For years, medical experts have called for a multi-faceted strategy to address this epidemic. It has been clear that any long-term solution must be fought on four major fronts: physical activity, sedentary behavior, socioeconomic status, and eating habits [ii].
Yet there is room for another pillar; or, at the very least, the identification of another component that must be a part of any lasting solution. This fifth pillar, or undiscovered component, is smart nutritional supplements.
Many obese children have been told repeatedly by well-intentioned dieticians that eating smart is the key to overcoming this scarring condition. This is easier said than done; especially when emotional eating or an unobserved food addiction  may fuel adverse eating habits.
Yet being told to “eat smart” is oftentimes not enough. Children must be provided with foods that are nutritionally sound, and foods that they actually enjoy eating. It is this latter criterion that most well-intentioned experts and caregivers overlook. This is explained below.
Most obese children are neither unable to learn, nor willfully disobedient. Some of these children even have remarkable support from their well-adjusted families who dutifully remove the usual suspects of chips, soft drinks, chocolate bars, and other damaging foods from the home. Yet many of these same children continue to gain weight and march ever closer to the litany of health defects noted above.
These children are not sadistic, and they are not attempting to kill themselves through eating; though some do because of the stigma associated with their condition. Indeed, many obese children are cognitively aware of the danger to which they are subjecting their bodies. Yet they continue to snack away in secret, or binge on foods when they get the chance, thereby undoing whatever minor gains might have been achieved in the previous few days or weeks.
The problem is one of food selection. Generally speaking, children of all weights and shapes will not eat something that they do not like. For obese children who have typically had unfettered access to highly stimulating foods such as gravies and sugar-loaded soft drinks, the willpower to eat unpalatable foods is undeveloped. Indeed, the dietician may snack away on carrots and celery while talking to an obese child about the importance of eating smart. For the obese child, carrots and celery are foreign foods for which there is no known preference.
This fifth pillar, or new component, is therefore one that provides obese children with nutritional supplements that they will eat. As stunningly obvious – even axiomatic – as this seems, it has been lost on many experts until recently