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September 30, 1974

Treatment and Management of Obesity

Author Affiliations

Mayo Medical School Rochester, Minn

JAMA. 1974;229(14):1925. doi:10.1001/jama.1974.03230520067043

Obesity: Causes, Consequences and Treatment, edited by Louis Lasagna (meeting, Washington, DC, June 1972), 154 pp, with illus, paper, $10.50, MEDCOM Press, 1974.

Recent publication of two paperbacks about obesity reflects an everincreasing national concern with this disorder of energy balance. E. B. Astwood's now-classic comment comes readily to mind: "I shall not be surprised if soon we have a prohibition against it [obesity] in the name of national security."1

The volume edited by Bray and Bethune summarizes well the state of our knowledge, as of early 1973. Cahill presents his schema for control of fuel metabolism. Salans reviews work on fat cell size and number. Sims recounts his seminal studies on human experimental obesity. The parallels between behavior of obese subjects and of subjects undergoing starvation are drawn by Nesbitt. Of particular interest is Bray's classification of obese states according to known etiologic mechanisms. Finally, currently accepted therapeutic