Obesity rates among low-income Hispanic preschoolers are higher than those of whites, highlighting the need for understanding the cultural factors that may contribute to obesity. A survey was distributed to Hispanic Head Start families; preschooler body mass index (BMI) was calculated. Two focus groups examined caregiver perceptions about obesity and meal practices. The rate of overweight/obesity in the preschoolers was 44%, whereas, 79.4% of caregivers reported child weight as “normal.†Caregivers perceived “thinness†as a disadvantage, favored home-cooked meals, and expressed a desire for children to assimilate to mainstream foods. Obesity prevention within Head Start must account for caregiver perceptions of healthy weight and incongruities between cultural values/ practices and guidelines. Head Start practitioners must understand the influence that school foods/meal styles have on cultural meal practices at home and the influence of social networks on home health behaviors. An opportunity exists to educate families within their cultural social networks
