Of particular concern was the lack of physical activity (at least measured by the steps she was taking) on school days. For days when she rode the bus to school (22 days in total), her average dropped to 8,300 steps a day. And this was during the summer months when outdoor recess and playing outside after school in New England isn't scuppered by bad weather and dark evenings.
Steps needed to be taken, literally and metaphorically. Here's what we did to increase her daily activity levels: