Improving the design of the built environment to promote health and well-being is an emerging priority within public health, particularly as a component of efforts to address the ongoing epidemic of childhood obesity.1–4 Research suggests that environmental design at multiple spatial scales, ranging from regional land use and transportation planning,5 to accessibility of public transit,6 to building characteristics such as stair placement,7,8 and even the design of food trays9 in contexts such as school cafeterias, can influence dietary choices and physical activity.