This paper1 is retracted by the journal, with the agreement of the authors.
What happened post-publication
Wide ranging concerns were raised about the quality of the work after publication, including the approach to statistical analysis of the dataset; implausible values; concern about the reliability of the underlying dataset; inadequate reporting of the work; and absence of prospective trial registration, which is a breach of BMJ policy.2 3
The authors supplied their dataset to BMJ on request so that BMJ could conduct a post-publication review of the work, including efforts to replicate the results and to review markers of data authenticity. The authors were transparent about the lack of prospective trial registration for this study.
Reasons for retraction
The paper is being retracted because the authors’ analyses could not be replicated and multiple errors were identified. The authors supplied dataset also demonstrated patterns inconsistent with random allocation of participants to treatment groups, improbably small p-values given the limited number of participants included in the study (see online supplemental material 1).
bmjnph-8-2-s001.pdf (946.7KB, pdf)
The authors state that the discrepancies were honest mistakes that arose from version mismatches, data rounding or formatting differences when exporting from statistical software to reporting spreadsheets. However, the authors agree with the decision to retract the work.
Further action
The authors’ institutions have been informed. They have been supplied with the post-publication statistical report for investigation, and with the identifiers for the participants whose data would require close, independent verification before any attempt at correcting the analyses could be made.
Footnotes
Supplemental material: This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
References
- 1. Abou-Khalil R, Andary J, El-Hayek E. Apple cider vinegar for weight management in Lebanese adolescents and young adults with overweight and obesity: a randomised, double-blind, placebo-controlled study. BMJ Nutr Prev Health 2024;7:61–7. 10.1136/bmjnph-2023-000823 [DOI] [PMC free article] [PubMed] [Google Scholar] [Retracted]
- 2. Malbouby V, Trexler ET, Heathers J. Improbable data characteristics and extreme effects of apple cider vinegar on weight loss. BMJ Nutr Prev Health 2025;8:e000997. 10.1136/bmjnph-2024-000997 [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Abou-Khalil R, El-Hayek E. Comprehensive clarification of statistical and data concerns on the effects of apple cider vinegar on weight loss. BMJ Nutr Prev Health 2024;7:e001102. 10.1136/bmjnph-2024-001102 [DOI] [PMC free article] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
bmjnph-8-2-s001.pdf (946.7KB, pdf)
