A big fat crisis The hidden forces behind the obesity epidemic - and how we can end it

There have been many descriptions, prescriptions, and deconstructions related to the obesity epidemic, from the individual molecular and genetic level to the population level. Here, physician/epidemiologist Cohen (RAND Corporation) examines the epidemic from multiple perspectives. After analyzing the biological bases and limitations of diets in curbing obesity, she addresses the food industry's role. She highlights changes in food consumption over the past four decades, with the increasing availability of superficially low-cost, calorie-dense foods, combined with elaborate marketing schemes. To combat the effectiveness of the food industry in promoting overconsumption, as well as the inherent vulnerabilities of the brain, Cohen suggests individual and collective action but concentrates on public health law. Standardizing portions, restricting impulse marketing, and equally important, certifying restaurants and supermarkets as healthy food environments all will contribute to reducing obesity and promoting health. Promoting physical activity through environmental modification is also important. Finally, working together to modify the food environment through community activism (e.g., requesting that pharmacies and supermarkets have candy-free checkouts) will activate individuals to participate in their own health. Cohen's writing is clear, concise, and accessible. A useful contribution, with a balanced though a more public-health approach toward reducing obesity and improving health in general. Summing Up: Recommended. All levels/libraries. --Kawika Liu, Consolidated Tribal Health Project Inc