A family-centered lifestyle intervention to improve body composition and bone mass in overweight and obese children 6 through 8 years: a randomized controlled trial study protocol

Table 3 Intervention protocol for standard (StnInt) and modified (ModInt) treatment groups ^a

Visit 1	Visit 2	Visit 3	Visit 4	Visit 5	Visit 6
Education
1. Review CFG and PA guide^b	1. Understanding Food labels^c	1. Eating “out and about” (eating in other environments other than home)	1. Making a meal plan	1. Tricky situations	1. Staying on track
1. Review CFG and PA guide^b	1. Understanding Food labels^c		2. Identifying hunger cues	1. Tricky situations	1. Staying on track
Each session will also include discussions concerning:
•	Eating behaviours
•	Reviewing the dairy intervention and strategizing how to stay on track
•	Evaluating healthy food choices (Traffic light evaluation)
•	Physical activity (frequency, type, time and intensity) discussion
•	Sedentary activity (screen time) and provide alternative activities
•	Relapse prevention through identification of a “tricky situation” (i.e. birthday party, vacation, holiday, sleepovers, rainy/ snowy days)
•	Three SMART Goals

CFGHE: Canada’s Food Guide to Healthy Eating, PA: Physical Activity.
^a Control group will receive the same visit format but at the end of 12-months of the study.
^b According to randomization, children are instructed to consume 2 or 4 servings of milk and milk alternatives per day.
^c Parents are encouraged to bring in food labels from home to ensure discussions are individualized.