Just over half of the health-care providers discussed weight and exercise with the adolescents, but only 15 percent discussed reducing the amount of television viewing time. Since reducing television viewing is a critical population-based approach to preventing childhood obesity, discussions on reducing the hours of television viewing should also be addressed during medical visits. Discussions with adolescents about exercise were more common for overweight adolescent patients and those at risk for being overweight. Discussions of weight were significantly associated with being female, African-American, a younger age, and having greater than normal weight. This cross-sectional survey was conducted by trained interviewers over a 3-month period in 2001 at an urban academic pediatric and adolescent clinic. The 252 adolescents surveyed had a mean age of 15, with 49 percent judged to be overweight or at risk of being overweight. The survey collected information on demographics, discussions with health-care providers, nutrition behaviors and attitudes, physical activity, perception of body image, weight perceptions, and smoking. 3 tables and 32 references