Evaluating the design of studies

Molecules, Transport and Health · Health risks, evidence and treatment · note 2 of 7

Evaluating the design of studiesSpec 1.16

In short

A well-designed health study uses a representative sample, selected without bias, that is large enough for chance variation to have little effect. Data are valid if they measure what they claim to and control other variables, and reliable if the results can be repeated. Self-reported data, small samples and uncontrolled variables reduce the trustworthiness of a study.

Valid
The data measure what the study claims to measure, with other variables controlled.
Reliable
The results are consistent, and similar results would be obtained if the study were repeated.
Questions to ask when evaluating a study
FeatureWhat makes it betterWhy
Sample selectionPeople who represent the whole population (age, gender, lifestyle), chosen at randomAvoids bias, so the findings can be applied to the population; volunteers may be unusually health-conscious
Sample sizeLargeReduces the effect of chance and of anomalous individuals; the results are more reliable
Control of variablesGroups matched for age, gender and other factors, with a control groupReduces the effect of confounding variables, so any difference is more likely to be due to the factor
Data collectionObjective, measured values (blood pressure, cholesterol)Self-reported diet and exercise rely on memory and honesty
DurationLong enough for the disease to develop; follow people over timeCVD takes years to develop

In a cohort study a large group is followed over time and the rate of disease is compared between people with and without a factor. In a case-control study people with the disease are compared with matched people without it. Both can show a link but cannot prove a cause.

Exam tip:

Do not just write 'bigger sample'. Say why: a larger sample reduces the effect of chance and anomalies, so the data are more reliable. Link bias in selection to validity.

Written and checked against the Edexcel International AS Level Biology (XBI11) specification · Updated October 2026

Frequently asked questions

What is the difference between correlation and causation?

A correlation is a relationship between two variables, such as smoking and heart disease. Causation means one variable directly produces the change in the other. A correlation does not prove causation, as a third (confounding) variable could be responsible, so extra evidence such as a mechanism is needed.

What is the difference between HDL and LDL cholesterol?

LDL carries cholesterol from the liver to the body tissues, and a high level raises the risk of atherosclerosis. HDL carries cholesterol from the tissues back to the liver, so a high HDL level is protective. A high LDL with a low HDL is the highest-risk combination.

How do you calculate BMI and waist-to-hip ratio?

BMI is body mass in kilograms divided by height in metres squared. Waist-to-hip ratio is waist circumference divided by hip circumference. Both indicate obesity, but BMI does not separate muscle from fat, while waist-to-hip ratio shows how much fat is stored around the abdomen.

All 5 questions on Health risks, evidence and treatment