SYNDROME X

What it is, how to treat it—a well-based medical guide to the newly named cluster of metabolic abnormalities.

Physician and academic Reaven (Medicine/Stanford) covers the same ground as did Jack Challem (Syndrome X: the Complete Nutritional Program to Prevent and Reverse Insulin Resistance, not reviewed); but this is the more authoritative guide. The hallmarks of Syndrome X, instructs Reaven, are impaired glucose tolerance and resulting high insulin levels in the blood. Coupled with a constellation of other factors (high blood pressure among them), these conditions leave Syndrome X sufferers at risk for heart disease. In explaining these basics, Reaven also points out that the usual "healthy heart" diets (low-fat, high carbohydrate) make the problem worse. Reaven’s Syndrome X diet, detailed here, recommends higher protein, lower carbohydrate, and higher fat percentages instead. Reaven thoroughly explains the physiological rationale behind the diet and includes menu plans and recipes. He also sets out exercise recommendations and discusses alcohol intake, how to stop smoking, medications that may be necessary to further control Syndrome X, and what to do if there are other medical conditions involved. Much more medical detail than was provided by Challem, accompanied by an equally worthwhile plan for improving health.

(Literary Guild alternate selection)