I have not kept score per se, but my impression is that there is as much new scientific literature addressing topics in nutrition since I wrote the first edition of this book as there was total literature when I did so. The medical literature grows at an ever-accelerating pace. Trying to keep up with its relentless expansion invites sympathies for Sisyphus!
But of course, there is a need now, as at any given juncture in medical history, to identify the fundamentals in what we know and apply them. Our knowledge of nutrition science will evolve, but the patients we see today need the best guidance we have to offer at present.
This fully updated version of Nutrition in Clinical Practice is dedicated to both the evolving elements in our understanding of nutrition and health and to the fundamentals that by and large stand the test of time. Each chapter addresses in its body the uncertain, the unresolved, and the debatable, while concluding with guidance for clinical practice now, based on consensus and the weight of evidence.
As compared to the first edition, this second edition has been substantially rewritten, incorporating hundreds, if not thousands, of new studies. Several new chapters have been added, including Diet and Hematopoiesis: Nutritional Anemias, Diet and Dermatoses, and chapters dedicated to the health effects of coffee, chocolate, and ethanol. Nothing from the first edition was taken for granted. Everything was revisited and, as appropriate, revised.
Despite the changes, the second edition and first are more alike than different, sharing the basic, practical goal of supporting the consistent delivery of well-informed dietary counseling in the routine course of clinical practice. There are now, as there were when the first edition was published, many obstacles to such counseling; these are, in fact, addressed in some detail in Chapter 47. But there is an ever more compelling mandate to provide dietary guidance to our patients nonetheless.
Obesity is epidemic, among adults and children alike. Type 2 diabetes is as well. And while debate about the mortality toll of obesity persists (see Chapter 5), the profound influence of dietary pattern on health is simply not debatable. The combination of poor dietary pattern and lack of physical activity may soon overtake tobacco use as the leading underlying cause of premature death in the United States. The potential for diet to promote health and forestall disease has been powerfully demonstrated in such trials as the Diabetes Prevention Program (see Chapter 6), the Dietary Approaches to Stop Hypertension (DASH) trial (see Chapter 8), and the Lyon Diet Heart Study (see Chapter 7).
As clinicians, our obligations reside with the important influences on the health of our patients. Nutrition is irrefutably among these, and prominently so. Whatever the challenges in providing constructive dietary guidance, we really don't have the option of abdicating. If not us, who? If not now, when?
The ardors, and yes, pain, involved in writing the second edition of Nutrition in Clinical Practice are a small price to pay if, as intended, this text makes dietary counseling more accessible, more practical, more effective, and less intimidating. I very much hope my efforts to promote nutritional health in patients support and facilitate your own.
For any omission or error, I offer my sincere apologies. For your attention to this critical topic, I offer my thanks. Whatever the merit of this text, it resides in your application of its contents in patient care. So while hoping to have played my role well, I acknowledge our de facto partnership by noting: the rest is up to you.
David L. Katz
About the Authors
David L. Katz M.D., M.P.H., F.A.C.P.M., F.A.C.P., is an associate professor (adjunct) of Public Health Practice and director and co-founder of the Prevention Research Center at the Yale University School of Medicine. He earned his B.A. from Dartmouth College, his M.D. from the Albert Einstein College of Medicine, and his M.P.H. from the Yale University School of Public Health. A board-certified specialist in both internal medicine and preventive medicine, Dr. Katz has twice been recognized as one of America's Top Physicians in Preventive Medicine by the Consumers' Research Council of America. An expert in nutrition, weight management, and chronic disease prevention, he has served as an advisor on obesity control to the U.S. Secretary of Health, the Commissioner of the U.S. Food and Drug Administration, the ministries of health in Canada and Israel, and the National Governors Association. Dr. Katz is also a leading authority on medicine in the media, serving as a medical consultant for ABC News, a health columnist for the New York Times Syndicate, an editorial advisor to Prevention magazine, nutrition columnist to O, the Oprah Magazine, and a frequent contributor to other leading magazines and newspapers around the world.
Dr. Katz is the founder and director of the Integrative Medicine Center at Griffin Hospital in Derby, Connecticut, a facility devoted to a ground-breaking model of patient-centered, evidence-based holistic care; and the founder and president of Turn the Tide Foundation, Inc., a nonprofit foundation dedicated to reversing trends in obesity and related chronic disease. Dr. Katz is the author of more than 100 scientific papers and chapters and 11 books to date, including The Way to Eat (published in 2002), a book written for the general public detailing skills, strategies, techniques, and resources for achieving and maintaining more healthful eating. The messages for patients in The Way to Eat are fully compatible with the guidance to clinicians in Nutrition in Clinical Practice; reference to The Way to Eat may facilitate a patient's adoption of and adherence to clinical dietary counseling. Dr. Katz lives in Connecticut with his wife and five children.
Rachel Summer Claire Friedman is a fourth-year medical student at the Yale University School of Medicine. She earned her B.A. magna cum laude from Harvard University and was inducted into Phi Beta Kappa. Following her third year of medical school, she received an NIH-T32 research fellowship to conduct clinical research, and she will receive a master's degree along with her M.D. from Yale in May 2008. Rachel has a long-standing interest in nutrition and preventive medicine; in college, she founded the Harvard Community Health Initiative, and she was selected to be an American Society for Clinical Nutrition intern in 2005. Rachel was recently awarded the prestigious Pisacano Scholarship for family medicine, and she envisions developing a holistic family practice that utilizes creativity and innovation to provide optimal support for patients in pursuing healthy lifestyles and optimal health.
Contents
CLINICALLY RELEVANT NUTRIENT METABOLISM
- Clinically Relevant Carbohydrate Metabolism
- Clinically Relevant Fat Metabolism
- Clinically Relevant Protein Metabolism
- Overview of Clinically Relevant Micronutrient Metabolism
- Diet, Weight Regulation, and Obesity
- Diet, Diabetes Mellitus, Insulin Resistance, and the Metabolic Syndrome
- Diet, Atherosclerosis, and Ischemic Heart Disease
- Diet and Hypertension
- Diet and Hemostasis
- Diet and Peripheral and Cerebrovascular Disease
- Diet, Immune Function, and Inflammation
- Diet and Cancer
- Diet, Hematopoiesis, and Anemia
- Diet, Bone Metabolism, and Osteoporosis
- Diet and Respiratory Diseases: COPD, Asthma
- Diet and Renal Disease
- Diet and Hepatobiliary Disease
- Diet and Common Gastrointestinal Disorders
- Diet, Dyspepsia, and Peptic Ulcer Disease
- Diet and Rheumatologic Disease
- Diet and Neurologic Disorders
- Diet and Dermatologic Conditions
- Diet and Wound Healing
- Food Allergy and Intolerance
- Eating Disorders
- Malnutrition and Cachexia
- Diet, Pregnancy, and Lactation
- Diet and the Menstrual Cycle
- Diet and Early Development: Pediatric Nutrition
- Diet and Adolescence
- Diet and Senescence
- Diet and Athletic Performance
- Endocrine Effects of Diet: Phytoestrogens
- Diet, Sleep-Wake Cycles, and Mood
- Diet and Cognitive Function
- Diet and Vision
- Diet and Dentition
- Hunger, Appetite, Taste, and Satiety
- Chocolate
- Health Effects of Ethanol
- Health Effects of Coffee
- Macronutrient Food Substitutes
- Vegetarianism, Veganism, and Macrobiotic Diets
- Culture, Evolutionary Biology, and the Determinants of Dietary Preference
- Diet and Health Promotion
- Dietary Change: Models of Behavior Modification
- Dietary Counseling in Clinical Practice
- Nutrition Formulas of Clinical Interest
- Growth and Body Weight Assessment Tables
- Dietary Intake Assessment in the U.S. Population
- Dietary Intake Assessment Instruments
- Nutrient/Nutraceutical Reference Tables: Intake Range and Dietary Sources
- Nutrient Composition of Foods
- Diet-Drug Interactions
- Nutrient Remedies for Common Conditions: Patient Resources
- Print and Web-based Resource Materials for Professionals
- Print and Web-based Resource Materials for Patients
- Patient-Specific Meal Planners
- Patient-Specific Supplement Guidelines
Product Details
- Paperback: 592 pages
- Publisher: Lippincott Williams and Wilkins; Second edition (2009)
- Language: English
- ISBN-10: 1582558213
- ISBN-13: 978-1582558219
- Product Dimensions: 9.9 x 6.6 x 0.9 inches