biostudies-literatureArmstrong SCAmerican Heart Association308https://www.ebi.ac.uk/biostudies/studies/S-EPMC7318397biostudies-literatureUnknown20(1)<h4>Background</h4>The prevalence of child and adolescent obesity and severe obesity continues to increase despite decades of policy and research aimed at prevention. Obesity strongly predicts cardiovascular and metabolic disease risk; both begin in childhood. Children who receive intensive behavioral interventions can reduce body mass index (BMI) and reverse disease risk. However, delivering these interventions with fidelity at scale remains a challenge. Clinic-community partnerships offer a promising strategy to provide high-quality clinical care and deliver behavioral treatment in local park and recreation settings. The Hearts & Parks study has three broad objectives: (1) evaluate the effectiveness of the clinic-community model for the treatment of child obesity, (2) define microbiome aBMC pediatricsRationale and design of "Hearts & Parks": study protocol for a pragmatic randomized clinical trial of an integrated clinic-community intervention to treat pediatric obesity.PMC731839717SFRN3367100317SFRN3370015517SFRN3367099017SFRN33700117Wiedemeier MPeterson EStory MSibley LWindom MSkinner ACWong CDressman HKBihlmeyer NALi JSMerrill PPagidipati NArmstrong SCZizzi ASarria CZucker NRawls JFShah SHKraus WEBerchuck SIfalseRationale and design of "Hearts & Parks": study protocol for a pragmatic randomized clinical trial of an integrated clinic-community intervention to treat pediatric obesity.<h4>Background</h4>The prevalence of child and adolescent obesity and severe obesity continues to increase despite decades of policy and research aimed at prevention. Obesity strongly predicts cardiovascular and metabolic disease risk; both begin in childhood. Children who receive intensive behavioral interventions can reduce body mass index (BMI) and reverse disease risk. However, delivering these interventions with fidelity at scale remains a challenge. Clinic-community partnerships offer a promising strategy to provide high-quality clinical care and deliver behavioral treatment in local park and recreation settings. The Hearts & Parks study has three broad objectives: (1) evaluate the effectiveness of the clinic-community model for the treatment of child obesity, (2) define microbiome a2020-01-01T00:00:00Z2020 Jun2025-04-05T13:42:09.359Z2020-07-04T07:12:04ZS-EPMC73183973259095810.1186/s12887-020-02190-x