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In a world dominated by fast food and fake food, establishing healthy eating habits in children is one of the greatest concerns for parents -- and potentially one of the greatest challenges. Fortunately, the renowned physician Dr. David Ludwig developed a proven lifestyle plan that has benefited thousands of families. Here he shares his nine-week program, offering the tools -- including tasty recipes, motivational tips, and activities -- that can help families prevent the kitchen table from becoming a battleground.
- Sales Rank: #574492 in Books
- Brand: Brand: Houghton Mifflin Harcourt
- Published on: 2008-03-18
- Released on: 2008-03-18
- Original language: English
- Number of items: 1
- Dimensions: 8.63" h x .87" w x 5.56" l, .86 pounds
- Binding: Paperback
- 352 pages
- Used Book in Good Condition
Review
“This book comes from a wise and caring physician and nutritionist whose compassion and devotion to children’s health shines.” –Marion Nestle, PhD, author of What to Eat, and a professor of nutrition, New York University
About the Author
Dr. David Ludwig is an associate professor of pediatrics at Harvard Medical School as well as director of the Optimal Weight for Life (OWL) Program at Children's Hospital Boston, one of the largest clinics for overweight children and their parents in the United States. His groundbreaking research has been the basis for some of the most successful diets of the past decade, including the South Beach Diet and SugarBusters.
Excerpt. © Reprinted by permission. All rights reserved.
INTRODUCTION During my pediatrics residency training in the early 1990s, I helped care for Grace, a three-year-old girl who was admitted to the hospital with failure to thrive. This condition — usually caused by a chronic medical problem, improper nutrition, or neglect — results in poor weight gain and stunted growth. However, Grace’s condition was unusual: she had gained no weight at all in nine months, but her growth had continued at an entirely normal rate. In addition, her appearance was striking, especially compared to photos taken of her in infancy. Over the previous year, all of her normal baby fat had melted away, yet her muscles were remarkably preserved, making her look like a tiny bodybuilder.
After a few days of fruitless investigation, we finally discovered that Grace had a rare abnormality in a region of the brain called the hypothalamus, which controls body weight. Somehow her brain was sending her body the message to shed every single ounce of fat. But since she was otherwise healthy, the growth of other body tissues continued uninterrupted. Unfortunately, the surgery needed to treat Grace’s condition produced damage to the part of the brain that controls satiety, the sensation of fullness we get after eating. Almost immediately after recovering from surgery, Grace developed a ravenous appetite and a significant problem with overeating. Through the next few years, Grace gained a great deal of weight, going from being substantially underweight to seriously overweight. Grace’s mother, with support from our medical team, struggled to control her daughter’s hunger and slow down her weight gain.
By the end of my pediatrics training, the obesity epidemic in the United States was in full swing. Influenced in part by my experience with Grace, I decided to pursue a career in obesity and joined a basic research laboratory studying the biological factors that affect body weight. I became fascinated by the beauty and complexity of the body’s weight-regulating systems. Under most circumstances, these systems help maintain a near- perfect balance between calorie intake and calorie expenditure. Without these systems, our weight would fluctuate wildly, as did Grace’s. Just the calories in an extra bagel and cream cheese each day could cause a thirty- five-pound weight gain in one year.
During my five years in basic research, I helped discover a gene that can make laboratory mice fat and might contribute to human obesity. However, I came to believe that the discovery of new genes was unlikely to provide a cure for obesity anytime soon. After all, our genes haven’t changed much in the past thirty years, but rates of obesity have more than doubled. So in 1996, I left the basic laboratory, began researching new dietary approaches to obesity in people, and developed the Optimal Weight for Life (OWL) Program at Children’s Hospital Boston. Since then, OWL has grown from a staff of two to one of the largest clinics for overweight children and their families in the country.
When people find out what kind of work I do, they often say something like, “You treat overweight children? That must be so sad.” Sometimes I do feel sad. Overweight people, and especially children, are subject to incessant teasing, abuse, and discrimination. The stories of our patients can at times be heartbreaking. And sometimes I feel angry. Soft drink companies spend millions of dollars on advertising targeting children, but OWL has to fight with insurance companies for only a few hundred dollars to cover the treatment of an obese child. More often I feel joy. In addition to the small, day-to-day victories that you’ll read about throughout this book, there are great triumphs. For instance, in chapter 2 you’ll meet Michael, who came to OWL at age fourteen. At that time, he was 5 feet 4 inches tall and weighed 220 pounds; he had high cholesterol, high triglycerides, fatty liver, and insulin resistance. Now nineteen years old and 5 feet 10 inches tall, Michael has reached an optimal weight of 155 pounds, and all of his obesity- related complications have resolved.
If you are the parent of an overweight child, or if you want to prevent a problem from developing in the future, this book is for you. In the following pages, I’ll share with you what we’ve learned from fifteen years of research and from working with thousands of families just like yours. I’ll introduce you to OWL patients who have made dramatic breakthroughs and others who are still struggling. And I’ll walk with you, step by step, as you and your family take this journey to health.
Copyright © 2007 by David Ludwig. Reprinted by permission of Houghton Mifflin Company.
Most helpful customer reviews
20 of 20 people found the following review helpful.
Almost perfect book
By WashingtonMom
When my child was diagnosed as obese, we looked for help everywhere and anywhere. I finally came across this book and it has become the family bible. The book starts with basic nutrition, obesity-related health problems, and then talks about how our environment has changed over the past decades to promote obesity. It then talks about a low glycemic index diet and gives a 9 week battle plan for changing eating and activity habits. Even though I am not entirely sold on the low glycemic index theory, the end result is a fruit, vegetables, whole grains, and whole foods based diet that few could argue with. The book's advice on how to increase physical activity was realistic and doable. As well as the "formal" activities like walks and playing games, it talks about the importance of frequent, short bursts of activity we all do in life, like taking the stairs, fidgeting, even chewing gum!
The most valuable part of the book for me was how to instill a healthy attitude towards eating in a child. Right now, when my child is young, I can control (more or less!) what goes into his mouth. But when he gets older, the control will shift to him. How to guide him to making healthy decisions without turning him into a calorie-obsessed nervous wreck? The book addresses that by talking about modeling, supporting without dictating, and sharing of your own nutritional approach. These concepts are described in theory and then fleshed out with specific examples.
The tone of this book is very sympathetic, both to the overweight kids and to their parents. In contrast to some of the other reviewers, I did not feel this was repetitive or that I was being talked-down to. I felt like I was listening to someone who finally understood what my family was going through and had a solution. The only thing that I wish this book had discussed was food cues and how to minimize them, which for my family helped a lot.
27 of 30 people found the following review helpful.
Best new diet info
By Benjamin Brown
This book is my new Bible for my diet and my patients. It's practical information is invaluable. The science relating to this difficult field is raised to a new level. And what is unusual about this book is the compassionate feeling which is conveyed throughout. It is clearly advice for people of all ages.
15 of 16 people found the following review helpful.
Terrific Book
By R.G. Troxler MD,MPH
This is a really terrific book! Dr. Ludwig has done brilliant research on the cause of obesity. This book is actually the second food fight he has ended. The first was between the low carbohydrate and the low fat diet proponents. His definitive research findings show that the low glycemic carbohydrate diet is superior to the low fat diet. This book ends the food fight between the loving parents who want the best for their child and the food producers who just want your children to eat as much as possible to fatten their profits.
If any of your children are overweight, you MUST read this book. Dr. Ludwig addresses the problem of motivating your child to lose weight in a loving, down to earth, practical way.
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