Fall River Children In Balance is a two-year childhood obesity prevention research study funded by Tufts University. Fall River is one of only 6 communities in the country chosen to receive this grant whose target audience is 1st through 3rd grade students and their family adults. CIB is a holistic approach to nutrition and fitness designed to affect younger elementary school students in their classroom settings, during after school programs and at recreational facilities, as well as choices their family adults make when they grocery shop or dine out. Children in Balance works with teachers and UMass Amherst health educators to bring nutrition education directly into classrooms. In addition, because school nutrition is a major component of the grant, CIB is partnering with Fall River school food services to extensively upgrade school menus and the way in which school foods are prepared and presented. Though the long term results of this program will take several years to realize, what these children and their families are learning now will build upon similar messages delivered by the Healthy City Fall River initiative and its many partnering City agencies, ideally resulting in positive, sustainable life style changes.