Since 1980, rates of obesity have doubled in 2- to 5-year-olds, quadrupled in 6- to 11-year-olds, and tripled in 12- to 19-year-olds. While recent reports show encouraging signs that obesity rates are stabilizing, and even declining in certain populations in the US, rates remain high in all age groups. Furthermore, disparities exist along racial, ethnic, socio-economic, and geographic lines. While obesity rates may decline overall, these inequities will persist unless intentional action is taken. The causes of obesity are complex and interconnected; culture, societal norms, community assets, and practices at home influences a child’s opportunity to make healthy choices and, ultimately, influences weight status.