As superintendent, the author works diligently to meet the demands by the West Virginia legislature, catalyzed by the aggressive role of West Virginia's First Lady Gayle Manchin, to fight child obesity. Recently, the state department of education agreed to enter the fight to curb the serious obesity and health problems among the children in the…

Exercise can help patients maintain lean body mass during weight loss. Although exercise is not extremely useful in shedding excess pounds, it helps keep off weight lost through calorie restriction. This article discusses the specifics of exercise prescription, types of exercise, motivation to exercise, and special problems such as diabetes. (SM)

Though leanness in athletes is often a natural state, it can pose long-term liability to some athletes' performance and/or health. The physician must determine when leanness is reason for clinical concern. Athletes who do not eat enough to sustain training must either reduce the exercise load or increase nutritional intake. (Author/SM)