BasketballRx: Game Changing Health

INCLUSION CRITERIA: * Ages 10 years old to 15 years old. * BMI 85th percentile or higher * Patient at the Penn State Health Family and Community Medicine Clinic in Harrisburg, PA * Race/ethnicity self-reported as Black or Latino * One guardian (as listed in the EHR) must be present during the entirety of all sessions * English-speaking * Allowable medical conditions: depression, anxiety, adhd, hyperlipidemia, hypercholesterolemia, hypertriglyceridemia, insulin resistance, prediabetes, diabetes, skin conditions, stage 1 hypertension. EXCLUSION CRITERIA: * Children younger than 10 years old or older than 15 years old * Children with a BMI lower than the 85th percentile * Children with structural cardiac conditions, respiratory conditions, concussion within the past 30days, Stage 2 hypertension, history of syncope or near syncope, cardiac dysrhythmias/channelopathies (e.g., long QT syndrome, heart block), history of exercise-induced chest pain or heart palpitations, family history of sudden cardiac death in children, seizure disorder, pregnancy. * Children with current or past orthopedic conditions/injuries. * Children with health conditions/physical limitations that render them unable to participate in any component of the program including but not limited to severe developmental delays, autism, wheelchair dependence. * Not cared for at the Penn State Health Family and Community Medicine Clinic in Harrisburg, PA * Not of Black/Latino race/ethnicity * Unaccompanied children * Inability to verify guardianship with the EHR * Non-English speaking * Participants without sneakers * Already enrolled in another formal exercise program * An elevated heart rate or newly discovered elevated blood pressure before the start of any of the sessions * Parent/guardian is unwilling or unable to provide consent