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The End of Overeating: Taking Control of the Insatiable American Appetite Hardcover – April 28, 2009
Purchase options and add-ons
- Print length336 pages
- LanguageEnglish
- PublisherRodale Books
- Publication dateApril 28, 2009
- Dimensions6 x 1.19 x 9 inches
- ISBN-101605297852
- ISBN-13978-1605297859
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Your Food Is Fooling You: How Your Brain Is Hijacked by Sugar, Fat, and SaltDavid A. Kessler MD M.D.Paperback

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“David A. Kessler, who led the battle against the tobacco industry, now joins the fight against obesity. His message is important: The problem is not only the behavior of profit-driven food companies, but also the daily choices that each one of us makes.” —Eric Schlosser, author of Fast Food Nation
“David Kessler's fascinating book is essential for anyone interested in learning more about how corporate greed and human psychology have created a national health crisis. ” —Alice Waters, chef and owner of Chez Panisse
“Disturbing, thought-provoking, and important.” —Anthony Bourdain, author of Kitchen Confidential
“A compelling book about overeating and the obesity pandemic. Dr. Kessler thoroughly examines the nature of our relationship with food and why it is critical to understand and modify our behavior to reverse this global threat to health and well-being.” —David Satcher, former Surgeon General and director of the Centers for Disease Control and Prevention
“A fascinating, unique book by a brilliant public health leader.” —Donna Shalala, former Secretary of the U.S. Department of Health and Human Services
About the Author
Excerpt. © Reprinted by permission. All rights reserved.
Something Changed... America Gained Weight
For thousands of years human body weight stayed remarkably stable. Throughout adulthood we basically consumed no more than the food we needed to burn. People who were overweight stood apart from the general population. Millions of calories passed through our bodies, yet with rare exceptions our weight neither rose nor fell by any significant amount. A perfect biological system seemed to be at work.
Then, in the 1980s, something changed.
Katherine Flegal was one of the first to recognize the trend, but like many good researchers faced with an unexpected finding, she thought her numbers must be wrong. A senior research scientist at the federal Centers for Disease Control and Prevention, Flegal had been studying data from an enormous federal government survey of the health and nutritional status of American households. Her figures indicated that the number of people who were overweight had spiked dramatically.
Researchers had never seen such extreme numbers. In earlier decades, American adults typically gained a couple of £ds between the ages of twenty and forty and then lost a couple of £ds in their sixties and seventies.
The shift that riveted Katherine Flegal's attention came from government survey data collected from 1988 to 1991, which revealed that fully one- third of the population aged twenty to seventy-four weighed too much. In fewer than a dozen years, 8 percent more Americans--about 20 million people, roughly the population of New York State--had joined the ranks of the overweight.
Her training and professional experience had taught Flegal to be cautious. In a complex and ambitious survey, errors can creep in at many points, and data often show anomalies that disappear with further scrutiny. She knew her information had to be accurate before she sounded an alarm.
"We checked it to a fare-thee-well," she said, describing her research team's review of regional analyses, time trends, and quality- control techniques. Nothing seemed out of place. The evidence of an abrupt increase in the number of overweight Americans appeared to be valid.
Still, she was nervous, especially since no one else seemed particularly aware that Americans as a group were becoming heavier. Hoping to find studies confirming these provocative data, her team scoured the published literature, but few journal articles were relevant. At professional meetings Flegal casually asked other researchers what they thought was happening with weight in America. Most thought it was the same as it had always been.
Americans were gaining millions of extra £ds, yet at first these £ds remained invisible. The medical community, the scientific community, and the federal government were not quick to notice the trend.
And so Flegal's team wrote up its data and went to press. The study, published in the July 1994 issue of the Journal of the American Medical Association, reported that a comparison of current and earlier data on the weight of Americans had revealed "dramatic increases in all race/sex groups." When a respected academic journal calls something dramatic, it's the equivalent of a red alert. The results were consistent virtually across the board--among men and women, young and old, black and white. The rate of obesity in America had evidently exploded.
I asked Katherine Flegal to tell me how average weight had changed over time. Her graphs showed that the population had gotten bigger over the decades. In 1960, when weight was still relatively stable in America, women ages twenty to twenty-nine averaged about 128 £ds; by 2000, the average weight of women in that age group had reached 157.
A similar trend was apparent in the forty-to-forty-nine-year-old group, where the average weight had jumped from 142 £ds in 1960 to 169 in 2000.
Also striking was the evidence that we were entering our adult years at a significantly higher weight, reflecting the gains that had taken place during childhood and adolescence. And from age twenty to age forty, many of us kept gaining. Rather than a few £ds, the average adult man was gaining more than a dozen £ds in those years.
Flegal observed something else. While on average everyone was getting heavier, the heaviest people in the population were gaining disproportionately more weight than others. The spread between those at the upper end of the weight curve and those at the lower end was widening. Weight gain was primarily about overweight people becoming more overweight.
What had happened in such a short time to add so many millions of £ds to so many millions of people? Many years of research led me to an unexpected answer.
Certainly food had become more readily available in the 1970s and 1980s: We have larger portion sizes, more chain restaurants, more neighborhood food outlets, and a culture that promotes more out-of-home eating. But having food available doesn't mean we have to eat it. What's been driving us to overeat?
It is not a want born of fear that food shortages lie ahead. Once this had been so. In the Bible, seven years of plenty were inevitably followed by seven years of famine, so we needed to build storehouses of fat in preparation. But in America, where even northern supermarkets are filled with summer fruits much of the year, that logic doesn't apply.
Nor is it a want rooted in hunger or the love of exceptional food. That kind of logic is not what's driving the out-of-control eating we see in Sarah, Andrew, Claudia, and so many others like them.
We know, too, that overeating is not the sole province of those who are overweight. Even people who remain lean, like Samantha, feel embattled by their drive for food. For them, it takes the most determined restraint to resist what feels like an almost overpowering push to eat.
Little help has been available. Family members, friends, and colleagues have not had the knowledge to offer support. Many, including doctors and health care professionals, still think that weight gainers merely lack willpower, or perhaps self-esteem. Few medical personnel or nutritionists, few psychological experts or public health advocates, have recognized the distinctive pattern of overeating that has become widespread in the population. No one has seen loss of control as its most defining characteristic.
Those who have succumbed to the pull of food are spending billions of dollars in search of a cure, determined to rid their bodies of the burden of weight. But they are squandering most of their money, finding only short- term weight loss and a vain hope that it will last.
That is because we have not understood why eating certain foods only makes us want to eat more of them. No one has recognized what's really happening. Let me try to explain.
Product details
- Publisher : Rodale Books; 1st edition (April 28, 2009)
- Language : English
- Hardcover : 336 pages
- ISBN-10 : 1605297852
- ISBN-13 : 978-1605297859
- Item Weight : 1.3 pounds
- Dimensions : 6 x 1.19 x 9 inches
- Best Sellers Rank: #129,022 in Books (See Top 100 in Books)
- #173 in Self-Help for Eating Disorders & Body Image Issues (Books)
- #707 in Weight Loss Diets (Books)
- #1,161 in Other Diet Books
- Customer Reviews:
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About the author

DAVID A. KESSLER, MD, served as commissioner of the US Food and Drug Administration under presidents George H. W. Bush and Bill Clinton. He is a pediatrician and has been the dean of the medical schools at Yale and the University of California, San Francisco. A graduate of Amherst College, the University of Chicago Law School, and Harvard Medical School, Dr. Kessler is the father of two and lives with his wife in California.
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He was inspired to write "The End of Overeating", because he was frustrated with his own lack of willpower to lose weight. He figured out why by interviewing scientists, food industry insiders, a great deal of research, and infiltrating industry conferences about how to make food irresistible.
Kessler calls the processed and restaurant food we eat "adult baby food", because you can woof it down in 10 bites on average. Food used to take about 25 chews per bite before you could swallow.
I was thinking about that when eating goat at a barbecue recently - it took about 30 chews per bite. Because chewing takes time and gives your body a chance to say, "hey, I'm full", I felt stuffed on just a small amount of goat.
Food you can chew in just ten bites is full of fat, which also gives food texture, flavor, and aroma that's hard to resist. In addition to fat, the food industry removes chews by getting rid of fiber, gristle, bran, and chops food into tiny bits drenched in high-fat dressing. Meat is made soft by "pre-chewing it" from soaking in marinades, and then spun and tumbled to pull the marinade deep into the muscle. Then suddenly you've eaten a thousand calories before you know it.
If the food industry could like to fill you up like a car at a gas station, they would, but what's saving you is the fact that most people don't want to drink their doughnuts.
Welcome to the world of industrialized food, where chicken is pumped up with 40% water, making the customer think they're getting a lot of bang for their buck. The chicken is then battered, breaded, and shipped in frozen cubes to restaurants where it's deep fried fast and the water replaced with fat. So that chicken you've ordered that's so soft, huge, and tender maybe isn't as healthy as you expected. Probably bits of spinach have been added to the sauce on top to make you think it's healthy as well.
Chapter 3 is titled "Sugar, Fat and Salt make us eat more Sugar, Fat and Salt". It starts from day one, even newborns like sweet food. When you buy processed food or eat out, you're basically being served fatty, sugary, and salty food infused with sugar, fat, and salt, and topped with fatty, sugary, salty sauces. If you think I'm kidding, the book is laden with examples in Chapter four and throughout the book that may sicken you enough to stop eating a lot of common food served in restaurants and to read labels more carefully.
Added fat is how the food industry keeps you coming back for more. Fat gives food texture, body, crunch, creaminess, merges flavors, releases flavor-enhancing chemicals, lubricates food making it easier to swallow, and lingers as a pleasurable aftertaste.
But the food industry has other irresistible hooks to get you to bite. All kinds of chemicals are added to exaggerate the smell and taste, the texture, and colors. To give the industry discredit, there's an art to balancing the chemicals, sugar, fat and salt, and millions of dollars are spent testing food on people.
The food industry knows you don't like chemicals, so a chocolate drink will have cocoa in the ingredients list, even though there is very little cocoa and nearly all of the chocolate smell and flavor comes from the added chemicals. David Michael & Company can even replace real fruit with a fake filling and juices full of fruit flavor.
Often you don't even know you're eating fat and sugar. Kessler asked Gail Civille, who runs tasting test panels, where fat, sugar, and salt might be hidden that you wouldn't expect it. She said bread and crackers have quite a bit more than people realize.
I always read the list of ingredients on labels, and have seen many types of sugar listed. Kessler explains this is because sugar would have to be listed as the first ingredient if only one sugar were used, but each type of sugar is treated as a separate ingredient, so even though sugar is the main substance, it isn't first on the list.
The most upsetting part of this book are the rat studies that make it seem it's impossible to get out of the fattening sticky trap - for example rats will work for food high in fat and sugar even when they're not hungry. Rats will eat whatever quantity they're given, similar to the super-sized portions we're served.
A speaker at a food conference likened some of the highly processed food we eat to cocaine and heroin speedballs. This isn't too far from the truth - scientists have observed an opiate food reward cycle. Food high in fat, sugar, and salt can change the circuitry of our brains, and alter our habits to the point where we're stuffing ourselves without any awareness of doing so., and habits are very hard to break!
On a botany field trip, the Frito Lay slogan plastered on delivery trucks became a joke and we'd earnestly shout "Food for the fun of it!" when a Frito Lay truck drove by. But that's yet another way the food industry has gotten us to eat more - food as fun and entertainment.
They also make products they call "Premium snacking" items, because they know many people reward themselves with junk food, often to lower stress. The industry also knows the five factors that make food irresistible, how to add excitement and novelty to tempt you, and what packaging to use to get your attention. They can layer spices and sugar, balance crunchiness and creaminess, and bitter and salty flavors into multi-sensory food you can't resist.
Restaurants no longer cook food - they assemble it. Food is not fresh and healthy, it arrives pre-cooked and chopped. Garlic and onions are powdered, tomatoes dehydrated, and fresh spices are now oil extracts.
The push to serve healthier food doesn't daunt the food industry a bit, in fact they see it as a way to make more money, plus show they care about you. Kessler wonders if people are actually buying healthier choices.
In chapter 29 Kessler summarizes his thoughts about food that's no longer like anything our ancestors ate. The food industry pushes highly palatable combinations of sugar, fat, salt, and chemicals that condition us to seek more. He calls this "conditioned hyper-eating" because we automatically woof the widely available food down and can't control ourselves. Some people are more vulnerable to this cycle than others.
Eventually he comes to the part of the book on how to lose weight. But to do so, you really have to read the entire book, because you need to understand the whole cycle so you can't be so easily manipulated, and be grossed out enough over the way food is prepared that you don't want to eat it. He also explains why most diets don't work.
And even then, don't expect it to be easy. Here are just a few of his many ideas about how to lose weight that have worked for me. First, break the habit of walking into the kitchen when you come home. Second make rules - "I do not eat French fries", or "I only eat dessert on Fridays". Third, after you've served yourself food, put half of it on another plate. Wait 30 minutes. You'll be amazed at how much less food you need to eat to feel full. If it doesn't work and you're still hungry, try removing a quarter of your food the next night. You can probably remove some food and feel full half an hour later.
Kessler thinks that counting calories or weighing food is impractical, and takes too much time. It's better to pay attention to how much you eat and how long it takes before you get hungry again. A meal should last about four hours, a snack about two hours.
Think ahead about how you'll handle tempting situations. Visualize not eating the cookies, potato chips, or whatever it is that you can't resist. Try to eat food made from raw ingredients at home as much as possible.
In the end, if you don't get exercise, it will be hard to keep weight off. Exercise acts as a substitute reward and enhances your moods positively. It can change your self-image too, into one where you see yourself as a healthy, athletic person who can say no, and get rid of your old bad habits.
I thought this book was fun to read, and the dark side of how industrial food is altered chemically and changes your brain was as scary as any horror novel. The science and psychology of food is critical to understanding how to lose weight when we're surrounded by so much temptation.
Kessler very clearly and with great support explains why this raise in national obesity is happening and then goes on to provide real insight as to what needs to change to see this disturbing trend reversed, both in the arena of national health care policy and personal habits and responsibility.
First to the technical elements of this book. I purchased this book on my Kindle and I found it to be well laid out with an interactive table of contents which allowed me to move directly to chapters. This is an important element because the Kindle tracks by data volume and not page number, so without this element, as I've found to my consternation in other Kindle books you're forced to guess as to where that particular chapter you're looking for is without a means to jump there easily and so this is something that I look carefully for now in a Kindle book before I just hit the buy button. This book functioned completely and conveniently in the Kindle format and I can recommend it without reservation in that format as opposed to a hard-copy.
This book is laid out in six parts and is written in short pithy chapters that progressively build upon one another and then transition cleanly into the next logical area to be addresses and assessed.
From the fundamentals of nutrition to an examination of the business practices of today's food industry to the emotional and psychological trigger-points that have been identified and are routinely pushed with predictable results in the American populace a case is compellingly built as to why Americans have gained weight, how the food and restaurant industry is complicit in the factors which coincidentally contribute to their profit margins and how Americans can identify and take control of their own destinies collectively and individually.
While the level of discussion presented in this book is higher than most popular literature, the editing and writing style has been well laid out and there is no reason the average reader cannot move through this material easily. Anecdotal stories pepper the work and help to illustrate and reinforce the more technical elements that are explained themselves without a great deal of technical, medical jargon.
All in all I came away from the book better aware of the factors that are at work in our nation and within me personally to drive me toward overeating and obesity. That knowledge in and of itself is not enough to solve the problem, but there is enough there to provide a platform from which to move in the future.
5 stars, an excellent and powerful read.
bart breen
Top reviews from other countries
Ce livre est par moment un peu répetitif, peut-être parce qu'il est adapté en particulier au "monde" américain (nationalité et cursus de l'auteur obligent).
En tout cas il y a à mon sens deux leçons à tirer:
1) il faut éviter de grignoter
2) il faut éviter les repas préparés
En gros, il faut manger comme nos parents nous ont appris à le faire.
逆に言えば、この3点、食べなければ今はもう目の前に出されてもまったく食べたいと思わない。
ダイエットにお悩みの方、この本をすぐに手にとって身も心も軽くしてみませんか。









