LEARNING OBJECTIVEs: From this article, the reader will understand the following concepts:
• Overweight and obese children are at increased risk for health problems.
• There has been an increase in the prevalence of overweight and obesity in children in the United States.
• Improving nutrition and physical activity practices can help combat the rising prevalence of childhood obesity, especially in high-risk populations.
• A process for developing strategies for how to incorporate sustainable, integrated nutrition and physical activity education into schools and after-school sites that serve elementary-age children from low-income families.