BasketballRx: Game Changing Health

The goal of this study is to learn if BasketballRx, a basketball and health program, works well for children and teens who are overweight or have obesity. The study will also look at whether the program helps children build healthy habits, improve their health, and feel better. The main questions the BasketballRx clinical trial aims to answer are: 1. Is the BasketballRx program easy for children and families to take part in and complete? 2. Do children show changes in their healthy habits, physical health, or emotional well-being after completing the program? Participants will: * Attend 6 BasketballRx sessions over 2 months * Take part in health lessons and basketball activities * Learn about healthy eating, exercise, sleep, and ways to manage stress * Have their height, weight, waist size, blood pressure, and heart rate checked * Answer questions about how they feel and their healthy habits

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