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By Susan Perry | Published Thu, Jun 18 2009 9:18 am
I suspect that many of MinnPost’s erudite readers are also readers of the New York Times. I’m therefore reluctant to point you too frequently to health articles there, as you may have already read them.
But an article published in the Times earlier this week by reporter Roni Caryne Rabin deserves special mention. It raises this question: What if the now generally accepted medical precept that moderate alcohol consumption is good for your health is "all a big mistake"?
Reported Rabin:
For some scientists, the question will not go away. No study, these critics say, has ever proved a causal relationship between moderate drinking and lower risk of death – only that the two often go together. It may be that moderate drinking is something healthy people tend to do, not something that makes people healthy.
The article goes on to illuminate how the drinking-alcohol-in-moderation-is-good-for-you belief became so institutionalized, despite the lack of solid evidence. And within that story is a broader warning about generally accepted medical "truisms": They are often not true. How does that happen? Sometimes it’s because the studies on which the precept is based are not designed in a way that can really show that X (such as drinking alcohol moderately) causes Y (a healthier heart). Sometimes it’s because of who is paying for those studies. And sometimes it’s for both reasons.
Noted Rabin:
Some researchers say they are haunted by the mistakes made in studies about hormone replacement therapy, which was widely prescribed for years on the basis of observational studies similar to the kind done on alcohol. Questions have also been raised about the financial relationships that have sprung up between the alcoholic beverage industry and many academic centers, which have accepted industry money to pay for research, train students and promote their findings.
“The bottom line is there has not been a single study done on moderate alcohol consumption and mortality outcomes that is a ‘gold standard’ kind of study – the kind of randomized controlled clinical trial that we would be required to have in order to approve a new pharmaceutical agent in this country,” said Dr. Tim Naimi, an epidemiologist with the Centers for Disease Control and Prevention.
Again, I recommend that you read the entire article, if you haven’t already. You just may have to come up with another excuse for your evening cocktail.
Health-care myths debunked, Parts 4 & 5
I've added summaries of parts 4 and 5 of the Annals of Surgery article that attempts to debunk five myths about the U.S. health-care system to my Monday post. We've decided to consolidate it there, where there's been a lively discussion. Sorry for any confusion.
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