Sample Solution

2hours of screen time per day (no television viewing for children <2yr old) • ≥ 1hour of physical activity daily • Reinforce goals at each healthcare visit • Allow child to self-regulate his/her meals and avoid overly strict eating regimens. 2. Structured weight management • Structured daily meals and planned snacks with balanced macronutrients (breakfast, lunch, dinner, and 1 or 2 scheduled snacks, with no food or calorie containing beverages at other times) • Emphasize food with low energy density (those with high fiber or water content) • Reduce frequency and quantity of foods with high energy density (eg; fried foods, baked goods, fats) • Limit portion size • Set explicit behavior goals ≤ 1hour of screen time daily • ≥1hour of physical daily, supervised • Monthly patient-provider contact • Monitor eating & physical activities through logs • Use positive reinforcement techniques (reward system) • Strong parental involvement for school aged children 3. Comprehensive multidisciplinary intervention • Same as stage 2, along with structured diet & physical activity designed for negative energy balance behavioral interventions like development of short-term diet & physical activity goals. • Weekly patient-provider contact (and/or phone) for a minimum of 8-12 weeks. Subsequently, monthly visits can help maintain new behaviors.