“…Severe obesity (BMI > 97th percentile) in children has quadrupled to 11.9% of children aged 1 to 18 and is the largest growing subcategory of obesity in children (Ogden, Carroll, Curtin, Lamb, & Flegal, 2010). Overweight and obesity have many negative consequences for children and adolescents, including medical effects, such as increased risk of cardiovascular disease and other chronic health conditions (August et al, 2008;Dietz, 1998) as well as psychosocial difficulties, including reduced quality of life, anxiety, depression, and increased risk for the development of eating disorders (BeLue, Francis, & Colaco, 2009;Dietz, 1998;Wilson & Goldfield, 2014). These negative effects not only exist in childhood but, without appropriate intervention, persist into adulthood with elevated morbidity and mortality (Reilly et al, 2003).…”