Rational psychotherapy is considered one of the most important components of obesity complex therapy. Not only psychotherapist and children participate in the treatment, but also parents.
Apart from the fact that parents should encourage their child to lead a healthy lifestyle, they should try to enhance his self-esteem. When making a diet plan for a child, it is necessary to:
• avoid too strict dietary restriction
• set clear boundaries of acceptable eating behavior
• never use food as a reward or punishment
Eating behavior correction is a perspective method of childhood obesity treatment. For behavioral therapy of obesity in children, many methods can be used. These methods allow to change a child’s attitude to food and physical activity.
These methods include:
• Removal from home all junk food and purchasing of healthy foods at store
• Setting goals on energy expenditure by means of physical load
• Encouraging children to a proper and sufficient movement
The behavioral therapy must be carried out by specialists (pediatricians, nutritionists, fitness instructors and psychologists). When parents are also involved, the efficiency of the drug anti-obesity treatment is increased.
It should be noted that dietary habits in children are formed under the influence of dietary habits of other family members. Therefore, to train a child to eat only healthy foods, parents should change their food preferences as well.
Healthy diet and high physical activity is a priority method in the childhood obesity treatment. However, according to American Association for the Study of Obesity in Children, doctors should consider the possibility to prescribe non-drug anti-obesity therapy for a childhood obesity that is accompanied by many factors.
Prescription weight loss drugs (Duromine, Metermine, Adipex, Ionamin and Suprenza) should be prescribed to children with caution. It is known that many of them may cause serious side effects, such as cardiovascular diseases and mental disorders.
In order to increase the effectiveness of a complex weight loss program, a child is often prescribed physiotherapeutic procedures. The recommended methods of physiotherapy of obesity involve hydrotherapy (power shower, contrast shower, underwater shower massage), full body massage, electromyostimulation, individual therapeutic physical training.
Physiotherapeutic procedures allow activating the blood circulation, stimulating the metabolism and improving the skin tone. When prescribing a physiotherapy, the doctor should take into consideration the goals of treatment and possible contraindications.
The efficiency of psychotherapy, medical therapy and (or) physiotherapy must be controlled regularly throughout the entire treatment course. If some prescription drug was prescribed for a childhood obesity treatment, then physical and mental state of a child must be controlled every day.