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The small change diet how i broke the curse of obesity by making small changes grinage barbara mcnab on amazoncom free shipping on qualifying offers the small change diet how i broke the curse of obesity by making small changes. The small changes approach was originally designed to make small lifestyle changes to prevent the gradual gain of weight loss this strategy has now evolved to be a comprehensive approach of small changes in diet and physical activity to combat obesity. By shifting our focus to small changes in diet and physical activity we can prevent weight gain and potentially reduce the magnitude of the obesity problem large permanent changes in diet and activity are much harder to implement and sustain significant benefits to society are possible by promoting small achievable changes said hill. Preventing obesity in addition to diet the cdc says other lifestyle factors can put a child at risk for obesity to prevent obesity children and adolescents should be active for at least one hour every day get the recommended amount of sleep for their age limit screen time to less than two hours per day