Children who do not routinely participate in sports or activities outside of school are more likely to be overweight or obese compared with children who participate in free-time physical activity. It is recommended that children participate in >60 minutes of physical activity everyday. In Pittsburgh 33% of children have a BMI >85th percentile and 15.9% have a BMI >95percentile. Anecdotally, families describe lack of access to resources for play opportunities, lack of knowledge about local parks or safe places to play, and lack of events in their community that encourage physical activity. We designed a medical home-based intervention for our underserved patient population to increase physical activity by providing sports equipment, parks and indoor exercise facility mapping, and information about community events for physical activity at well child visits.

Equip for Life is a three-phase intervention for overweight and obese children in an urban clinic that serces as a...

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