Nutritional Epidemiology

 Nutritional epidemiology is one of the younger disciplines in epidemiology. This may be partially due to the difficulties in measuring diet as an exposure. Diet and physical activity are arguably the most difficult exposures to assess in observational research and are plagued by considerable measurement error. Hence we are all exposed, and the variation may be more subtle than with other, more distinct exposures such as smoking or use of hormone replacement therapy. Nutritional epidemiology has recently been criticized on several fronts, including the inability to measure diet accurately, and for its reliance on observational studies to address etiologic questions. In addition, several recent meta-analyses with serious methodologic flaws have arrived at erroneous or misleading conclusions, reigniting controversy over formerly settled debates.

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