23Pediatric obesity remains a public health burden and continues to increase in 24 prevalence. The gut microbiota plays a causal role in obesity and is a promising 25 therapeutic target. Specifically, the microbial production of short-chain fatty acids 26 (SCFA) from the fermentation of otherwise indigestible dietary carbohydrates may 27 protect against pediatric obesity and metabolic syndrome. Still, it has not been 28 demonstrated that therapies involving microbiota-targeting carbohydrates, known as 29 prebiotics, will enhance gut bacterial SCFA production in children and adolescents with 30 obesity (age 10-18). Here, we used an in vitro system to examine the SCFA production 31 by fecal microbiota from 17 children with obesity when exposed to five different 32 commercially available over-the-counter (OTC) prebiotic supplements. We found 33 microbiota from all 17 patients actively metabolized most prebiotics. Still, supplements 34 varied in their acidogenic potential. Significant inter-donor variation also existed in SCFA 35 production, which 16S rRNA sequencing supported as being associated with differences 36 in the host microbiota composition. Last, we found that neither fecal SCFA 37 concentration, microbiota SCFA production capacity, nor markers of obesity positively 38 correlated with one another. Together, these in vitro findings suggest the hypothesis that 39 OTC prebiotic supplements may be unequal in their ability to stimulate SCFA production 40 in children and adolescents with obesity, and that the most acidogenic prebiotic may 41 differ across individuals. 42 43 44 IMPORTANCE Pediatric obesity remains a major public health problem in the US, where 45 17% of children and adolescents are obese, and rates of pediatric 'severe obesity' are 46 increasing. Children and adolescents with obesity face higher health risks, and non-47 invasive therapies for pediatric obesity often have limited success. The human gut 48 microbiome has been implicated in adult obesity, and microbiota-directed therapies can 49 aid weight loss in adults with obesity. However, less is known about the microbiome in 50 pediatric obesity, and microbiota-directed therapies are understudied in children and 51 adolescents. Our research has two important findings: 1) dietary prebiotics (fiber) cause 52 the microbiota from adolescents with obesity to produce more SCFA, and 2) the 53 effectiveness of each prebiotic is donor-dependent. Together, these findings suggest 54 that prebiotic supplements could help children and adolescents with obesity, but that 55 these therapies may not be one-size-fits-all. 56 developed long-term complications, we pursued three specific lines of inquiry: 1) whether 132 different types of prebiotics lead to differences in SCFA production by gut microbiota from 133 adolescents with obesity; 2) whether the effects of prebiotics are shaped by inter-134 individual differences in gut microbiota structure; and, 3) whether fecal SCFA production 135 is associated with protection from obesity. 136