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January 7, 1974

The Rational Diet for The Obese

Author Affiliations

Birmingham. Ala

JAMA. 1974;227(1):80. doi:10.1001/jama.1974.03230140050031

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To the Editor.—  It is appropriate that changing of the editorial guard is announced in the same issue of The Journal that presents the article on rational diet construction for mild and grand obesity (226:70, 1973). I read this article with enthusiasm, hoping to find therein some indication for dietary support that would be as effective for my patients as the admonition to attend the Weight Watcher's Organization.Sadly, while the advice in the article seems good, I see no reason to believe that it would be therapeutically as effective in accomplishing weight loss, while preserving nutritional health, as the Weight Watcher's directions for the mildly obese.In the malignant obesity problem, the primary advice is careful psychiatric evaluation and appropriate psychiatric treatment. Somewhere in my reading, I have missed evidence that psychiatric care and treatment are more effective than any other means of helping the malignantly obese to reduce.