Treating Pre-School Children at Risk for Overweight in the Primary Care Setting

Inclusion Criteria: * 2-5 year old with a BMI greater than the 85th% for age and sex * one overweight parent (BMI\>27kg/m2) * child with normal developmental milestones * history of adherence to 90% of scheduled primary care visits * parent must be at 5th grade reading and speaking of English language or the spanish language * no plans on moving out of the area for the 2 years subsequent to enrollment Exclusion Criteria: * child with a height 2 SD below the mean for age and sex and/or pathological growth velocity * SGA * any chronic disorders influencing energy intake and/or growth * any orthopedic disorder preventing the child or the parent from ambulation normally and performing the activity prescribed by the program * any medication known to have the potential of affecting weight changes * parent or child with psychiatric and/or eating disorder * participating mother who is pregnant or planning a pregnancy * parent being acquainted with the parent of a previously randomized study participant