ACTION PAC: Adolescents Committed to Improvement of Nutrition & Physical Activity

ACTION PAC: Adolescents Committed to Improvement of Nutrition & Physical Activity

Using a previously created weight management program for adolescents, the intervention will be implemented through school-based health centers (SBHC) and will be delivered by SBHC providers trained in Motivational Interviewing. Students at intervention school sites will be compared to students at control school sites. All students will have baseline, 1 year, and 2 year follow-up to assess if students in the intervention school sites will have improved risk factor profile for metabolic syndrome, improved nutrition and increased physical activity when compared with students at control school sites.

Inclusion Criteria:

• enrolled in 9th or 10th grade at participating schools

Exclusion Criteria:

• blood pressure in the range of stage 2 hypertension
• previously diagnosed type 1 or type 2 diabetes
• use of corticosteroids, antipsychotics, metformin, antihypertensive medications, and medications used for dyslipidemia
• inability to perform moderate to vigorous physical activity
• not ambulatory
• a score of 20 or more on Eating Attitudes Test (EAT)-26 screening measure
• developmental disorders that affect weight or ability to understand the study procedures or counseling