The proportion of overweight adolescents has increased, but the behavioral risk factors for overweight youth are not well understood. Objective: To examine how diet, physical activity, and sedentary behaviors relate to overweight status in adolescents. Design and Setting: Baseline data from the Patient-Centered Assessment and Counseling for Exercise Plus Nutrition Project, a randomized controlled trial of adolescents to determine the effects of a clinic-based intervention on physical activity

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... d dietary behaviors. Participants: A total of 878 adolescents aged 11 to 15 years, 42% of whom were from minority backgrounds. Main Outcome Measure: Centers for Disease Control and Prevention body mass index-for-age percentiles divided into 2 categories: normal weight (Ͻ85th percentile) and at risk for overweight plus overweight (AR+O) (Ն85th percentile). Results: Overall, 45.7% of the sample was classified as AR+O with a body mass index for age at the 85th percentile or higher. More girls from minority backgrounds (54.8%) were AR + O compared with non-Hispanic white girls (42%) ( 2 1 = 7.6; P = .006). Bivariate analyses indicated that girls and boys in the AR+O group did fewer minutes per day of vigorous physical activity, consumed fewer total kilojoules per day, and had fewer