A couple weeks ago I wrote a post about how to read scientific research papers. That covered what to do. Today I’m going to tell you what NOT to do as a consumer of research studies.
The following are bad practices that can cause you to misinterpret research findings, dismiss valid research, or apply scientific findings incorrectly in your own life.
1. Reading Only the Abstract
This is probably the BIGGEST mistake a reader can make. The abstract is, by definition, a summary of the research study. The authors highlight the details they consider most important—or those that just so happen to support their hypotheses.
At best, you miss out on potentially interesting and noteworthy details if you read only the abstract. At worst, you come with a completely distorted impression of the methods and/or results.
Take this paper, for example. The abstract summarizes the findings like this: “Consumption of red and processed meat at an average level of 76 g/d that meets the current UK government recommendation (less than or equal to 90g/day) was associated with an increased risk of colorectal cancer.”
Based on this, you might think: 1. The researchers measured how much meat people were consuming. This is only half right. Respondents filled out a food frequency questionnaire that asked how many times per week they ate meat. The researchers then multiplied that number by a “standard portion size.” Thus, the amount of meat any given person actually consumed might vary considerably from what they are presumed to have eaten.
2. There was an increased risk of colorectal cancers. It says so right there after all. The researchers failed to mention that there was only an increased risk of certain types of colon cancer (and a small one at that—more on this later), not for others, and not for rectal cancer.
3. The risk was the same for everyone. Yet from the discussion: “Interestingly, we found heterogeneity by sex for red and processed meat, red meat, processed meat and alcohol, with the association stronger in men and null in women.” Null—meaning not significant—in women. If you look at the raw data, the effect is not just non-significant, it’s about as close to zero as you can get. To me, this seems like an important detail, one that is certainly abstract-worthy.
Although it’s not the norm for abstracts to blatantly misrepresent the research, it does happen. As I said in my previous post, it’s better to skip the abstract altogether than to read only the abstract.
2. Confusing Correlation and Causation
You’ve surely heard that correlation does not imply causation. When two variables trend together, one doesn’t necessarily cause the other. If people eat more popsicles when they’re wearing shorts, that’s not because eating popsicles makes you put on shorts, or vice versa. They’re both correlated with the temperature outside. Check out Tyler Vigen’s Spurious Correlations blog for more examples of just how ridiculous this can get.
As much as we all know this to be true, the popular media loves to take correlational findings and make causal statements like, “Eating _______ causes cancer!” or “To reduce your risk of _______, do this!” Researchers sometimes use sloppy language to talk about their findings in ways that imply causation too, even when their methods do not support such inferences.
The only way to test causality is through carefully controlled experimentation where researchers manipulate the variable they believe to be causal (the independent variable) and measure differences in the variable they hypothesize will be affected (the dependent variable). Ideally, they also compare the experimental group against a control group, replicate their results using multiple samples and perhaps different methods, and test or control for confounding variables.
As you might imagine, there are many obstacles to conducting this type of research. It’s can be expensive, time consuming, and sometimes unethical, especially with human subjects. You can’t feed a group of humans something you believe to be carcinogenic to see if they develop cancer, for example.
As a reader, it’s extremely important to distinguish between descriptive studies where the researchers measure variables and use statistical tests to see if they are related, and experimental research where they assign participants to different conditions and control the independent variable(s).
Finally, don’t be fooled by language like “X predicted Y.” Scientists can use statistics to make predictions, but that also doesn’t imply causality unless they employed an experimental design.
3. Taking a Single Study, or Even a Handful of Studies, as PROOF of a Phenomenon
When it comes to things as complex as nutrition or human behavior, I’d argue that you can never prove a hypothesis. There are simply too many variables at play, too many potential unknowns. The goal of scientific research is to gain knowledge and increase confidence that a hypothesis is likely true.
I say “likely” because statistical tests can never provide 100 percent proof. Without going deep into a Stats 101 lesson, the way statistical testing actually works is that you set an alternative hypothesis that you believe to be true and a null hypothesis that you believe to be incorrect. Then, you set out to find evidence to support the null hypothesis.
For example, let’s say you want to test whether a certain herb helps improve sleep. You give one experimental group the herb and compare them to a group that doesn’t get the herb. Your null hypothesis is that there is no effect of the herb, so the two groups will sleep the same.
You find that the group that got the herb slept better than the group that didn’t. Statistical tests suggest you can reject the null hypothesis of no difference. In that case, you’re really saying, “If it was true that this herb has no effect, it’s very unlikely that the groups in my study would differ to the degree they did.” You can conclude that it is unlikely—but not impossible—that there is no effect of the herb.
There’s always the chance that you unwittingly sampled a bunch of outliers. There’s also a chance that you somehow influenced the outcome through your study design, or that another unidentified variable actually caused the effect. That’s why replication is so important. The more evidence accumulates, the more confident you can be.
There’s also publication bias to consider. We only have access to data that get published, so we’re working with incomplete information. Analyses across a variety of fields have demonstrated that journals are much more likely to publish positive findings—those that support hypotheses—than negative findings, null findings (findings of no effect), or findings that conflict with data that have been previously published.
Unfortunately, publication bias is a serious problem that academics are still struggling to resolve. There’s no easy answer, and there’s really nothing you can do about it except to maintain an open mind. Never assume any question is fully answered.
4. Confusing Statistical Significance with Importance
This one’s a doozy. As I just explained, statistical tests only tell you whether it is likely that your null hypothesis is false. They don’t tell you whether the findings are important or meaningful or worth caring about whatsoever.
Let’s take that study we talked about in #1. It got a ton of coverage in the press, with many articles stating that we should all eat less red meat to reduce our cancer risk. What do the numbers actually say?
Well, in this study, there were 2,609 new cases of colorectal cancer in the 475,581 respondents during the study period—already a low probability. If you take the time to download the supplementary data, you’ll see that of the 113,662 men who reported eating red or processed mean four or more times per week, 866 were diagnosed. That’s 0.76%. In contrast, 90 of the 19,769 men who reported eating red and processed meat fewer than two times per week were diagnosed. That’s 0.45%.
This difference was enough to be statistically significant. Is it important though? Do you really want to overhaul your diet to possibly take your risk of (certain types of) colorectal cancer from low to slightly lower (only if you’re a man)?
Maybe you do think that’s important. I can’t get too worked up about it, and not just because of the methodological issues with the study.
There are lots of ways to make statistical significance look important, a big one being reporting relative risk instead of absolute risk. Remember, statistical tests are just tools to evaluate numbers. You have to use your powers of logic and reason to interpret those tests and decide what they mean for you.
It’s a fallacy to think you can look at one piece of a jigsaw puzzle and believe you understand the whole picture. Any single research study offers just a piece of the puzzle.
Resist the temptation to generalize beyond what has been demonstrated empirically. In particular, don’t assume that research conducted on animals applies perfectly to humans or that research conducted with one population applies to another. It’s a huge problem, for example, when new drugs are tested primarily on men and are then given to women with unknown consequences.
6. Assuming That Published Studies are Right and Anecdotal Data is Wrong
Published studies can be wrong for a number of reasons—author bias, poor design and methodology, statistical error, and chance, to name a few. Studies can also be “right” in the sense that they accurately measure and describe what they set out to describe, but they are inevitably incomplete—the whole puzzle piece thing again.
Moreover, studies very often deal with group-level data—means and standard deviations. They compare the average person in one group to the average person in another group. That still leaves plenty of room for individuals to be different.
It’s a mistake to assume that if someone’s experience differs from what science says it “should” be, that person must be lying or mistaken. At the same time, anecdotal data is even more subject to biases and confounds than other types of data. Anecdotes that run counter to the findings of a scientific study don’t negate the validity of the study.
Consider anecdotal data another piece of the puzzle. Don’t give it more weight than it deserves, but don’t discount it either.
7. Being Overly Critical
As I said in my last post, no study is meant to stand alone. Studies are meant to build on one another so a complete picture emerges—puzzle pieces, have I mentioned that?
When conducting a study, researchers have to make a lot of decisions:
Who or what will their subjects be? If using human participants, what is the population of interest? How will they be sampled?
How will variables of interest be operationalized (defined and assessed)? If the variables aren’t something discrete, like measuring levels of a certain hormone, how will they be measured? For example, if the study focuses on depression, how will depression be evaluated?
What other variables, if any, will they measure and control for statistically? How else will they rule out alternative explanations for any findings?
What statistical tests will they use?
And more. It’s easy as a reader to sit there and go, “Why did they do that? Obviously they should have done this instead!” or, “But their sample only included trained athletes! What about the rest of us?”
There is a difference between recognizing the limitations of a study and dismissing a study because it’s not perfect. Don’t throw the baby out with the bathwater.
That’s my top seven. What would you add? Thanks for reading today, everybody. Have a great week.
Lindsay Taylor, Ph.D., is a senior writer and community manager for Primal Nutrition, a certified Primal Health Coach, and the co-author of three keto cookbooks.
As a writer for Mark’s Daily Apple and the leader of the thriving Keto Reset and Primal Endurance communities, Lindsay’s job is to help people learn the whats, whys, and hows of leading a health-focused life. Before joining the Primal team, she earned her master’s and Ph.D. in Social and Personality Psychology from the University of California, Berkeley, where she also worked as a researcher and instructor.
Lindsay lives in Northern California with her husband and two sports-obsessed sons. In her free time, she enjoys ultra running, triathlon, camping, and game nights. Follow along on Instagram @theusefuldish as Lindsay attempts to juggle work, family, and endurance training, all while maintaining a healthy balance and, most of all, having fun in life. For more info, visit lindsaytaylor.co.