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Treatment of the Obese Patient

Treatment of the Obese Patient Kushner RF, Bessesen DH, eds. 444 pages. Totowa, NJ: Humana; 2007. $135.00. ISBN 978159745400. Order at www.springer.com/humana. Field of medicine: Clinical nutrition. Format: Hardcover book. Audience: Endocrinologists, internists, and family physicians. Purpose: To inform clinicians about recent advances in obesity research and provide an up-to-date review of current issues and strategies in obesity treatment. Content: The first part of the book is a brief and readable but authoritative review of key concepts on the control of body weight and the pathophysiology of obesity, with an eye on the needs of clinicians. The new endocrinology of obesity is introduced along with older, but still valid, knowledge on the control of appetite, food intake, and energy expenditure. The author describes metabolic aspects of the regulation of body weight and their dysregulation in obesity. New developments, including the fetal origin theory of obesity, new techniques for measuring body composition in health and disease, and the role of alterations of energy expenditure in obesity causation and treatment, are well covered. The second part focuses on issues that are central to the clinical management of obese patients as it nicely integrates the research presented earlier. Particular clinical problems, such as polycystic ovary disease, diabetes, and juvenile obesity are singled out. The rest of the book is devoted to discussion of various treatments and patient management, including motivational interviewing, counseling, dietary strategies based on energy density, glycemic index, and low-carbohydrate diets. These topics and the roles of physical activity, pharmacologic agents, and surgery are covered thoroughly and helpfully. Highlights: This is a slim volume that will be used often. The early part of the book provides a solid base from national experts on current obesity research. The editors, first-rate endocrinologists who specialize in the clinical management of obesity, provide their expertise in an in-depth discussion of obesity treatment. Limitation: Readers who want more depth and greater detail may wish to consult other books with a more narrow scope after this excellent general overview. Related reading: Bray and colleagues' Handbook of Obesity: Etiology and Pathophysiology (Informa, 2003) provides greater detail on the mechanisms that cause obesity. Fairburn and colleagues' Eating Disorders and Obesity: A Comprehensive Handbook (Guilford Pr, 2005) and Wadden and colleagues' Handbook of Obesity Treatment (Guilford Pr, 2004) provide more complete details on clinical management. Reviewers: Johanna T. Dwyer, DSc, RD, Tufts Medical Center Schools of Medicine, Jean Mayer USDA Human Nutrition Research Center on Aging, and and Friedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.