blood pressure in the range of stage 2 hypertension

previously diagnosed type 1 or type 2 diabetes

use of corticosteroids, antipsychotics, metformin, antihypertensive medications, and medications used for dyslipidemia

inability to perform moderate to vigorous physical activity

not ambulatory

a score of 20 or more on Eating Attitudes Test (EAT)-26 screening measure

developmental disorders that affect weight or ability to understand the study procedures or counseling

ACTION PAC: Adolescents Committed to Improvement of Nutrition & Physical Activity