Pediatric obesity has reached epidemic proportions, coupled with this is the prevalence of another growing epidemic, inactivity. This retrospective review looked at exercise component of a multi-disciplinary pediatric weight management program including overall program efficacy and the relationship between change in BMI and fitness outcomes. The study included 41 children ages 7-18 with a BMI >85^th percentile. The 12-week program included the initial visit, followed by bi-weekly visits. Pre-and-post FitnessGram back saver sit and reach, and ½ sit-up test, a modified 3-minute step test, and BMI were completed. Although, results showed small trends in the direction of overall improvement, they were not statistically significant. Sixty-one percent reduced BMI, 43% improved cardiovascular fitness, 54% improved strength, and 50% improved flexibility. The multiple regression analysis showed no significant relationship between BMI change and change in fitness outcomes. The study was limited by small sample size indicating the need for further evaluation.