Children's Healthy Living Community Randomized Trial

Inclusion Criteria: * Community criteria Four (4) to six (6) communities in each of five (5) jurisdictions (Alaska, American Samoa, Commonwealth of Northern Mariana Islands, Guam \& Hawai'i) chosen for community randomized program based on: * 2000 U.S. Census criteria * \>1000 people * \>25% Native population, * \>10% under 5y * CHL Staff Community Evaluation * Sufficient Head Start/preschool, kindergarten * Children live \& go to school in area * Separation between communities to allow testing * Access for CHL * Sufficient community cohesiveness * Sufficient settings for program (community centers, parks, stores…) * Child criteria • 2-10 years of age Exclusion Criteria: * Child criteria * Known orthopedic, psychological or neurologic impairments that prevent physical activity * Presence or history of any metabolic or chronic health problems known to affect intermediary metabolism (e.g. untreated thyroid disease, cancer, hepatic disease, renal disease, diabetes, cardiovascular disease, hypertension) * Irregular use of prescription or over-the-counter medications known to affect appetite, food intake or intermediary metabolism (e.g. appetite suppressants, lithium, antidepressants, etc.)