From the poster: “Eight-hour TRE was significantly associated with higher risk of cardiovascular mortality in the general population” People who restrict their eating to eight hours per day may be more likely to have extra weight they hope to lose, and that extra weight may put them at greater risk of cardiovascular mortality compared to the general population. “Surely they controlled for weight” one thinks, before clicking on the link…
Actually I don’t think that journalist captures the biggest flaw of all, which is the sample size. 20,000 people sounds kind of big, but it’s actually tiny. The problem is that the average age of the population was 49. Heart attacks among people below old age are relatively rare to begin with, and when you are sorting out people who self-report eating on a time-restricted schedule your numbers are going to be minuscule. “91%” is the relative risk, but I don’t see where they report the absolute risk or the absolute numbers. My guess is that a couple instances could be driving that seemingly large figure. Relative risk is meaningless in almost any context (of data reporting) without also understanding absolute risk.
Larger sample size would merely increase confidence in the misleading association. • Wearing body armor linked to ER visits for gunshot wounds! • Nicotine replacement therapy users 70% more likely to get lung cancer! • Parachute owners die of massive impact trauma 10× as often!
> Based on an abstract of the new study provided to me by the American Heart Association [...] the researchers did not ask people if they were following time-restricted diets. What they did was look for people who only ate for a short period of time during the day based on two reports to the survey of what they ate. Yeah, that seems like a caveat that deserves more attention.
I was referring to this comment and its analysis. If you think that data reliability is more dependent on size and not data gathering methodology, then I see no point in arguing. Unless the underlying idea was to get headlines, it's a very poorly designed study.
This surprises me. I practice 16:8 (actually, probably closer to 20:4) four days a week. The idea that I've been (potentially) damaging myself the last couple of years of doing so is counterintuitive to how I've felt over the same period.
Yeah anytime a study touts such a high risk ratio that's a big ol red flag. Using my very basic epidemiology knowledge, it looks like they calculated solely based on case numbers and not on person-time. Maybe somebody with more epi knowledge can chime in, but it just seems like poor study design.