Prof. Peter Brukner - 'Are Low Carb Diets Associated with Type 2 Diabetes? The Monash Study'
Short Answer: No
Long Answer: Academic Fraud
Peter Brukner OAM, MBBS, FACSP, FACSM, FASMF, FFSEM is a specialist sports and exercise physician and the founding partner at the Olympic Park Sports Medicine Centre in Melbourne. Peter is a world renowned sports medicine clinician and researcher. His most recent team appointments have been as Head of Sports Medicine and Sports Science at Liverpool Football Club and, until 2017, Team Doctor for the Australian cricket team.
Peter is Professor of Sports Medicine at the La Trobe Sport & Exercise Medicine Research Centre at La Trobe University, Melbourne. Peter has published widely internationally with a number of books, book chapters and over 100 original research articles. He is the co-author of Clinical Sports Medicine, a best selling general sports medicine text in its fifth edition as well as Stress Fractures, Food for Sport, Encyclopedia of Exercise and Sport Health and Clinical Sports Anatomy.
Prof. Brukner is the founder of the public health campaign SugarByHalf and is committed to the challenge of improving Australia’s health with improved diet and increased physical activity. The profits from Peter's book 'A Fat Lot Of Good' will help to fund the campaign sugarbyhalf.com
Peter is also the founder of Defeat Diabetes, Australia's first evidence-based and doctor-led program that focuses on the wide range of health benefits of a low carb lifestyle, particularly for those wanting to send into remission pre-diabetes, type 2 diabetes, and other metabolic illnesses. The Defeat Diabetes Program is delivered via a mobile app. It provides 100+ hours of video from health professionals, masterclasses, cooking demonstrations, recipes, a meal planner, and a rich library of resources, with new content regularly added.
Yet another example of - Epidemiology weaponized to drive an agenda.
Low carb diet score, food diaries - based on self reported carbohydrate consumption. Divided 30,000 people from a observational study into 5 quintiles based on this carb diet score.
A total of 1989 new cases of self-reported diabetes were observed, 740 and 1249 cases in the first and second wave respectively. The incidence increased with age in both waves. At both wave 1 and wave 2, a higher incidence was observed among females, socioeconomically disadvantaged, current smokers, alcohol abstainers, people with high BMI, high WHR, low AHEI-2010 quintile, family history of diabetes, comorbidity, highest LCD score quintile, and in people from southern Europe.
All variables showed a significant association (P < 0.05) with the incidence of T2D in both wave one and wave two, except energy intake quintiles at wave 2 (P = 0.056) and LCD score quintiles at wave 2 (P = 0.1)
The low carb group of quintile 5 is 37.5% of energy from carbs... on a 2500 calorie diet, thats 230g of carbohydrates per day in the low carb group... THAT ISNT LOW CARB. these people where in no danger of being in ketosis.
When they adjusted for BMI and WHR the LCD association disappeared... so people eating 230g of carbs without high BMI and a good WHR didn't have a higher incidence of diabetes.... basically this paper is finding that obesity is associated with diabetes.
So the paper says low carb diet score, the headlines say LCHF diet, and the internet media says keto will kill you................ the agenda driven drama cycle.
This clearly demonstrates the danger from lay people (and politically motivated people) using epidemiology and weak statistics to flood media with agenda driven bias... its not science
An Australian study aimed to assess the association of a low-carbohydrate diet score (LCD) with the incidence of type 2 diabetes (T2D) using data from a study of Melbourne residents.
The study concluded that the LCD score was associated with increased risk of T2D.
The lowest carb group averaged 38% of their diet in the form of carbohydrate. A low-carb diet has not been studied, therefore.
How universities promoting unreliable research put health at risk
article full text
Australians are frequently inundated with nutrition articles seeking to expose fad diets, such as the high-fat ketogenic diet popularized in the 1970s by the late Dr Atkins
These articles, ostensibly published in the public interest, often reference scientific research as their foundation.
The problem is that these articles are often sensationalised and, in fact, not based on rigorous science. Their existence underscores a significant issue: universities worldwide, including in Australia, can propagate misinformation through a well-known back door that escapes critical scrutiny - the press release.
This issue became evident in a recent conversation with a health editor from one of Australia's most widely read newspapers.
When asked why so many unscientific nutrition articles are published, the editor explained that most of these stories originate from the media releases of prominent universities, and ignoring them would be seen as hubris.
On the surface, this rationale seems reasonable. After all, universities should be bastions of scientific integrity.
However, university media departments often play a role in promoting misinformation.
While scientists who publish in academic journals must undergo a process of peer review, where their work is scrutinised for accuracy, media releases face no such rigorous oversight.
Peer review, while imperfect, aims to prevent the dissemination of incorrect or biased information.
Consequently, most scientific papers avoid extreme biases of their authors. Press releases, on the other hand, are a different story; here, biases can shine through unchecked.
When these biased releases reach a broad audience, they can cause real harm.
Consider reporting by a number of media outlets last week of near-identical press releases from Monash and RMIT Universities claiming that low-carb diets cause diabetes. Monash University's media department even declared, "Low-carb/high-fat diets for weight loss actually boost the risk of type 2 diabetes."
This claim is utterly false.
Extensive reviews of the scientific literature, using the best available methodologies, have repeatedly demonstrated that low-carbohydrate, high-fat diets actually benefit patients with diabetes.
The paper cited by the coverage was based on nutritional epidemiology, where unreliable food questionnaires are used to observe associations between diet and health outcomes.