Nut-304 Misinformation in Media Assignment
Nut-304 Misinformation in Media Assignment
Nut-304 Misinformation in Media Assignment
Link:
https://www.news-medical.net/news/20200102/Reduced-fat-milk-may-increase-the-risk-o
f-obesity-in-children.aspx
The original research study described in the mainstream media article is:
Title: “Whole milk compared with reduced-fat milk and childhood overweight: a
Authors: Shelley M. Canderhout, Mary Aglipay, Nazi Torabi, Peter Jüni, Bruno R. da
Reference: Shelley M Vanderhout, Mary Aglipay, Nazi Torabi, Peter Jüni, Bruno R da
Whole milk compared with reduced-fat milk and childhood overweight: a systematic
review and meta-analysis, The American Journal of Clinical Nutrition, Volume 111, Issue
The purpose of this study was to evaluate the relationship between cow-milk fat consumption
and obesity in children aged 1-18 years old. In the Introduction of the study, it is stated that
childhood obesity has tripled in the past 40 years, and “over the same period, consumption of
whole-fat cow-milk has halved.” It is also noted that the American Academy of Pediatrics and
the Canadian Paediatric Society recommend that children make the switch from drinking
whole-fat cow-milk (3.25%) to reduced-fat cow-milk (0.1-2%) at the age of 2 years old in order
to limit fat intake. The study is a meta-analysis and rather than conducting an experiment the
authors compiled many different studies, compared the results, and drew conclusions from them.
The methods used to “systematically review and meta-analyze” the relation between whole-fat
relative to reduced-fat cow-milk and adiposity in children included analyzing previous studies
that utilize cross-sectional, cohort, case-control, and longitudinal studies, as well as intervention
trials, both controlled and not controlled. In these studies, there were no restrictions on the date
or length of follow-up. The population of the studies included at least 10 healthy children
between the ages of 1-18 years old, coming out to a total of 20,897 children. Undernourished or
disease populations were not considered. The researchers used cow-milk fat as the primary
exposure. They categorized the different types of milk by fat content: skim (0.1% fat), 1% fat,
2% fat, and whole or homogenized (3.25% fat). Researchers measured the outcome of childhood
adiposity in various ways, including BMI z-score (zBMI), BMI, weight for age, body fat mass,
lean body mass, waist circumference, waist-to-hip ratio, body fat percentage, skinfold thickness,
and prevalence of overweight or obesity. The meta-analysis of this study included reported
numbers of children who consumed (3.25%), 2%, 1% or skim (0.1%) milk on a regular basis, as
well as the numbers of those children who are also obese or overweight. Overall, the systematic
Beach & Singh 3
review and meta-analysis determined that “relative to reduced-fat cow-milk, whole-fat cow-milk
Critical evaluation of research article and comparison with the related mainstream article:
1. Outside Factors: According to the systematic review, only 11 of 28 studies took the
volume of milk consumption into account. It is not known if the increased risk of obesity
was due to an unregulated consumption of milk and one group drinking more than the
other, so it would be hard to compare the two forms of milk if they were not served in
equal volumes. For the studies that had reported the milk volume, there may have been
measurement errors from recall bias or not using a proper dietary tracking tool such as a
mobile application.
2. Overgeneralized Claim: One of the first claims made in the article is that “children who
drink whole milk have a 40-percent reduced risk of being overweight or obese compared
to those who drink reduced-fat milk.” In reality, only 18 of the 28 studies involved show
full-fat milk and a lesser likelihood of adiposity. The meta-analysis does not make this
40% claim in a conclusive and definite manner but instead draws its conclusion from the
3. Results: The article only discusses the effects of reduced-fat milk compared to whole
milk. The meta-analysis it references explains that due to the higher fat content in whole
milk, it can leave a person more full because of the fat signaling release of CCK. The
study theorizes that reduced-fat milk won’t leave a person as full, so they will be more
likely to consume higher fat foods and sugar-sweetened beverages to compensate. Whole
milk may increase a person’s satiety and reduce the risk for obesity, but this does not
Beach & Singh 4
necessarily mean reduced-fat milk is increasing the risk as to the news article claims in its
headline.
4. Correlation, Not Causation: The author of the mainstream media article seems to be
stretching the results of the study. The author claims that while further randomized trials
are needed to prove this for certain, there is a causation between consuming reduced-fat
cow-milk and child obesity. The meta-analysis just drew correlations between different
studies and actually determined that rather than a causation, when compared to
whole-milk or other fattier types of milk, reduced-fat milk does not do much of a better
Four other mainstream media articles that discuss the same research study:
https://bcdairy.ca/milk/articles/whole-milk-and-childhood-obesityis-there-a-concern
2. “Study: Children who drank whole milk had lower risk of being overweight or obese”
https://www.eurekalert.org/pub_releases/2019-12/smh-scw123019.php
3. “Whole milk consumption tied to lower likelihood of childhood obesity, says study”
https://www.foodnavigator-usa.com/Article/2020/01/02/Whole-milk-consumption-tied-to
-lower-likelihood-of-childhood-obesity-says-study#
4. “Children who drank whole milk had lower risk of being overweight or obese”
https://neurosciencenews.com/milk-obesity-children-15358/