According to the Centers for Disease Control (CDC) from 2017 to March 2020, the prevalence of obesity among U.S. children and adolescents was 19.7%. This means that approximately 14.7 million U.S. youths aged 2–19 years have obesity. For children, obesity is defined as having a body mass index (BMI) at or above the 95th percentile for age and sex. Obesity affects some groups more than others, including adolescents, Hispanic and non-Hispanic Black children, and children in families with lower incomes. Health care for obesity is expensive for patients and the health care system. In 2019 dollars, the estimated annual medical cost of obesity among U.S. children was $1.3 billion. Medical costs for children with obesity were $116 higher per person per year than for children with healthy weight. Medical costs for children with severe obesity were $310 higher per person per year than for children with healthy weight.

The main contributing factors can be classified into environmental and societal (external) and genetic (internal). Behaviors conducive to developing obesity can be influenced by societal and environmental factors beyond an individual’s control. For example, availability of healthful food at reasonable prices may influence food purchasing behaviors. Additionally, availability of recreational spaces may influence a person’s ability or choice to engage in physical activity. Pleasure derived from food palatability can be a powerful driver of overconsumption behavior that can result in an energy imbalance favoring weight gain. The rise of technology has led to more screen time and less outdoor play. Many children now spend hours engaged in video games or watching television, contributing to a sedentary lifestyle that promotes weight gain. Schools have also seen a reduction in physical education programs, further limiting opportunities for exercise.

The consequences of childhood obesity are severe. Beyond the immediate effects, such as low self-esteem and bullying, obese children are at a higher risk for developing chronic conditions like diabetes, heart disease, and joint problems. These health issues can persist into adulthood, creating a cycle of obesity that is hard to break. By tackling this issue collectively, we can help ensure a healthier future for the next generation. Understanding the root causes and implementing effective strategies is essential in combating this epidemic.

At Whittier we are tackling the issue of childhood obesity as part of our health equity strategy. In addition to Whittier’s pediatric obesity and weight monitoring services, Race Around Roxbury program is an after-school nutrition and exercise program for children ages 6-14 with obesity (BMIs of 85% or higher), running Tuesdays and Thursdays from 4-6 PM. Each session includes 45 minutes of fun physical activity. On Tuesdays, participants enjoy a nutritious snack and attend a nutrition class. Girls also take part in Girls’ LEAP, a self-defense and safety awareness program. Thursdays focus on a cooking class led by a nutritionist, where children learn to prepare healthy meals and snacks, taking home recipes to share with their families. This program empowers young people and their families to develop lifelong healthy nutrition and exercise habits. We engage the whole family in supporting the child’s well-being and self-confidence

It is a national public health concern that requires awareness, education, and action from all stakeholders. Together We Can Achieve Health Equity!