John is a 12 year-old male who presents for a well child exa…

John is a 12 year-old male who presents for a well child exam. He is mildly overweight (87th percentile) and, by history, is involved in little physical activity. His diet on review is high in processed foods and snacks. He is otherwise healthy. His family history is negative for hyperlipidemia or cardiovascular disease. His physical exam is unremarkable. You decide to check his cholesterol and HDL. The total cholesterol result is 176. The HDL is 28. A fasting lipid profile (FLP) is drawn 2 weeks later. The TC is 178, LDL is 130, HDL is 29, TG 131. The FLP is repeated in 1 month and the average value of total cholesterol in the 2 samples is 177 and the average value of LDL is 128. The best initial management plan would be: