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Updated: Jul 2, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Being overweight and obese: Black children ages 2-5 years
1University of Pennsylvania, School of Nursing, Center for Health Disparities Research, PA, USA. chudson@nursing.upenn.edu
Insights
Childhood obesity is a major health issue, particularly affecting Black children by age six. Early interventions targeting lifestyle behaviors in young Black children and their families are crucial for preventing long-term health disparities.
Area of Science:
- Pediatric Public Health
- Childhood Obesity Research
- Health Disparities
Background:
- Childhood obesity presents a significant public health challenge with long-term medical and economic consequences.
- While obesity prevalence is similar in white and Black preschoolers, Black children experience higher rates by age six.
- Numerous factors contribute to childhood obesity, including diet, physical activity, cultural influences, environment, and parental perceptions.
Purpose of the Study:
- To highlight the escalating prevalence of obesity in Black children by age six.
- To underscore the importance of addressing lifestyle behaviors and environmental factors contributing to childhood obesity.
- To advocate for targeted interventions and culturally appropriate strategies to combat childhood obesity and reduce health disparities.
Main Methods:
- Review of existing literature on childhood obesity prevalence and risk factors.
- Analysis of demographic data concerning obesity rates in preschool-aged children.
- Synthesis of factors associated with obesity, including behavioral, cultural, and environmental influences.
Main Results:
- Obesity prevalence in Black preschoolers is slightly higher than in white preschoolers.
- By age six, Black children exhibit a higher prevalence of obesity compared to white children.
- Lifestyle behaviors, cultural context, environment, and parental perceptions are key factors associated with preschool obesity.
Conclusions:
- Targeted programs for young Black children and their families are essential for obesity prevention.
- Promoting healthy behaviors can help eliminate health disparities and improve quality of life.
- Nurses play a vital role in implementing culturally sensitive strategies at community and family levels to prevent childhood overweight and obesity.
Abstract:
Obesity in children is a significant public health concern. The prevalence of obesity in Black preschoolers (ages 2-5 years) is slightly higher than in whites. However, by age 6, Black children experience higher obesity prevalence. The consequences to health throughout childhood and into adulthood have both medical and economic cost to individuals and society. Factors associated with obesity in preschool children are lifestyle behaviors such as diet, level of activity, culture, environment, and parental perceptions. Programs should target young Black children and their families to reduce the incidence of obesity and promoting healthy behaviors could aid in eliminating health disparities and improving quality of life. Nurses need to provide comprehensive culturally appropriate strategies at community and individual/family levels to prevent overweight and obesity in children.
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