Foreword for the Smarter Science of Slim by Jonathan Bailor

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FOREWORD FOR THE SMARTER SCIENCE OF SLIM BY JONATHAN BAILOR By JoAnn E. Manson, M.D, M.PH., Dr.P.H Professor of Medicine and the Michael and Lee Bell Professor of Women’s Health Harvard Medical School Chief, Division of Preventive Medicine Brigham and Women’s Hospital

The dual epidemics of obesity and type 2 diabetes are the looming public health crises of the 21st century. All around us today, in all walks of life, are people who struggle with weight control. The growing prevalence of obesity in the United States and around the world, especially among children and adolescents, portends an enormous global burden of chronic disease in the future. The crystal ball shows not only more people with diabetes, but also enormous numbers of people with hypertension, heart disease, stroke, and even cancer. Although medical research has made strides in treating and controlling some of the health consequences of obesity, the prevention and management of obesity truly hold the key to improved health. Of particular importance, we now know that people suffering from overweight or obesity can take charge of their health—if they are willing to make even modest changes in their lifestyle. Throughout my career in preventive medicine and epidemiology, I have valued the importance of empowering the public through information and shared decision making. Together with my colleagues, our research has focused on prevention of cardiovascular disease and diabetes, including assessing the role of lifestyle factors in reducing risks. We have examined the “power of prevention” in several large-scale clinical studies, including the Harvard Nurses’ Health Study, the Women’s Health Initiative, the Women’s Health Study, the VITamin D and OmegA-3 TriaL (VITAL), and other research projects. One of the major findings from our large population-based studies is that type 2 diabetes and heart disease are largely preventable through lifestyle modifications, which are powerful determinants of our risk of chronic disease. For example, we’ve published papers from the Nurses’ Health Study indicating that at least 90% of cases of type 2 diabetes and at least 80% of heart attacks can be prevented by lifestyle changes, including being physically active, maintaining a healthy weight, and following a diet high in fruits, vegetables, and whole grains, and low in saturated and trans fats and refined carbohydrates.

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