Study Design Flashcards

1
Q

What are the optimal study conditions

A

Individual Nutrition Data and Health Outcomes Data, Interventional & Disease Outcomes (prevention)

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2
Q

What is the GOLD STANDARD?

A

If we feed a X vs. a Placebo to a group of ABCs at a dose of D for a duration of T there will be more/less of IT.

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3
Q

Observational studies prove

A

Association

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4
Q

Interventional studies prove

A

Cause & Effect

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5
Q

Ecological Study: Diet data sources?

A

Diet data sources include food imports, food exports, agricultural data.

These studies try to determine the AVAILABILITY of food for an AVERAGE PERSON.

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6
Q

Ecological Study: Health Outcome data sources?

A

Health outcome data sources include national morbidity and mortality data

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7
Q

Ecological Study: Examples?

A

CHD in 40 different countries, CHD in 7th Day Adventist Men

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8
Q

Ecological Study: Limitations?

A

Alternate hypotheses, and no individual level data

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9
Q

Ecological Study: Advantages?

A

Quick & cheap, able to consider a WIDE range of differences in diet

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10
Q

What are the two types of observational studies that use individual level diet data

A

Case-Control Studies; Cohort Studies

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11
Q

Case-Control Study: Limitations?

A

Alt. hypotheses, temporal relationship unclear, recall bias

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12
Q

Case-Control Study: Advantages?

A

Quick and cheap, particularly appropriate for RARE disease (birth defects)

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13
Q

Case-Control Study: Examples?

A

Tofu & Breast Cancer

Prenatal Vitamins & Neural Tube Defects

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14
Q

Cohort Study: Limitations?

A

Alternative hypotheses, expensive & long

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15
Q

Cohort Study: Advantages?

A

Establishes prospective nature of relationship between diet and health (TEMPORAL SEQUENCE), Examines the achievable range of diet variability (lowest to highest intake)

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16
Q

Cohort Study: Examples?

A

Wheat in Iowa Women’s diet & Heart Disease, Mediterranean Diet & Greek Survival, Fish Oil in male health professionals

17
Q

Animal/Cell Study: Limitations?

A

extrapolating to human health

18
Q

Animal/Cell Study: Advantages?

A

establishes biological plausibility

19
Q

Clinical Trials: Limitations?

A

Generalizability, population, dose, duration, effect attributable to what was eat vs what was replaced, risk factor benefits may not lead to improved health outcomes, usually focuses on one health outcome not overall health, SPECIFIC ANSWER TO SPECIFIC QUESTION

20
Q

Clinical Trials: Advantages?

A

Cause & effect established, Human relevance clear, end points are clinically relevant

21
Q

Clinical Trial: Examples?

A

HOPE Vitamin E study, Beta-Carotene Study, folic acid for neural tube defects