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Jennifer A. Nelson, MPH, Mary Ann Chiasson, DrPH and Viola Ford, MSW, CSW

Jennifer A. Nelson and Mary Ann Chiasson are with the Medical and Health Research Association of New York City, Inc (MHRA). Viola Ford is with the MHRA New York City Neighborhood WIC Program.

Correspondence: Requests for reprints should be sent to Jennifer Nelson, MPH, MHRA, 40 Worth St, Ste 720, New York, NY 10013 (e-mail: jnelson{at}mhra.org).

Objectives. We estimated the prevalence of overweight in a population of young children enrolled in a New York City Special Supplemental Nutrition Program for Women, Infants, and Children.

Methods. Administrative and survey data were collected from a sample of enrolled families. Body mass index (BMI) of 557 children aged 2, 3, and 4 years was compared by sociodemographic and nutrition characteristics.

Results. Forty percent of the children were overweight or at risk for overweight (BMI 85th percentile). Compared with other racial/ethnic groups combined, Hispanic children were more than twice as likely (odds ratio = 2.6; 95% confidence interval = 1.8, 3.8) to be overweight or at risk for overweight. Two-year-olds were less likely to be overweight than 3- and 4-year-olds.

Conclusions. Interventions to address childhood overweight should be culturally specific and target very young children.

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