At Duke, we are dedicated to offering children and adolescents with nutritional disorders and health issues related to obesity with the most effective care available in an atmosphere of caring and compassion.

The Duke Healthy Lifestyles Program -- designed by the faculty and staff at Duke Children’s Division of Primary Care -- is a six-month, intensive, family-centered lifestyle management intervention designed for families with overweight children aged 0-18.

Any child whose body mass index (BMI) is at or above the 85th percentile meets the national standards for being at-risk or overweight and should be evaluated by a physician.

Healthy Lifestyles is based on the latest evidence for creating and achieving realistic goals for optimal weight to reduce risk for cardiovascular disease.

High Five for Fitness

Our patented intervention is called High Five for Fitness™ and is based on the following five strategies:

1. Rethink your drink. Choose healthy beverages.
   
2. Minimize screen time. Limit to less than two hours a day.
   
3. Be active for 60 minutes a day.
   
4. Sleep for health. Learn how much sleep you need and how to make that a reality.
   
5. Eat right-sized family meals at home. Learn portion sizes and easy, healthy recipes.