Harrold ¹⁶, Anne Raben ^9 17  BMJ Open.  2022 Oct 12;12(10):e061075.   doi: 10.1136/bmjopen-2022-061075.

Purpose: “The aim of this randomised controlled trial (RCT) is to investigate whether prolonged consumption of sweeteners and sweetness enhancers (S&SEs) within a healthy diet will improve weight loss maintenance and obesity-related risk factors and affect safety markers compared with sugar.”

Competing interests: “AR has received honoraria from Unilever and the International Sweeteners Association. CEH’s research centre provides consultancy to, and has received travel funds to present research results from organisations supported by food and drink companies. JCGH and JH have received project funds from the American Beverage Association. TL works for a company, NetUnion sarl, which has no conflict of interest in the study outcome.”

Comment: This is the official announcement of the research and analysis methods for a new clinical trial.  Once the study gets going, it will take a year to get the results.  It looks like the trial will be comparing the effects of artificial sweeteners and sugar on body weight and other markers.  It is sponsored by a company that makes artificial sweeteners and a trade association for the makers and users of artificial sweeteners.  Want to take bets on what the results will look like?

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I haven’t posted anything about pistachio industry conflicts of interest since 2019 so it’s time for another one.

Here’s a press release sent to me by a reader, Matthew Kadey:

NEW STUDY REVEALS PISTACHIOS ARE AN ANTIOXIDANT POWERHOUSE…Antioxidant-rich foods are regularly encouraged as part of a healthy lifestyle, and research suggests that a diet high in antioxidants may even help to reduce the risk of death.¹ While certain fruits and vegetables are often thought of as high-antioxidant foods, a new study conducted by Cornell University and published in the journal, Nutrients, produced surprising results². Pistachios have a very high antioxidant capacity, among the highest when compared to values reported in research of many foods commonly known for their antioxidant capacity, such as blueberries, pomegranates, cherries, and beets.^3,4,5  (I’ve posted the references at the end).

My first question, as always when I see a press release like this: Who paid for it?

The study: uan, Wang, Bisheng Zheng, Tong Li, and Rui Hai Liu. 2022. Quantification of Phytochemicals, Cellular Antioxidant Activities and Antiproliferative Activities of Raw and Roasted American Pistachios (Pistacia vera L). Nutrients 14, no. 15: 3002. https://doi.org/10.3390/nu14153002

Conclusion:  It is shown that the roasting of pistachios could produce a series of beneficial phytochemical changes, leading to enhanced biological activity. Pistachios are a nutrient-dense food containing a unique profile of good-quality protein, fats, minerals, vitamins, and antioxidants, such as carotenoids and polyphenols, with cellular antioxidant activity. Dietary Guidelines for Americans 2020–2025 suggested including nuts as a health dietary pattern. Further research on antiproliferative activity and mechanisms of action of free-form extracts of roasted pistachios, and more biological activities related cellular antioxidant activity and oxidative stress, are worthy of further investigation.

Funding: This study was partially supported by Innovative Leading Talents Project of Guangzhou Development Zone and 111 Project: B17018, Cornell China Center, and American Pistachio Growers: 2021-09.

Conflicts of Interest: The authors declare no conflict of interest.

Comment: Roasted pistachios are healthy?  No surprise here.  Further research needed?  Also no surprise.  This is another example of an industry-funded study with unimpressive results but plenty of interpretation bias, along with the usual contention that industry funding does not induce conflicts of interest.  Alas, it does.

References to the press release paragraph

¹ Jayedi A, Rashidy-Pour A, Parohan M, Zargar MS, Shab-Bidar S. Dietary Antioxidants, Circulating Antioxidant Concentrations, Total Antioxidant Capacity, and Risk of All-Cause Mortality: A Systematic Review and Dose-Response Meta-Analysis of Prospective Observational Studies. Adv Nutr. 2018 Nov 1;9(6):701-716. doi: 10.1093/advances/nmy040. PMID: 30239557; PMCID: PMC6247336.
² Yuan W, Zheng B, Li T, Liu RH. Quantification of Phytochemicals, Cellular Antioxidant Activities and Antiproliferative Activities of Raw and Roasted American Pistachios (Pistacia vera L.). Nutrients. 2022; 14(15):3002. https://doi.org/10.3390/nu14153002
³ Wolfe KL, et al. Cellular Antioxidant Activity (CAA) Assay for Assessing Antioxidants, Foods, and Dietary Supplements. J Agric. Food Chem. 2007, 55, 8896–8907.
⁴ Song W, et al. Cellular Antioxidant Activity of Common Vegetables. J. Agric. Food Chem. 2010, 58, 6621–6629. DOI:10.1021/jf9035832
⁵ Wolfe, K., Kang, X., He, X., Dong, M., Zhang, Q., and Liu, R.H. Cellular antioxidant activity of common fruits. J. Agric. Food Chem. 56 (18): 8418-8426, 2008.

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The Alliance for Potato Research & Education is explicitly “Dedicated to advancing the scientific understanding of the role potatoes play in promoting the health of all people.”

As the Alliance explains:

Potatoes are a nutrient-rich vegetable and one of the top sources of potassium in Americans’ diets, yet they are often singled out as a food to limit. This recommendation is often based on misperceptions that eating potatoes is linked to increased cardiometabolic disease risk, even though potatoes contribute to overall fruit and vegetable consumption.  However, a newly published study in the Journal of Nutritional Science finds that advice may be unwarranted

Guess who sponsored that study.

• The study:  Potato consumption is not associated with cardiometabolic health outcomes in Framingham Offspring Study adults

• Conclusion: In this prospective cohort, there was no adverse association between fried or non-fried potato consumption and risks of T2DM/IFG, hypertension or elevated triglycerides.

• Funding: This work was supported by the National Heart, Lung and Blood Institute …with additional support from the Alliance for Potato Research and Education. The funders had no role in the design, analysis or writing of this article…The authors have declared that no conflict of interest.

Comment: We can argue about the effects of potatoes on insulin and blood sugar levels, a contentious issue because the ways they are cooked and prepared influence digestion of their starches to sugars and how quickly those sugars are absorbed.  But industry funding confuses the arguments, as it has a high probbility of inducing more than the usual level of bias into the results.  Much industry influence occurs at an unconscious level where it is unrecognized by rsearchers, so much so that they do not see it as a conflict of interest.  I think it is.

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