Supporting Together Exercise and Play and Improving Nutrition

Innovations in the Management of Obesity and Inactivity in Pediatric Primary Care

The purpose of this study is to design, pilot, and tweak a series of peer-led group nutrition sessions for primary care patients aged 6 -12 years who are overweight or obese and who want to eat healthier and be more active.

In addition to the group nutrition sessions, the investigators will give a Fitbit to each of a parent and child dyad, which will be used to track and motivate their activity. The investigators hypothesize an improvement pre-post in children's physical activity levels, self-efficacy and intentions for physical activity, self-reported consumption of fruits, vegetables, and child quality of life, and a decrease in consumption of sugar-sweetened beverages and fast and snack-food, and television (TV)/ videos screen time

Inclusion Criteria:

• Patients whose primary medical home is the Pediatric Primary Care Center (primarily Medicaid or self-pay)
• BMI is greater than 85th%ile for age and sex
• English speaking
• have access to a computer/internet or a smart phone (for uploading Fitbit data)

Exclusion Criteria:

• Have been seen in a weight management clinic within the last 2 years
• prescribed an atypical antipsychotic
• non-ambulatory