What is the treatment of choice for pre-pubescent children with obesity?

Cognitive behavioral therapy (CBT) is considered the treatment of choice for pre-pubescent children with obesity because it addresses the psychological and behavioral aspects associated with weight management. This approach helps children develop healthier eating habits, increase physical activity, and improve their overall mindset towards food and self-image. CBT is structured to empower children by teaching skills to cope with emotional triggers for overeating, recognizing and modifying negative thought patterns, and setting achievable goals.

At this developmental stage, focusing on behavioral and psychological factors is crucial, as the physical impact of obesity can be intertwined with emotional well-being. Interventions that promote self-efficacy and positive lifestyle changes through cognitive behavioral strategies often result in more sustainable weight management in children.

In contrast, dietary restrictions alone may not address the underlying behaviors contributing to obesity. Pharmacotherapy is typically not recommended for young children, and surgical options are generally reserved for adolescents with severe obesity and associated comorbidities. Thus, CBT offers a holistic approach tailored to the developmental needs of pre-pubescent children dealing with obesity.