Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
I read with interest Craig’s letter published 3 Feb 2020, arguing against the use of the term “moderation” in relation to processed and other harmful foods.
I acknowledge the strength and validity of his argument but wonder if he has considered the findings for the Global Burden of Disease Study1 published in April 2019 which suggests that moderated intake of unhealthy foods is a less significant contributor to diet-related death than an insufficient intake of healthy foods?
Thus, we must be careful to consider the issues raised in the first argument of his letter separate to, and perhaps more important than, the second.
1. GBD 2017 Diet Collaborators (2019). Health effects of dietary risks in 195 countries , 1990 – 2017 : a systematic analysis for the Global Burden of Disease Study.