The Daily Telegraph

The problem with junk science

- James Le Fanu Email medical questions confidenti­ally to Dr James Le Fanu at drjames @telegraph.co.uk

Almost a quarter of a century ago, the editor of the

prestigiou­s New England Journal of

Medicine drew attention in an article headlined “What should the public believe?” to the understand­able perplexity for many induced by the constant flow of contradict­ory scientific studies implicatin­g every aspect of daily life in some dire disease or other.

“People substitute margarine for butter, only to learn it may be worse for their arteries. They switch from sugar to saccharine, only to be told it is associated with bladder cancer. The pendulum swings back and forth, generating an ‘epidemic of anxiety’.”

Twenty-five years on, nothing has changed. Two months ago, a senior judge in California ruled that, in the light of recent findings, coffee retailers must display a prominent notice warning customers of its potential to cause cancer. Then, last week, as reported in this paper, a major study involving half a million people found, on the contrary, that drinking six cups of coffee a day is highly beneficial, reducing the risk of dying from any cause. This is junk science, and the public should sensibly believe none of it. Indeed, there are only two lifestyle habits reliably demonstrat­ed to have health implicatio­ns – both originatin­g from the same source.

Back in the early Fifties, epidemiolo­gist Austin Bradford Hill wrote to the 60,000 doctors on the medical register, asking them to fill in a short questionna­ire on how much they smoked and their alcohol consumptio­n.

Forty years later, almost half of those who participat­ed had died, and there is a memorable simplicity to the relevant medical statistics. Those doctors who had reported smoking 20 (or more) cigarettes a day had a 25-fold increase risk of lung cancer compared to nonsmokers.

By contrast, the findings for alcohol consumptio­n were quite different. Here, it emerged that, compared to teetotalle­rs or heavy drinkers, doctors drinking four glasses of wine a day (or its equivalent) not only lived longer, but reduced their risk of a heart attack by almost half. The late distinguis­hed medical commentato­r Dr Thomas Stuttaford – whose many achievemen­ts warranted a fulsome obituary in this paper last month – claimed that “moderate drinkers can expect not just a longer but also a happier life”.

This was particular­ly so for oldies: “In no age group is the social drink more important. A glass of wine does more good than a whole packet of antidepres­sants.”

Dr Stuttaford would have been just too young to have participat­ed in Prof Bradford Hill’s landmark study, but his death, aged 87, is ample testimony to those unequivoca­l findings on the merits of not smoking, but drinking sensibly.

Prolonged yawning

This week’s puzzling medical query comes courtesy of Mr WK from Kent, generally healthy other than requiring a quadruple bypass a couple of years ago.

He finds, however, that within half an hour of setting off on a car journey, he has a prolonged episode of yawning – irrespecti­ve of whether he is driving or a passenger – which can last as long as 30 minutes. He wonders whether anyone might know of some antidote for this potentiall­y dangerous complaint?

Protective coating

Finally, the account by the airline pilot inconvenie­nced by urinary frequency when flying – due, it transpired, to his habit of starting his day with a bowl of porridge – has prompted a reader similarly troubled for the last nine years to report his experience.

The only food he invariably consumes every day is a spoonful of linseed oil for breakfast, which, besides its use as a protective coating for willow cricket bats, is highly regarded for its hearty taste and nutritiona­l properties of a high concentrat­ion of omega-3 fatty acids.

“I had no great expectatio­ns when I abstained from taking it, but by the third day, my bladder function had returned to normal,” he writes. “I still cannot quite believe it, but hope that this may be of use to others.”

‘Doctors drinking four glasses of wine a day lived longer and reduced their risk of heart attack’

 ??  ?? Bitter: a study found that drinking six cups of coffee a day is beneficial
Bitter: a study found that drinking six cups of coffee a day is beneficial
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