Bin the pills, eat your greens

May 6th, 2004 by Ben Goldacre in bad science, express, nutritionists | 2 Comments »

Bin the pills, eat your greens

Talk about Bad science here

Ben Goldacre
Thursday May 6, 2004
The Guardian

· It’s a simple universe for nutritionists, with a small number of fundamental laws from which all other facts derive. Antioxidants are good; stimulants are bad; laboratory studies on rat metabolism are proof of the need to spend £50 a week on pills. The only problem is, there’s practically nothing in the huge body of contradictory research on nutrition to recommend anything other than “eat your greens”, and you don’t need a journalist, or a scientist, or an expensive nutritionist to tell you that. Meanwhile, John Triggs in the Daily Express was riffing off this week, telling children to “boost their brain” for exams, using iron: “premium brain fuel”.

· I doff my hat to anyone who can make out that iron-deficiency anaemia is a greater cause of poor concentration in young people than lack of exercise and too much TV; and I’m delighted to be receiving nutritional advice from a man who tells us that thiamine – otherwise known as vitamin B1 – is a “mineral”. Perhaps it’s a special alternative thiamine mineral, mined from the viscous thiamine mountains in south India. Either way, it “helps build concentration” so get chewing. Or try “Marmite, peas, bread, oranges, eggs and pasta.” Thanks John; it never occurred to me to eat any of that stuff until you mentioned the thiamine.

· If you want to pass some exams, forget the Marmite and have a cup of evidence-based coffee. I realise any nutritionist would look at me like I’d just suggested injecting cocaine and PCP into the veins on my penis, but hey, if you want to play selective paper quoting, a recent Norwegian study found that coffee contributed 11 millimoles (mmol) of their subjects’ 17mmol daily intake of antioxidants: 1.8 mmol came from fruit and 0.4 mmol from vegetables. And a paper this week showed that antioxidant vitamin supplements (taken by 10m Britons) interfere with liver function and might cause heart attacks. Bin the pills and eat your greens.

· Don’t believe anyone who tells you caffeine is bad. Just makes you a bit bad tempered. Better than those ridiculous pills anyway. Decadence, I tell you. Lazy fat westerners, who know deep down that their lifestyles are predicated on the exploitation of people in countries where there really are nutritional deficiencies, bleating on about how they too are deficient, in, “umm, selenium and thiamine”, and stuffing their faces with pills when they should be ordering a salad. I’ll say it again: eat your greens. Er, and maybe avoid too much coffee.

Chocolate love

January 8th, 2004 by Ben Goldacre in bad science, celebs, chocolate, PhDs, doctors, and qualifications, weight loss | 12 Comments »

Chocolate love

Ben Goldacre
Thursday January 8, 2004
The Guardian

Talk bad science

· With painful inevitability, that old chestnut about chocolate’s health-giving properties popped up on the health and women’s pages of almost every newspaper, as is traditional at Christmas. The Daily Express eagerly pointed out that it’s “a good source” of flavanols, antioxidants, magnesium, zinc and iron. And in the Telegraph: “Chocolate is good for you,” says Chloe Doutre-Roussel, chocolate buyer at Fortnum & Mason. “It has minerals such as fluoride for the teeth and potassium, like bananas.” Doutre-Roussel is, we are told, “an ultra-slim Frenchwoman… Although she eats 1lb of chocolate a day, she weighs a mere 7st 12lb.” Mars, which has been lavishing money on research into the benefits of chocolate for 10 years now, started this tradition five years ago, employing PR consultancy Grayling Healthcare to send out press releases such as “Media Alert: News for Chocolate Lovers this Christmas”.

So, whatever the truth is about minerals, the manufacturers of Galaxy and Milky Way must have been disappointed by recent research showing that what few antioxidants there are in cocoa beans are hardly absorbed from milk chocolate at all. Manufacturers first flaunted chocolate’s healthiness during food shortages after the first world war, and only stopped when we started measuring and labelling the contents. Just as that process got going, the 1930 Food and Drug Review said: “The magic words ‘health giving’ are today the most overworked and loosely applied in the advertising lexicon.” – 74 years ago.

· The Mail on Sunday’s “integrated health expert” Dr Ali was busy this week writing about headaches. “The skull,” he claims, “contracts and expands a dozen times or so each minute to push the [cerebrospinal] fluid round, but tight neck muscles and misaligned skull bones can disrupt this process.” You don’t need to be a doctor like Ali – whose clients include Prince Charles and Geri Halliwell – to know that the skull is a rigid box of bone and, since you asked, the fluid is kept moving by the waving movements of cilia lining the ventricles, respiratory and arterial pulsations, postural changes and the pressure gradient between the places where it’s made and reabsorbed. Ali, despite qualifying in Delhi and Moscow, is not registered with the General Medical Council because, his website informs us, “the treatment which he personally provides uses massage, diet, yoga and natural supplements and oils which do not need prescription”. Why not rob a bank and visit him anyway, at his “Integrated Health Centre”, just off Harley Street.