Nutr J April 2011 PMID 21529374

Causal assessment of dietary acid load and bone disease: a systematic review & meta-analysis applying Hill's epidemiologic criteria for causality.

Tanis R Fenton, Suzanne C Tough, Andrew W Lyon, Misha Eliasziw, David A Hanley

Mentions

72
Peak: 4 in May 2020
across 5 sources since May 2020

Extended reach

855,563
potential audience

Total likes

30,165

Video views

581,159

Mentions per month

May 2020 – May 2025

Where it's discussed

  • Facebook26 posts
  • News20 articles
  • X / Twitter19 posts
  • Blogs5 articles
  • YouTube2 videos

AI synopsis

What people are saying

The overall tone is dismissive of the misconception that acidic diets cause bone loss, with posts emphasizing that the systematic review found no causal evidence, and many references to debunked hypotheses strengthen the perceptible shift towards scientific clarity, contributing to high engagement and perceived impact.

AgreementStrong agreement

Most posts dismiss the acid-ash hypothesis, strongly supporting the publication's conclusion that there's no causal link between dietary acid load and osteoporosis.

InterestHigh interest

Discussions involve technical references, debate over scientific evidence, and methodological critiques, indicating high curiosity and engagement.

EngagementHigh engagement

Posts analyze the research methods, cite specific studies, and challenge misconceptions, reflecting deep discussion and critical thinking.

ImpactHigh impact

The widespread rejection of the acid-ash hypothesis and emphasis on evidence-based conclusions suggest these discussions could influence public perceptions and dietary advice.

Abstract in brief

  • This systematic review analyzed existing research to determine if a high dietary acid load causes osteoporosis, using Hills' criteria for causality.
  • The review found mixed evidence: urine calcium levels suggested a link to bone loss, but other studies showed no clear evidence of calcium loss or bone weakening from acid-heavy diets.
  • Weaknesses in the research include a lack of direct evidence connecting acid intake to actual fractures or bone strength decline, and some studies did not control for known osteoporosis risk factors.

Top posts

Most liked on X and Bluesky
Natalia Schlamme
@NataliaSchlamme · X

@Axel_Arroyo @ElAletsArroyo @doctormacias Con gusto, aquí te dejo una lista del DOI de algunos artículos que han buscado una asociación CAUSAL entre la carga ácida de la dieta y algunas patologías: DOI 10.1186/1475-2891-10-41 DOI 10.1359/JBMR.090515 DOI 10.1007/s10552-005-0348-9 DOI 10.1136/ bmjopen-2015-010438 https://t.co/fCBkIsvqco

Jul 16, 2020 · 18 likes · 2 shares · 1,126 followers View post →
Stuart Phillips (he/him)
@mackinprof · X

@RealfoodKev @desgolden @CarnivoreMD @ProfTimNoakes @SBakerMD @FatEmperor @tednaiman @DrAseemMalhotra @puddleg @CerealKillers13 @DrPaulMason Acid-ash hypothesis firmly debunked, blood pH tightly regulated https://t.co/qCuY79Bm2U, https://t.co/7DAwW4pNdN, https://t.co/Vg3mBrXWPf

May 6, 2020 · 16 likes · 5 shares · 56,045 followers View post →
Stuart Phillips (he/him)
@mackinprof · X

@jackmmontgomery @ESGfitness @proftipper @MuscleScience An example could be eating a big salad with your protein. Codswallop https://t.co/msc4ahurqW protein doesn't make your blood acidic and veggies don't make it alkaline. We have unpublished data to show not a big effect no matter what Landry says!

Jan 18, 2021 · 6 likes · 2 shares · 56,045 followers View post →
Nick Krontiris
@nick_krontiris · X

In this analysis, which used the Bradford/Hill criteria to test causality, it was clear that the association between dietary acid load and osteoporotic bone disease was not supported by evidence... https://t.co/DokmiTay5A 7/17

Oct 19, 2020 · 5 likes · 1 share · 19,466 followers View post →
FITholic (Mandar Gadre, Ph.D.)
@FITholic_Health · X

Another myth: If you eat acidic food, body will pull calcium from bones to neutralize it; causing osteoporosis Conclusion was incorrectly drawn, looking at calcium in the urine. But it's not from Bones! Check this paper and its conclusions: https://t.co/7oEdncGXSr (14/n) https://t.co/uYTRFG6GiC

Jun 14, 2023 · 3 likes · 3,238 followers View post →
Mr. Fernandes
@MrFernandes85 · X

@migfon1906_ Tens aqui vários sobre dietas alcalinas Meta análise https://t.co/0c22fvvuYj Meta análise https://t.co/a4MHvMIEdz Revisão sistemática https://t.co/5RZPP1TVMF Revisão sistemática https://t.co/7rDI7FGDXV

Jun 10, 2022 · 1 like · 251 followers View post →

All mentions

FITholic (Mandar Gadre, Ph.D.)
@FITholic_Health · X

Another myth: If you eat acidic food, body will pull calcium from bones to neutralize it; causing osteoporosis Conclusion was incorrectly drawn, looking at calcium in the urine. But it's not from Bones! Check this paper and its conclusions: https://t.co/7oEdncGXSr (14/n) https://t.co/uYTRFG6GiC

Jun 14, 2023 · 3 likes · 3,238 followers View post →
Mr. Fernandes
@MrFernandes85 · X

@migfon1906_ Tens aqui vários sobre dietas alcalinas Meta análise https://t.co/0c22fvvuYj Meta análise https://t.co/a4MHvMIEdz Revisão sistemática https://t.co/5RZPP1TVMF Revisão sistemática https://t.co/7rDI7FGDXV

Jun 10, 2022 · 1 like · 251 followers View post →
Carnivore is Vegan
@CarnivoreIs · X

@MLBjustme @GoateeWoodson @angie_karan "A causal association between dietary acid load and osteoporotic bone disease is not supported by evidence and there is no evidence that an alkaline diet is protective of bone health." Oops. https://t.co/qrQagxtK9K

Mar 24, 2022 · 3,692 followers View post →
Stuart Phillips (he/him)
@mackinprof · X

@ScepticalDoctor @Alan_Watson_ @FusionProgGuy @jennyalaking @hubermanlab @davidasinclair @johnmcdougallmd @TheVeganRD @NutritionMadeS3 @BioLayne @JeffNippard @TheAlanAragon @Plant_proof Requiem for the acid-ash hypothesis (which was debunked years ago anyway): https://t.co/msc4ahurqW

Jan 1, 2022 · 56,045 followers View post →
Mario Alamilla-Sánchez
@MarioAlamilla · X

RT @NataliaSchlamme: @Axel_Arroyo @ElAletsArroyo @doctormacias Con gusto, aquí te dejo una lista del DOI de algunos artículos que han busca…

Jun 3, 2021 · 2 shares · 1,022 followers View post →
The New Neander's Medical
@NNeanderMedical · X

"Science", that is, a catastrophically wrong statement: "Conclusions: A causal association between dietary acid load and osteoporotic bone disease is not supported by evidence and there is no evidence that an alkaline diet is protective of bone health." https://t.co/DWr9MvEipB https://t.co/NBfJSX9CK8

Apr 11, 2021 · 625 followers View post →
GloNua
@GeraldByrne1 · X

RT @mackinprof: @jackmmontgomery @ESGfitness @proftipper @MuscleScience An example could be eating a big salad with your protein. Codswall…

Jan 19, 2021 · 2 shares · 336 followers View post →
Kevin Tipton
@proftipper · X

RT @mackinprof: @jackmmontgomery @ESGfitness @proftipper @MuscleScience An example could be eating a big salad with your protein. Codswall…

Jan 19, 2021 · 2 shares · 18,159 followers View post →
Stuart Phillips (he/him)
@mackinprof · X

@jackmmontgomery @ESGfitness @proftipper @MuscleScience An example could be eating a big salad with your protein. Codswallop https://t.co/msc4ahurqW protein doesn't make your blood acidic and veggies don't make it alkaline. We have unpublished data to show not a big effect no matter what Landry says!

Jan 18, 2021 · 6 likes · 2 shares · 56,045 followers View post →
J Sam
@JaicSam · X

And no , the acid load of diet doesn't cause bad bone health. They checked the causality of the claim and found it not supporting https://t.co/le0MVcyVfo

Jan 12, 2021 · 984 followers View post →
IberianCitizen
@IberianCitizen · X

RT @nick_krontiris: In this analysis, which used the Bradford/Hill criteria to test causality, it was clear that the association between di…

Oct 19, 2020 · 1 share · 12,906 followers View post →
Nick Krontiris
@nick_krontiris · X

In this analysis, which used the Bradford/Hill criteria to test causality, it was clear that the association between dietary acid load and osteoporotic bone disease was not supported by evidence... https://t.co/DokmiTay5A 7/17

Oct 19, 2020 · 5 likes · 1 share · 19,466 followers View post →
Oliver Laufer
@OliverLaufer · X

Causal assessment of dietary acid load and bone disease: a systematic review & meta-analysis applying Hill's epidemiologic criteria for causality https://t.co/ORI6rXDhSQ

Oct 8, 2020 · 33,421 followers View post →
Pedro Alvarado Avila
@DrPedroAlvarado · X

RT @NataliaSchlamme: @Axel_Arroyo @ElAletsArroyo @doctormacias Con gusto, aquí te dejo una lista del DOI de algunos artículos que han busca…

Jul 16, 2020 · 2 shares · 851 followers View post →
Natalia Schlamme
@NataliaSchlamme · X

@Axel_Arroyo @ElAletsArroyo @doctormacias Con gusto, aquí te dejo una lista del DOI de algunos artículos que han buscado una asociación CAUSAL entre la carga ácida de la dieta y algunas patologías: DOI 10.1186/1475-2891-10-41 DOI 10.1359/JBMR.090515 DOI 10.1007/s10552-005-0348-9 DOI 10.1136/ bmjopen-2015-010438 https://t.co/fCBkIsvqco

Jul 16, 2020 · 18 likes · 2 shares · 1,126 followers View post →
LALA HUTCHISON
@lala_hutchison · X

RT @mackinprof: @RealfoodKev @desgolden @CarnivoreMD @ProfTimNoakes @SBakerMD @FatEmperor @tednaiman @DrAseemMalhotra @puddleg @CerealKille…

May 6, 2020 · 5 shares · 40 followers View post →
z00tymanda
@z00tymanda · X

RT @mackinprof: @RealfoodKev @desgolden @CarnivoreMD @ProfTimNoakes @SBakerMD @FatEmperor @tednaiman @DrAseemMalhotra @puddleg @CerealKille…

May 6, 2020 · 5 shares · 2,666 followers View post →
Agnes Ayton
@AgnesAyton · X

RT @mackinprof: @RealfoodKev @desgolden @CarnivoreMD @ProfTimNoakes @SBakerMD @FatEmperor @tednaiman @DrAseemMalhotra @puddleg @CerealKille…

May 6, 2020 · 5 shares · 7,419 followers View post →
Stuart Phillips (he/him)
@mackinprof · X

@RealfoodKev @desgolden @CarnivoreMD @ProfTimNoakes @SBakerMD @FatEmperor @tednaiman @DrAseemMalhotra @puddleg @CerealKillers13 @DrPaulMason Acid-ash hypothesis firmly debunked, blood pH tightly regulated https://t.co/qCuY79Bm2U, https://t.co/7DAwW4pNdN, https://t.co/Vg3mBrXWPf

May 6, 2020 · 16 likes · 5 shares · 56,045 followers View post →