PICOT: In school-age children, what is the effect of a summer-based physical exercise program in comparison with a low-carbohydrate diet alone on decreasing the BMI of obese children with a BMI greater than the 95th percentile within a three to six to month period? Introduction The Spirit of Inquiry Ignited Search Strategy Conducted Critical Appraisal of the Evidence Performed Evidence Integrated with Clinical Expertise and Patient Preferences to Inform a Decision and Practice Change Implemented Outcome Evaluated Project Dissemination Conclusion ~~~For this or similar assignment papers~~~