Family physicians should screen patients age six years or older for obesity and offer or refer for intensive multicomponent behavioral interventions to prevent obesity related morbidity and mortality. Effective intensive interventions typically last one to two years and involve at least 12 visits during the first year. Family physicians should also offer or refer adult patients with obesity or overweight and additional cardiovascular risk factors to intensive multicomponent behavioral interventions to promote a healthful diet and physical activity for cardiovascular disease prevention. The AAFP believes public and private payers’ benefit plans should include coverage for evidence-based behavioral interventions for obesity. The AAFP also supports the inclusion of all classes of Food and Drug Administration-approved anti-obesity medications in public and private payer insurance plan formularies. Family physicians are encouraged to participate in local, state and national efforts to improve nutrition and encourage physical activity for both children and adults. (2004) (September 2022 COD)