APPENDIX - Summary of evidence of editorial bias at the BJSM:
At the time of conducting our investigation (July 2018), the BJSM has published 10 editorials and opinion pieces, as well as reviews, on the topic of dietary guidelines, statins, and saturated fat and health in the past 3 years. All 10 were given open access status when first published, they all had narratives that denigrated current dietary guidelines and/or statins and promoted an exclusively low-carb dietary approach. All of the articles were authored by known supporters of these narratives, some writing two or more articles. The EIC, via the BJSM twitter account, has regularly promoted these articles and narratives on social media.
Apart from questions as to how well these topics meet the remit of the journal's mission and readership, it also appears that these topics are personally favoured by the current EIC of the BJSM, Professor Karim Khan. A key point here is that decisions to make articles such as these open access are made entirely by the EIC of the BJSM.
Four rebuttals/counter-arguments to these 10 articles have been published (including the most recent one from signatories of this letter) – none of these was made available as open access by the EIC. There has also been next to no promotion of any of these rebuttals via social media from the BJSM twitter account. Of course, we have no knowledge of how many rebuttals for any of the 10 articles have been dismissed for consideration for publication.
Furthermore, during the two-month period when authors of the most recent rebuttal were communicating with the BJSM editors for the rebuttal to be published open access (the request was denied), the BJSM produced two podcasts from authors of two of the 10 open access articles, releasing one of them (along with social media promotion) on the same day as the most recent rebuttal.
We suggest that the EIC at the BJSM should facilitate debate in an unbiased manner and ensure that systems are in place to prevent biases skewing scientific discourse. Promoting articles of certain narratives through open access and hiding every rebuttal (highlighting alternative, nuanced, and evidence-based narratives) quietly behind a paywall suggests bias.
DECLARATIONS OF INTEREST:
Dr Ian Lahart is a senior lecturer in exercise physiology and researcher at Institute of Human Sciences, University of Wolverhampton. He completed his PhD in the role of exercise in breast cancer. Through his PhD work, he conducted an exercise randomised controlled trial in women with breast cancer. Ian is also the lead author of a recent Cochrane collaboration review on the effects of exercise in women with breast cancer post-adjuvant therapy. Through his role as a research fellow at Russells Hall hospital, Dudley, UK, he helped set up and manage a MacMillan funded exercise-based cancer rehabilitation service. Although his research focus is on the role of exercise in breast cancer rehabilitation and survivorship, he has additionally worked with patients with other cancers, arthritis, cardiovascular disease, and diabetes and related metabolic conditions. He is also interested in the communication of science and meta-research—a field of research that investigates research practices and quality.
Dr David Nunan is a member of the Royal College of General Practitioners (RCGP) steering committee to support the new Physical Activity and Lifestyle clinical priority. He has received funding for research from the NHS National Institute for Health Research School for Primary Care Research (NIHR SPCR) and the RCGP for independent research projects related to physical activity and dietary interventions. The views expressed are those of the author and not necessarily those of the NHS, the NIHR, the RCGP or the Department of Health.
Dr. Duane Mellor has worked clinically as a dietitian, mainly in diabetes management and education and then as a researcher in clinical trials. However, reflecting back on the first 2 decades of his career he has begun to question a number of aspects of nutrition and dietetic practice. He is now interested in looking at evidence in nutrition, both in terms of causality and quality along with how this is communicated to the public by the media. Looking to challenge thinking in this area, to consider aspects of benefit and the risks of harm, ultimately looking at how the public can be best supported to eat food they enjoy that also supports good health.
Dr Nicola Guess has received grant funding from Diabetes UK, the Medical Research Council, and the National Obesity
Forum, as well as fellowship funding from Diabetes UK, the Winston Churchill Memorial Trust, American Overseas Dietetics Association and the Chronic Disease Research Foundation. NG has also received payment by Ways of Eating, for input into the Fixing Dad app on the management and prevention of type 2 diabetes. and from Oviva for an evaluation of a remote diabetes management programme. NG has published on the role of fibre, low-carbohydrate diets, high-protein diets, intermittent fasting, the Mediterranean diet and fat class in the management and/or prevention of type 2 diabetes.