In 2001, UC Cooperative Extension nutrition specialists with the Center for Weight and Health introduced the Children and Weight: What Communities Can Do About It project, with the goal of reducing the prevalence of pediatric overweight. This project was designed to facilitate the formation of community coalitions, and to educate and empower them to improve or create environments that foster healthy lifestyles in children and their families at the local level. The project has been implemented in 13 California counties and by groups across the country. The “Spectrum of Prevention” is featured as a way to address the problem of pediatric overweight from multiple levels, ranging from educating individuals and providers to advocating for systemic and environmental change. Shasta CAN in Shasta County, the Solano County Children and Weight Coalition and the Kern County Childhood Overweight Coalition are presented as models of how coalitions can creatively plan and implement activities across the spectrum.

The United States is experiencing an epidemic of obesity in both adult and children, particularly among low-income populations. In fact, overweight has replaced malnutrition as the most prevalent nutritional problem among the poor. We examine this seemingly paradoxical relationship and explore the causes and consequences of overweight, obesity and food insecurity. In a UC Cooperative Extension Body Weight and Health Workgroup study of 561 low income Latino mothers and their young children, we found important differences in the association between family food insecurity and overweight status for mothers and their children. Forty percent of the women were overweight and 37% obese, and 22% of their children were overweight. Furthermore, U.S.-born mothers who were food insecure as children were more likely to be obese adults. Awareness and understanding of the link between food insecurity and weight gain will facilitate the efforts of schools, food assistance programs, the food industry and others in the community to provide effective nutritional programs.