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Comment and Health

Is research in jails the way to end wars over dietary guidance?

US researchers say studies in prisons could firm up evidence on salt intake and health. The doubters will still doubt, say Mike Lean and Alastair Campbell

By Mike Lean and Alastair Campbell

14 June 2018

Prisoners eating

Captive audience?

Andrew Lichtenstein/Corbis via Getty Images

The science of nutrition has been with us for a long time. So why are there so many apparent uncertainties over dietary advice today?

The nutrients in our food may have inherent effects on metabolism, but proving so requires tightly controlled experiments in lab-like conditions that are difficult to conduct in groups of healthy people. Evaluating how diet influences diseases or defining the optimal diet for good health, where effects are small and long-term, can only occasionally be done under such conditions.

Instead, most dietary studies involve large-scale observational research to identify associations…

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