4.5 Review

Errors in the implementation, analysis, and reporting of randomization within obesity and nutrition research: a guide to their avoidance

Journal

INTERNATIONAL JOURNAL OF OBESITY
Volume 45, Issue 11, Pages 2335-2346

Publisher

SPRINGERNATURE
DOI: 10.1038/s41366-021-00909-z

Keywords

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Funding

  1. Gordon and Betty Moore Foundation
  2. NIH [R25HL124208, R25DK099080]
  3. National Institutes of Health NORC Center, Pennington/Louisiana [P30DK072476]
  4. National Cancer Institute [U01-CA057030-29S2]
  5. National Institutes of Health NORC Center, Harvard [P30DK040561]

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Randomization is an important tool in establishing causal inferences in studies related to obesity and nutrition. Maintaining scientific standards throughout the planning, execution, analysis, and reporting of such studies is crucial to avoid common errors highlighted in the article.
Randomization is an important tool used to establish causal inferences in studies designed to further our understanding of questions related to obesity and nutrition. To take advantage of the inferences afforded by randomization, scientific standards must be upheld during the planning, execution, analysis, and reporting of such studies. We discuss ten errors in randomized experiments from real-world examples from the literature and outline best practices for their avoidance. These ten errors include: representing nonrandom allocation as random, failing to adequately conceal allocation, not accounting for changing allocation ratios, replacing subjects in nonrandom ways, failing to account for non-independence, drawing inferences by comparing statistical significance from within-group comparisons instead of between-groups, pooling data and breaking the randomized design, failing to account for missing data, failing to report sufficient information to understand study methods, and failing to frame the causal question as testing the randomized assignment per se. We hope that these examples will aid researchers, reviewers, journal editors, and other readers to endeavor to a high standard of scientific rigor in randomized experiments within obesity and nutrition research.

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