Please select the eligibility criteria that correspond to the clinical trial below.
Title: Pacific Kids DASH for Health
Brief Summary: The increasing prevalence of childhood overweight has been found to be related to decreased levels of physical activity (PA) and increased energy content of the diet. Childhood offers an opportunity to develop and support health-promoting behaviors. Pacific Kids DASH for Health (PacDASH) is a community-based intervention that links food, PA, and health, and targets overweight children in Hawaii with a goal of preventing further weight gain. Components of the intervention include a food and PA prescription delivered by physicians at community-based health centers complemented with a toolbox of activities, behaviorally tailored messages, and PacDASH educational materials. This project will extend and apply the nationally recommended DASH eating pattern to children and the growing population of Asians and Pacific Islanders. The investigators will incorporate culturally preferred foods, recipes, and PA messages that meet DASH and other national guidelines. The approach will target child food behaviors and social and environmental cues that are important to making healthy food and PA choices and will provide steps to behavior change. Farmers markets at participating health centers are a support resource for activities. Providing access to, coupons for, and guidance about selecting and preparing fresh fruits and vegetables at a convenient health center farmers market will support increased intake of nutrient-rich foods among these children who are overweight and at risk for obesity.

Pacific Islanders are among the world's most obese populations while Asians, although of relatively low body mass index (BMI), carry much of their body fat in the upper body and exhibit greater health risk at the same BMI. Through this project, the investigators hope to learn more about body size and composition in children of the Pacific Region for whom there are few national data. In addition, evaluate the effectiveness of a community-based intervention within a health care system on managing overweight in children.


Options:
A: Inclusion Criteria:

* Children between the ages of 9-12 years old.
* Child and family are able to speak, understand, read and write English.
* No medical problems, including epileptic seizures, that would prevent child from playing inactive or active video games.
* No family history of epileptic seizures.
* Parents will allow child to play our video games.
* Household does not currently has a Wii video game console.
* Baseline visit activity monitor wear will be a compliance criterion for moving forward in the study. Although we ask for 7 days of data, if they return 5 complete days, then they meet the criteria. Without 5 complete days, they are dropped before randomization and thus before receiving the Wii. If we cannot get 5 or 7 days at baseline, it is unlikely that we will get 5 of 7 days at ensuing assessments (based on our 10+ years experience of collecting this type of data).

Exclusion Criteria:

* Children not between the ages of 9-12 years old.
* Child having epilepsy (since playing video games may lead to seizures among those with epilepsy).
* Family history of epileptic seizures.
* Household members not able to speak, understand, read and write English.
* Other medical problems that prevent child from playing inactive or active video games.
* Parents will not allow child to play our video games.
* Household currently has a Wii video game console.
* Child not wearing nor completing the initial baseline 7 day, minimum 800 minutes per day, activity monitor data collection.
B: Inclusion Criteria:

* Age 2.0 through 5.9 years receiving primary care in a multi-site group practice
* BMI \> 95th percentile for age and sex, or 85th - 95th percentile if at least one parent is overweight

Exclusion Criteria:

* Child currently enrolled in a formal weight management program
* Child is in foster care
* Chronic conditions that may limit our ability to measure height and weight or that may interfere with their growth, physical activity, or dietary recommendations
C: Inclusion Criteria:

* All six full-time schools with the program called Programa Saúde na Escola in Fortaleza were eligible
* students of both sexes
* students aged 12-15 years
* students who are enrolled in 7-9 grade classes

Exclusion Criteria:

* students who are younger than 12 years-old and older than 15 years-old
* students with uncompleted data at baseline or 4-months follow-up
* students who are absence in the school days with data collection
* students who dropout the school
* students who refused to participate in data collection or intervention
D: Inclusion Criteria:

1. Age 5 - 8 years old
2. \>85th up to 98th BMI-for-age percentile (overweight)
3. Children with a primary care provider at MAP
4. Lives on Oahu
5. Due for, or scheduled for, a well-child/physical exam visit during months of the pilot study

Exclusion Criteria:

1. Diabetes Mellitis
2. Polycystic Ovarian Syndrome
3. Gastroesophageal Reflux
4. Gallbladder disease
5. Non alcoholic fatty liver disease
6. Pseudo Tumor cerebri
7. Slipped capital femoral epiphysis
8. Blount's disease
9. Obstructive Sleep Apnea/Sleep Disturbance
10. Other chronic disease conditions that would affect participation

Answer: D