Review Question - QID 215009

An 11-year-old boy presents to his primary care physician with his parents for a general screening exam. The child previously suffered from obesity; however, his parents have been able to get him to engage in weightlifting. The child enjoys weightlifting, and this is one of the first times he has been actively participating in physical activity. The child is supervised by a personal trainer who has him using light weights with proper form, and they meet 5 times per week for an hour each session. The child otherwise has a history of metabolic syndrome, but has lost 10 pounds since starting this fitness routine 3 months ago and has improved his body composition. The patient's grandfather and grandmother both died of heart attacks at the age of 89 and 92, respectively. His temperature is 98.0°F (36.7°C), blood pressure is 122/83 mmHg, pulse is 77/min, and respirations are 16/min. Physical exam reveals an overweight boy who has an unremarkable neurological and musculoskeletal exam. Which of the following is the most appropriate recommendation for this patient?