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useful table outlining the developmental stages in eating, and this information can be utilized in conjunction with other chapters on children. Several chapters contain reprints of assessment forms. Of special note is an assessment tool to document neurodevelopment and its association with feeding assessment. Conditions in adults that are discussed include dysphasia, aging, and arthritis. Excellent diagrams of the head and neck accompany the chapter on dysphasia, and the chapter on arthritis contains an excellent review of unproven nutrition remedies. In the area of geriatrics, the nutritional considerations of the stroke patient and aging in general are well-covered. The chapters on traumatic brain injury and spinal cord injury are the weakest, perhaps due to a lack of sufficient information available in these areas. Two chapters close the book with helpful information for the practicing nutritionist on available computer programs and health promotion techniques. This book provides a good introduction to nutrition and rehabilitation and would be a useful reference for those working in the field. However, it is also clear from reading the text that this is a new field and that there is room for further development of concepts introduced in this volume. Ann M. Coulston, MS, RD, Senior Research Dietitian, General Clinical Research Center, Stanford University Medical Center, Stanford, CA 943055280 CONSUMER/PROFESSIONAL The Weight Maintenance Survival Guide, Brownell, K. and J. Rodin, 1990. From the LEARN Education Center, 1555 W. Mockingbird Lane, Suite 203, Dallas, TX 75235, 156 pp., softcover, $21.95. ISBN 1-878513-01-x. One of the greatest challenges in the "battle of the bulge" is how to maintain the hard-won weight loss. In the Weight Maintenance Survival Guide, the authors suggest that the answer "lies in the consistency of your own behavior." Stepby-step, the reader is taken through the behavioral principles essential to the understanding of successful weight loss and maintenance. Through the use of questionnaires and worksheets, the reader is able to recognize the personal behaviors and environmental obstacles that make weight management so difficult. Strategies for improving body image, preventing a relapse, exercise, developing a support group, and the role of good nutrition are just some of the topics covered. The authors also suggest a unique approach to self-monitoring weight maintenance problems-the personal maintenance
check-up. The Weight Maintenance Survival Guide can be used alone or can easily be adapted for use in a group setting. It is an excellent resource for professionals working in the area of obesity prevention and treatment and, more importantly, it's" must reading" for anyone who struggles with hislher weight. Jean Harvey, M.S., RD., Senior Research Associate, University of Pittsburgh, WPIC, 3811 O'Hara St., Pittsburgh, PA 15213. CONSUMER Get Slim and Stay Slim: The Psychology of Weight Control, Ashcroft, J.J. and J.B. Ashcroft, 1989. From Oxford Univ. Press, 200 Madison Ave., New York, NY 10016, 114 pp., softcover, $13.95. ISBN 0-19261738-9. This book contains an abundance of excellent information for those who are trying to lose weight and improve their health. The authors, a husband-and-wife team of British psychologists, discuss in depth how people can be successful in meeting their goals in reaching their desired weight and maintaining new lifestyle changes. The authors advise setting small, realistic goals each week. To reinforce the importance of setting goals, they have included several informative chapters on long-term planning to help individuals make appropriate lifestyle changes for health improvement. They have also included detailed strategies to help reduce sugar, fat and sodium and increase exercise. They have done an excellent job of explaining why weight should be lost slowly and the shortcomings of restrictive diets. Despite the psychological focus implied by the title, most of the book deals with practical diet information. A chapter on basic nutrition thoroughly reviews the sources and functions of protein and carbohydrates. A good discussion of micronutrients follows. However, the discussion of fats contains a major shortcoming: There is no mention of monounsaturated fats and their role in good health; all fats, other than polyunsaturated, are regarded as unhealthy. This particular area of discussion needs revision. This book would be of value to patients who are looking for a successful weightloss strategy. It would probably be most beneficial if read as an adjunct to diet counseling. In addition, dietitians who are interested in weight loss should read this book to broaden their knowledge of this area. Lisa B. Stallman, MA., RD., Nutritionist in Private Practice, 222 East Main Street, Suite 110, Smithtown, NY 11787.
PROFESSIONAL Iron in Human Nutrition, 1990. From the National Livestock and Meat Board, 444 North Michigan Ave., Chicago, IL 60611, 32 pp., softcover, $1. 95. Bulk discounts available. Nutrition educators and other health professionals often grapple with the problem of making the complex topic of iron nutriture intelligible. This booklet on the subject of iron and its availability in food is notable for the clarity of its presentation and its accurate, up-to-date information. This short booklet is designed for use as a reference for nutrition educators and health professionals. It summarizes the functions of iron; the mechanisms of iron transport, metabolism and absorption, including the effects of meat factor, vitamin C and inhibiting factors such as tannins, phytates, calcium and phosphorus; recommended dietary allowances for iron for various age and sex categories; the stages and indicators of iron deficiency and overload; issues pertaining to iron fortification and supplementation; and the calculation of iron availability in meals. Sixty references are cited. The booklet clearly explains the need for persons at risk to be aware of good and poor sources of dietary iron, as well as the difference in the absorption of heme versus non-heme iron and the effects of enhancing and inhibitory factors. An Appendix provides lists of heme and nonheme iron sources. Included with the booklet is a handout that can be reproduced for use in nutrition counseling. Four strategies for increasing iron absorption are delineated: (1) include heme iron sources, (2) remember the meat factor, (3) include vitamin C sources, and (4) be alert to iron absorption blockers. This booklet will be a useful resource for its intended audience. RoseAnn Loop, PhD., Professor and Head, Nutrition, University of Texas at Austin, Austin, Texas 78712. PROFESSIONAL Prenatal Care: Reaching Mothers, Reaching Infants, Brown, S., ed., 1989. From National Academy Press, 2101 Constitution Ave., NW, Washington, DC 20418,264 pp., softcover, $17.95 + $2.00 S/H. There is a wealth of information contained in Prenatal Care: Reaching Mothers, Reaching Infants. In a thorough and yet concise manner, the book outlines recent disturbing prenatal care statistics, discusses barriers women face in obtaining adequate care, reviews a variety of programs designed to improve prenatal care, and makes comprehensive recom-