Abstract
Background: Childhood obesity has reached epidemic levels in the United States. As of 2025, the U.S. Department of Health and Human Services reports 1 in 5 children aged 6 are considered obese, which is a 270% increase from the 1970s. Current literature emphasizes that childhood obesity is a multifactorial condition, influenced by a wide range of interrelated factors that make both prevention and treatment complex. Childhood obesity is difficult to treat due to multiple factors, such as family habits, physical activity, nutrition, and screen time, and social determinants like access to healthy food and safe recreational spaces. The American Academy of Pediatrics recommends at least 26 hours of intensive health behavior and lifestyle treatment over 3 to 12 months, a comprehensive family-centered program focused on nutrition, physical activity, and sustainable behavioral changes. Objectives: To improve health behaviors and support lifestyle interventions in pediatric patients through structured health education, with monthly check in centered around motivational interviewing. Through a weight neutral fun educational approach. Results: There were 11 participants in the study overall. 3 were males and 8 were female 8 Caucasians, 2 Hispanic patients and 1 African American participant. Only 4 participants completed 5210 survey and obtained clinical outcomes. A Wilcoxon signed-rank test revealed no statistically significant differences in any clinical outcomes from pre- to post-intervention among the four participants (all p > 0.05). However, clinically meaningful improvements were observed, including a large median reduction in triglycerides of 35.5 mg/dL, a modest median increase in HDL cholesterol of 2 mg/dL, and a small median decrease in BMI of 0.45 units, with Participants 1 and 2 showing the most consistent benefits across multiple lipid markers, BMI, and A1c. In contrast, median weight increased by 9.4 lbs and LDL cholesterol changes were mixed. For child lifestyle behaviors assessed via the 5210 survey, the Wilcoxon signed-rank test also showed no statistically significant differences (all p > 0.05), yet several meaningful positive shifts emerged, such as increased fruit and vegetable intake (median +1 serving/day), higher breakfast consumption (median +1.75 times/week), reduced screen time (median –1.5 hours/day), and increased active play time (median +0.62 hours/day). Conclusion: Summarize what I got from the 5 participants, and then try to draw a conclusion that it was beneficial. Easy to implement in a pediatric primary care office. Subjective data in the results section and summary in the conclusion give themes of the quotes.