Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Too Sweet to Be Real?

Too Sweet to Be Real? The findings reported in the study by Golomb et al1 are intriguing. Several hypotheses are discussed that may account for the intuitive discrepancy between, on the one hand, more frequent chocolate consumption, increased total calorie intake, and uptake of saturated fatty acids, and, on the other hand, lower body mass index (BMI), with no apparent modification of the outcome by physical activity. However, an important potential factor of bias has not been discussed among the potential explanations. It is conceivable that subjects with a lower BMI may have been more honest when answering the questionnaire item on frequency of chocolate consumption than subjects with a higher BMI. Conscious or subconscious feelings of guilt with regard to perceived unfavorable nutrition habits are triggered by existing societal norms on body shape and may have contributed to disparate answering behavior. This would result in a systematic underestimation of BMI for a given frequency of chocolate consumption, leaving the reader in doubt as to how real the reported findings really are. Back to top Article Information Correspondence: Dr Koegler, Michael-Mueller-Ring 20, D-55128 Mainz, Germany (hkogler@web.de). Financial Disclosure: None reported. References 1. Golomb BA, Koperski S, White HL. Association between more frequent chocolate consumption and lower body mass index. Arch Intern Med. 2012;172(6):519-52122450943PubMedGoogle ScholarCrossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Too Sweet to Be Real?

Archives of Internal Medicine , Volume 172 (16) – Sep 10, 2012

Too Sweet to Be Real?

Abstract

The findings reported in the study by Golomb et al1 are intriguing. Several hypotheses are discussed that may account for the intuitive discrepancy between, on the one hand, more frequent chocolate consumption, increased total calorie intake, and uptake of saturated fatty acids, and, on the other hand, lower body mass index (BMI), with no apparent modification of the outcome by physical activity. However, an important potential factor of bias has not been discussed among the potential...
Loading next page...
 
/lp/american-medical-association/too-sweet-to-be-real-Ur9SBhbses
Publisher
American Medical Association
Copyright
Copyright © 2012 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinternmed.2012.2524
Publisher site
See Article on Publisher Site

Abstract

The findings reported in the study by Golomb et al1 are intriguing. Several hypotheses are discussed that may account for the intuitive discrepancy between, on the one hand, more frequent chocolate consumption, increased total calorie intake, and uptake of saturated fatty acids, and, on the other hand, lower body mass index (BMI), with no apparent modification of the outcome by physical activity. However, an important potential factor of bias has not been discussed among the potential explanations. It is conceivable that subjects with a lower BMI may have been more honest when answering the questionnaire item on frequency of chocolate consumption than subjects with a higher BMI. Conscious or subconscious feelings of guilt with regard to perceived unfavorable nutrition habits are triggered by existing societal norms on body shape and may have contributed to disparate answering behavior. This would result in a systematic underestimation of BMI for a given frequency of chocolate consumption, leaving the reader in doubt as to how real the reported findings really are. Back to top Article Information Correspondence: Dr Koegler, Michael-Mueller-Ring 20, D-55128 Mainz, Germany (hkogler@web.de). Financial Disclosure: None reported. References 1. Golomb BA, Koperski S, White HL. Association between more frequent chocolate consumption and lower body mass index. Arch Intern Med. 2012;172(6):519-52122450943PubMedGoogle ScholarCrossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Sep 10, 2012

Keywords: physical activity,body mass index procedure,saturated fatty acids,energy intake,guilt,habits,science of nutrition,chocolate

References