Publishers Weekly This rigorous debut by physician Attia dispenses guidance on living longer while staying healthier. “The odds are overwhelming that you will die as a result of... heart disease, cancer, neurodegenerative disease, or type 2 diabetes,” he writes, outlining strategies to stave off these four “chronic diseases of aging.” The author’s medical philosophy emphasizes prevention over treatment, recognizes that what works for one person might not work for the next, evaluates “risk versus reward versus cost” on a case-by-case basis, and prioritizes maintaining one’s “healthspan.” He strikes the delicate balance between providing scientific background and keeping his explanations accessible, as when he relates that long-distance running and biking help fend off neurodegenerative disease because they cause the body to generate a molecule that bolsters the health of brain structures implicated in storing memories. Attia’s acknowledgement that diets aren’t one-size-fits-all is a welcome departure from the overgeneralizations of similar volumes, and he provides recommendations on modulating protein, fat, and carbohydrate intake depending on one’s age, sex, and activity levels. The familiar suggestions to reduce stress, eat healthier, and exercise are elevated by the depth of detail and lucid prose that Attia brings to the table. This stands a notch above other fare aimed at boosting health and longevity. (Mar.)

(c) Copyright PWxyz, LLC. All rights reserved

Copyright 1999 Cahners Business Information, Inc. Distributed by Syndetic Solutions Inc. Terms

Publishers Weekly: Debut writer and Washington, D.C., native, Clarke has written a novel as lyric and alternately beguiling and confounding as its title. It is the story of the drowning of a six-year-old child, and the tragedy's ramifications for her family and neighbors in the black area of Georgetown in 1925 D.C. Clarke's scene-building skills are the novel's strengths and occasionally its weaknesses, as each chapter is an intense set piece that sometimes provokes more questions than answers. The story is ultimately that of the effects of Clara Bynum's death on her 12-year-old sister, Johnnie Mae, who was babysitting Clara at the time she fell into the river. Johnnie Mae suffers guilt, fear and loss, endures dreams, imaginings and confusion as she sees visions of her sister everywhere: in a trauma-stung classmate who wears braids like Clara's, and the vapor from a boiling pot of green beans that resembles her sister's face. Against a felt, poignant and meticulously detailed panorama of the African-American (then called "colored") community of Georgetown, Johnnie Mae struggles to find her bearings, to cope with institutional and family expectations, and with puberty and race. Johnnie Mae ultimately derives strength from her element, the water, as she becomes a talented swimmer, but her parents Alice and Willie struggle with inextinguishable grief. From the first vivid description of the Potomac, liquid elements provide themes and narrative tension in this plangent coming-of-age story, granting the reader a necessary, if temporary, distancing from the blunt fact of a dead child. Indeed, Clarke's research about African-American Georgetown in the early 20th century revisits a time and place as intricate as any, but so remote from most memories that the historical details are fascinating footnotes to an era. While authorial asides are sometimes intrusive, this is a haunting story. Agent, Cynthia Cannell.

Copyright 1999 Cahners Business Information, Inc. Distributed by Syndetic Solutions Inc. Terms