Past or planned (within the next 24 months) weight loss surgery (e.g. gastric bypass, lap band, or liposuction); current participation in a commercial weight loss program (e.g. Weight Watcher's, Jenny Craig); current or planned enrollment in another diet/PA/weight loss intervention study.*
Currently pregnant or gave birth within the last 6 months, currently lactating or breastfeeding within the last 3 months, actively planning pregnancy within the next 24 months*
Cardiovascular event (heart attack, stroke, episode of heart failure, or revascularization procedure) within the last 6 month.*
Current treatment for malignancy (other than non-melanoma skin cancer)*
Regular use of systemic steroids, prescription weight loss drugs, and/or diabetes medications (oral or injected). “Regular use” is defined as “taking this medication most days of the week for the previous month”*
Lives in same household with a CITY investigator or staff member*
Household member enrolled in CITY
Unable to provide informed consent
Investigator discretion for safety or adherence reasons
Current treatment for eating disorder or a score of 1 or higher on the ED screening questions, or a YES response to the question: “Have you recently lost more than 15 pounds in a 3-month period?”*