Nearly one out of every three adults in America is obese and tens of millions of people in the United States are dieting at any one time. This has resulted in a weight-loss industry worth billions of dollars a year and growing. What are the long-term results of weight-loss programs? How can people sort through the many programs available and select one that is right for them? Weighing the Options strives to answer these questions. Despite widespread public concern about weight, few studies have examined the long-term results of weight-loss programs. One reason that evaluating obesity management is difficult is that no other treatment depends so much on an individual's own initiative and state of mind. Now, a distinguished group of experts assembled by the Institute of Medicine addresses this compelling issue. Weighing the Options presents criteria for evaluating treatment programs for obesity and explores what these criteria meanâ€"to health care providers, program designers, researchers, and even overweight people seeking help. In presenting its criteria the authors offer a wealth of information about weight loss: how obesity is on the rise, what types of weight-loss programs are available, how to define obesity, how well we maintain weight loss, and what approaches and practices appear to be most successful. Information about weight-loss programsâ€"their clients, staff qualifications, services, and success ratesâ€"necessary to make wise program choices is discussed in detail. The book examines how client demographics and characteristicsâ€"including health status, knowledge of weight-loss issues, and attitude toward weight and body imageâ€"affect which programs clients choose, how successful they are likely to be with their choices, and what this means for outcome measurement. Short- and long-term safety consequences of weight loss are discussed as well as clinical assessment of individual patients. The authors document the health risks of being overweight, summarizing data indicating that even a small weight loss reduces the risk of disease and depression and increases self-esteem. At the same time, weight loss has been associated with some poor outcomes, and the book discusses the implications for program evaluation. Prevention can be even more important than treatment. In Weighing the Options, programs for population groups, efforts targeted to specific groups at high risk for obesity, and prevention of further weight gain in obese individuals get special attention. This book provides detailed guidance on how the weight-loss industry can improve its programs to help people be more successful at long-term weight loss. And it provides consumers with tips on selecting a program that will improve their chances of permanently losing excess weight.

This contains over 100 ideas, strategies, techniques, assessments and interventions ready for immediate use. They are useful for all ages and stages of disordered eating. This workbook is a must-have!

How economic analysis can help us design economic policies to address the looming challenges of global warming As scientific and observational evidence on global warming piles up every day, questions of economic policy in this central environmental topic have taken center stage. But as author and prominent Yale economist William Nordhaus observes, the issues involved in understanding global warming and slowing its harmful effects are complex and cross disciplinary boundaries. For example, ecologists see global warming as a threat to ecosystems, utilities as a debit to their balance sheets, and farmers as a hazard to their livelihoods. In this important work, William Nordhaus integrates the entire spectrum of economic and scientific research to weigh the costs of reducing emissions against the benefits of reducing the long-run damages from global warming. The book offers one of the most extensive analyses of the economic and environmental dynamics of greenhouse-gas emissions and climate change and provides the tools to evaluate alternative approaches to slowing global warming. The author emphasizes the need to establish effective mechanisms, such as carbon taxes, to harness markets and harmonize the efforts of different countries. This book not only will shape discussion of one the world's most pressing problems but will provide the rationales and methods for achieving widespread agreement on our next best move in alleviating global warming.

Leaders of congregations want to foster change but how is rarely obvious. Some pursue top-down approaches while others think bottom-up. Either approach assumes some control by the leader, but effective leadership of change needs more than control; it requires influencing the ongoing change that is naturally occurring. In the organizational literature this matter is understood in terms of systems and more specifically complex adaptive systems or self-organizing systems. This literature has important insights for church leaders when viewed in tandem with biblical principles. These concepts are presented here within the story of a mid-career pastor who is frustrated by his complacent congregation and is seeking a new way forward. Information on complex adaptive systems is presented in the context of the story of his interactions with a church consultant, a seminary professor, some published materials and an ongoing seminar conducted by the consultant. The pastor's engaging issue is whether change in a church is best pursued top-down or bottom-up. Within this context, self-organizing change becomes the central focus of the book and eventually is distinguished from both top-down and bottom-up initiatives. The focus is understanding the connection between such change and biblical principles.

"A bold, compelling challenge to conventional thinking about obesity and its fixes, Weighing In is one of the most important books on food politics to hit the shelves in a long time." —Susanne Freidberg, author of Fresh: A Perishable History "Weighing In is filled with counterintuitive surprises that should make us skeptics of all kinds of food -- whether local, fast, slow, junk or health -- but also gives us the practical tools to effectively scrutinize the stale buffet of popularly-accepted health wisdom before we digest it." —Paul Robbins, professor of Geography and Development, University of Arizona "If you liked Michael Pollan, this should be your next read. Guthman gives us the research behind the questions we should be asking, but, falling all over ourselves in the rush to consensus, we have overlooked. A self-described Berkeley foodie, Guthman takes on the self-satisfaction of the alternative food movement and places it in rich context, drawing on research in health, economics, labor, agriculture, sociology, and politics. This marvelous, surprising book is a true game-changer in our national conversation about food and justice." —Anna Kirkland, author of Fat Rights: Dilemmas of Difference and Personhood “This groundbreaking book calls into question the ubiquitous claim that ‘good food’ will solve the social and health dilemmas of today. Combining political economic analysis, cultural critique, and clear explanation of scientific discoveries, the author challenges our deeply held convictions about society, food, bodies, and environments.” —Becky Mansfield, editor of Privatization: Property and the Remaking of Nature-Society Relations "Step back from that farmer's market -- Guthman shows us that good foods and good eating are not enough. By questioning the fuzzy facts on obesity, the impact of environment, and capitalism's relentless push to consume, Weighing In challenges us to think harder, and better, about what it really takes to be healthy in the modern age." —Carolyn de la Peña, author of Empty Pleasures: The Story of Artificial Sweetener from Saccharin to Splenda

Fat isn't the problem. Dieting is the problem. A society that rejects anyone whose body shape or size doesn't match an impossible ideal is the problem. A medical establishment that equates "thin" with "healthy" is the problem. The solution? Health at Every Size. Tune in to your body's expert guidance. Find the joy in movement. Eat what you want, when you want, choosing pleasurable foods that help you to feel good. You too can feel great in your body right now—and Health at Every Size will show you how. Health at Every Size has been scientifically proven to boost health and self-esteem. The program was evaluated in a government-funded academic study, its data published in well-respected scientific journals. Updated with the latest scientific research and even more powerful messages, Health at Every Size is not a diet book, and after reading it, you will be convinced the best way to win the war against fat is to give up the fight.

This book elaborates on different aspects of the decision making process concerning the management of climate risk in museums and historic houses. The goal of this publication is to assist collection managers and caretakers by providing information that will allow responsible decisions about the museum indoor climate to be made. The focus is not only on the outcome, but also on the equally important process that leads to that outcome. The different steps contribute significantly to the understanding of the needs of movable and immovable heritage. The decision making process to determine the requirements for the museum indoor climate includes nine steps: Step 1. The process to make a balanced decision starts by clarifying the decision context and evaluating what is important to the decision maker by developing clear objectives. In Step 2 the value of all heritage assets that are affected by the decision are evaluated and the significance of the building and the movable collection is made explicit. Step 3. The climate risks to the moveable collection are assessed. Step 4: Those parts of the building that are considered valuable and susceptible to certain climate conditions are identified. Step 5. The human comfort needs for visitors and staff are expressed. Step 6: To understand the indoor climate, the building physics are explored. Step 7. The climate specifications derived from step 3 to 5 are weighed and for each climate zone the optimal climate conditions are specified. Step 8: Within the value framework established in Step 1, the options to optimize the indoor climate are considered and selected. Step 9: All options to reduce the climate collection risks are evaluated by the objectives established in Step 1.