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Women's and Children's Hospital

Tigers on Track - Pediatric Wellness

Tigers on Track is a pediatric and adolescent multidisciplinary clinic designed to help children and families in central Missouri develop lifelong healthier habits. The main focus of Tigers on Track is prevention of childhood obesity by increasing awareness about healthy eating habits and physical activity, while improving self-esteem.

We believe that every patient and family is unique in their strengths, concerns and struggles in maintaining a healthful life style. Therefore, we do not offer just a routine weight loss or exercise program for a specific interval of time. The focus of our program is to achieve lifelong mental and physical health by modifying unhealthy habits.

Our Goals

  • Promote healthy lifestyles for children and families by sharing information about nutrition and appropriate physical activity
  • Provide collaborative and comprehensive medical and ancillary services to our patients and families with weight concerns
  • Function as a multidisciplinary, medically supervised weight loss program for adolescents considering bariatric surgery
  • Increase awareness, access and utilization of available community resources to enable a healthy lifestyle

What to Expect During Your Visit

At your first appointment, you will be evaluated by a physician or a nurse practitioner, dietitian, physical therapist and a psychologist. We will discuss your desired goals and expectations. The medical evaluation will focus on the assessment of complications of unhealthy weight.

You will also receive a comprehensive evaluation by one of our licensed physical therapists. This evaluation will include strength, range of motion and balance screenings, as well as cardiovascular endurance tests. Based on the results, our physical therapist will compile a personalized activity and exercise program to meet your interests and needs.

Our dietitians will do an in-depth nutrition evaluation regarding your usual meals and drinks, portion sizes, eating and snacking habits. They will help you and your family create a food plan that incorporates healthier food choices, suiting your family and life style.

The initial psychological evaluation will focus on psychological stresses like depression, anxiety, aggression, low self-esteem and bullying. We will also obtain an in-depth evaluation of eating habits and behaviors like stress, comfort or compulsive eating behaviors.


Clinical research is essential to better understand health and disease. It also helps us adopt the newest treatment protocols to provide state of the art care to our patients.

During your clinic visit you may be approached by the research study staff to introduce you to various research activities going on in our department.

Your participation in any research study is voluntary. It would not affect your treatment in this clinic.

Who Can Participate?

Children of any age and their families are eligible to participate in the Tigers on Track program. We encourage the entire family to participate, including other children and other adults in the family such as grandparents and child care providers.


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