Study sponsorship and the nutrition research agenda: analysis of randomized controlled trials included in systematic reviews of nutrition interventions to address obesity

Public Health Nutr. 2017 May;20(7):1306-1313. doi: 10.1017/S1368980016003128. Epub 2016 Dec 19.

Abstract

Objective: To categorize the research topics covered by a sample of randomized controlled trials (RCT) included in systematic reviews of nutrition interventions to address obesity; to describe their funding sources; and to explore the association between funding sources and nutrition research topics.

Design: Cross-sectional study.

Subjects: RCT included in Cochrane Reviews of nutrition interventions to address obesity and/or overweight.

Results: Two hundred and thirteen RCT from seventeen Cochrane Reviews were included. Funding source and authors' conflicts of interest were disclosed in 82·6 and 29·6 % of the studies, respectively. RCT were more likely to test an intervention to manipulate nutrients in the context of reduced energy intake (44·2 % of studies) than food-level (11·3 %) and dietary pattern-level (0·9 %) interventions. Most of the food industry-sponsored studies focused on interventions involving manipulations of specific nutrients (66·7 %). Only 33·1 % of the industry-funded studies addressed dietary behaviours compared with 66·9 % of the non-industry-funded ones (P=0·002). The level of food processing was poorly considered across all funding sources.

Conclusions: The predominance of RCT examining nutrient-specific questions could limit the public health relevance of rigorous evidence available for systematic reviews and dietary guidelines.

Keywords: Bias; Nutrition intervention; Obesity; Research agenda; Sponsorship.

Publication types

  • Review

MeSH terms

  • Conflict of Interest
  • Diet
  • Food Handling
  • Food Industry
  • Humans
  • Nutrition Assessment
  • Nutritional Sciences / education
  • Obesity / diet therapy*
  • Overweight / diet therapy*
  • Randomized Controlled Trials as Topic
  • Research Design