Richard Lowe, an account manager for the National Book Network in Lanham, Md., which handles sales and distribution for Aloha, said he hadn't yet read the book. However, he called Kramer "really passionate about what he's doing. In Hawaii, he goes around to schools and does presentations and he likes working with kids."
Ikeda, the co-founding director of UC Berkeley's Center on Weight and Health, described Kramer's response to the public health perils of pediatric obesity as "well-intentioned but very misguided. It reminds me of the old saying, 'fools rush in where angels fear to tread.' It's unfortunate that he didn't consult with people experienced in treating pediatric overweight."
Nutritionists and pediatricians today encourage overweight youngsters to eat a good, balanced diet and exercise regularly, rather than become caught up in weight-loss plans.
The idea that a child of 6 to 10 might read a book about dieting and try to emulate the main character runs counter to the policies of mainstream plans like Weight Watchers. Weight Watchers excludes from its weekly meetings any children under the age of 10, and only admits those 10 to 16 "with a doctor's note identifying the weight goal for the child."
Youngsters must be at least 13 to participate in Weight Watchers' newer online program.
For boys and girls who haven't yet passed through puberty, cutting calories poses "the danger of stunting growth and height," Ikeda said. "As a consequence, most responsible health professionals would not recommend dieting, even for overweight children. There's usually the strategy of trying to help children grow into their weight."
Pediatric obesity literature contains cases "where children restricted their calorie intake because they were so afraid of becoming fat that they actually slowed down their growth curve," she said. In addition, some researchers have reported that dieting among teenage girls "leads to greater risk of overweight than among girls who don't diet during their teenage years."
In her own study of women carrying around hundreds of extra pounds, Ikeda found that the heaviest among them "had actually started dieting before they were 13."
Extreme weight fluctuations from years of yo-yo dieting can be downright dangerous, Ikeda said, and "contribute to increased risk of obesity, coronary heart disease and hypertension."