Obesity and Overweight Status Health Disparities Among Low-Income Rural Appalachian Preschool Children

This study's objectives were to estimate the prevalence rates of obesity and overweight among young, low-income children (N=497) living in rural Appalachia and to compare these estimates with various national estimates. Across all weight categorizations (body mass indices [BMIs] 85th, 95th, and 97th percentiles for age and gender) the rates of high BMIs among Appalachian children significantly exceeded those of all comparison samples, with the odds of a high BMI (85th percentile) ranging from 1.29 to 3.92 times greater for young Appalachian children. Appalachian children's weight was unrelated to their gender or age. Children younger than age 5 years living in rural Appalachia are at risk for higher rates of obesity and potentially for the biopsychosocial consequences of obesity.