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Atherosclerosis 152 (2000) 533

Book review

www.elsevier.com/locate/atherosclerosis

Insulin Resistance The Metabolic Syndrome, Edited by G.M. Reaven, A. Laws. ISBN 0-896-03588-3 S/

4674199

This is an excellent book in every respect. It contains 19 chapters in three broad sections with the following headings: the genetic and environmental factors affect-ing insulin action, pathophysiology of insulin resistance and clinical syndromes associated with insulin resis-tance. The relatively concise chapters are written by a well-chosen panel of experts, and extremely well refer-enced. The chapters generally give well balanced but critical overviews of their complex and rapidly moving subjects. Some chapters, however, seek to convince us of a particular hypothesis and in that sense are contro-versial; the editors are to be commended in this respect. In addition to predictable chapters such as those discussing genetics, obesity, physical activity, cardiovas-cular disease etc., novel aspects of insulin resistance are also incorporated such as discussions on fetal program-ming, the relationship between insulin action and en-dothelial function, and the recently demonstrated links

between insulin resistance and polycystic ovary syn-drome. Therefore, the book is up to date and compre-hensive and the editors are correct in their statement that ‘the importance of insulin resistance in human disease far transcends its role in the aetiology of type 2 diabetes’.

I would strongly recommend this book to anyone with an interest in research in the fields of diabetes, cardiovascular disease and obesity. In particular, this book would be a very useful starting point for PhD and MD students undertaking research on any aspect of insulin resistance. It would therefore serve as a very useful addition not only to Diabetes departments, but also to departments of Nutrition, Cardiology, and Ob-stetrics and Gynaecology.

Naveed Sattar

Department of Pathological Biochemistry Royal Infirmary Glasgow G4 0SF UK

.

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