Clinic, Family & Community Collaboration to Treat Overweight and Obese Children (Stanford GOALS)

Single-blind study with all outcomes assessors (data collectors) and Investigators masked
(blinded) to intervention assignment. Intention-to-treat analysis.

Inclusion Criteria:

- 7-11 years of age

- BMI greater than or equal to the 85th percentile for age and sex on the 2000 CDC BMI
reference

Exclusion Criteria:

- Have been diagnosed with a medical condition affecting growth (a genetic or metabolic
disease/syndrome associated with obesity, Type 1 diabetes, Type 2 diabetes taking
medication, chronic gastrointestinal diseases, Chronic renal diseases, uncorrected
structural heart disease, heart failure, heart transplant, anorexia nervosa or
bulimia nervosa or binge eating disorder (present or past), AIDS or HIV infection,
pregnancy);

- Take medications affecting growth (systemic corticosteroids more than 2 weeks in the
past year, insulin, oral hypoglycemics, thyroid hormone, growth hormone);

- Have a condition limiting their participation in the interventions (e.g., unable to
participate in routine physical education classes at school, requiring oxygen
supplementation for exertion, developmental or physical disability preventing
participation in interventions, children or parents/guardians who cannot medically
participate in mild dietary restrictions and/or increased physical activity for any
reason);

- Have a condition limiting participation in the assessments (child or primary
caregiver not able to read surveys in English or Spanish, child two or more grade
levels delayed in school for reading and writing in her native language);

- Are unable to read, understand or complete informed consent in English or Spanish;

- Plan to move from the San Francisco Bay Area within the next 36 months.

- Are deemed to have another characteristic that makes them unsuitable for
participation in the study in the judgment of the Principal Investigator.