Discussion
obesity, weight gain
OBESITY, CHILDHOOD OBESITY
¡Míranos! targeted low-income Latino children’s healthy EBRBs with evidence-based Head Start center policies and staff practices, and culturally tailored strategies for parental engagement [These findings are consistent with the conclusions of a recent systematic review [Family-focused interventions are efficacious in the prevention and management of childhood obesity in primary care settings [Inadequate fruit and vegetable intake and excessive intake of added sugar are consistently documented in US children, including preschool-aged children. Approximately one-third of children aged 2–5 do not meet the fruit recommendation and 90–98% do not meet the vegetable recommendation [Sugar intake in children is associated with excessive weight gain. Children aged 1–5 years old reported having intakes of added sugar per day of greater than 10% of daily total kilocalories from sugar [Shorter sleep duration in preschool-aged children is associated with a risk of overweight/obesity [Reducing screen time by 17 min per day in children under age 5 has been achieved through interventions in non-center settings [However, the muted impact on screen time and sleep during the weekend days demonstrates unmet challenges in families from low socioeconomic status and racial/ethnic minorities [The lack of robust Future research should test the feasibility if an equity-based approach to obesity prevention would address the root causes of obesity by providing population-specific interventions (i.e., removing financial barriers) aimed at ensuring all families have a fair and just opportunity to engage in PA and healthy eating practices [A major strength of The limitations of this study include participant parent-reported behaviors at home and the use of a dietary screener to collect dietary data. Measures of parent-reported behaviors at home including screen-time, sleep, and adult facilitated physical activity have been used in previous studies but not validated. Dietary screeners are short food frequency questionnaires designed to capture general dietary information aimed to the reduce respondent burden but limit the utility and interpretation of the dietary data. Dietary data are typically underreported, but some studies show that it can depend on the type of foods reported, with overreporting of 