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[...]... Byram Karasu, also morbidly obese, died at the age of 56 This tale of two fathers is in the background ofthe volume as the authors seek to assess the many factors that contribute to obesity and its control TheGravityofWeight is a model of scholarly inquiry that describes and analyzes, in a critical manner, an enormous amount of information With the possible exception ofa few references that may... know about the complex subject ofweight Statistics can never account for everyone Nevertheless, our book, TheGravityof Weight: AClinical Guide to Weight Lossand Maintenance, is our attempt to explain some of these discrepancies and explore particularly why, for most people, it is so difficult to lose weightand maintain that loss No one has all the answers, but an understanding ofthe science, of. .. can actually achieve and maintain is probably within a fairly limited range, but even a 5% to 10% lossofweight can have substantial health benefits Nevertheless, many people cannot lose even the 10% that can be an achievable and reasonable goal and keep it off indefinitely And many people have every wish to remain a certain weight yet find themselves overeating, often with considerable guilt before and. .. control, andweightmaintenance seem to apply better to animals that do not have the advanced cortical brains we have We can limit an animal’s food intake, for example, and give it regular exercise, andthe animal will lose weightand maintain that loss, assuming its food and exercise regimens continue to be regulated Human beings, however, are different We are not only beneficiaries of our remarkable evolution... endemic rather than epidemic, and she notes that although there has been a rise in the prevalence of obesity over the past twenty or so years, a survey done in the early 1960s actually found that 45% ofthe U.S population was overweight at that time In fact, back in the 1950s Breslow (1952) was already warning ofthe dangers of overweight and its relationship to increased mortality He said, The American... dyslipidemia), hypertension, adult-onset diabetes, and even gout, all symptoms of metabolic abnormalities His own father had died at the age of 62 from a sudden myocardial infarction, so my father had a strong genetic risk factor as well What was in my father’s favor, though, was that he had always believed in the importance of exercise, particularly walking andweight lifting, well before it was fashionable... andto explain why the control of body weightand its maintenance are “so daunting for so many people.” The problems that they raise andthe analyses that they conduct go far to realize this goal Early in the book, I was struck by the discussion of two problems in the understanding of obesity The first problem is the alteration ofthe largely linear correlation between increasing body fat and mortality... counting, which leads toweight gain xx THEGRAVITYOFWEIGHTThe section on pharmacotherapy for obesity describes the many medications that are currently available TheGravityofWeight concisely describes their characteristics and problems Only two, sibutramine and orlistat, have been well studied, and they have been shown to be modestly effective and safe The description ofa large number of less frequently... in sabotaging our best efforts at weight control, andthe importance of exercise and sleep, as well as the complex circadian rhythms involved Furthermore, we explain the principles behind various diets and explore the complications involved in starvation, and we also present some ofthe psychological approaches utilized for weightlossandmaintenance Weight, a measure ofthe earth’s gravitational pull,... Stanley M Katz Dean of Albert Einstein College of Medicine, whose earlier work as an endocrinologist at the National Institutes of Health led us to appreciate the important relationship of obesity to the brain; Robert Michels, M.D., former Dean and Chairman of Psychiatry at Weill Cornell Medical College, a longtime mentor and friend; Jack D Barchas, M.D., Chairman ofthe Department of Psychiatry at . England
e Gravity of Weight
A CLINICAL GUIDE TO
Weight Loss and Maintenance
Sylvia R. Karasu, M.D.
Clinical Associate Professor, Department of Psychiatry,. to the age of 91. e father
of Byram Karasu, also morbidly obese, died at the age of 56. is tale of two fathers
is in the background of the volume as