Instead, most knowledge in nutrition comes either from extremely small clinical studies (often less than 50 people), often with co-morbidities such as obesity or diabetes or endocrine diseases; or from professional atheltics. Or, from huge national-level statistics that rely on interviews for self-reported diet information, and are thus forced to mix diet, diet perception, excersise levels, lifestyle (stress, sleep) and environmental factors in one big mess, out of which come recommendations like the mediteranean diet, instead of siesta or 5-7 weeks of vacation per year or year-round sun.