Data from Nebraska children’s most recent healthcare visit paints a concerning picture of childhood health in Nebraska. Many children are already experiencing health risks associated with excess weight years before they reach adulthood. 

Who is most affected? 

The latest data show that nearly three in ten Nebraska children ages 2 to 5 are overweight or obese, and that figure rises to almost four in ten among children ages 6 to 18.  

While childhood obesity has been a national concern for years, Nebraska’s data reveal trends that deserve attention at a local level.

Rates are higher among older children, in rural communities, and among Hispanic or Latino children. Additionally, Black or African American children experience the largest increase in obesity rates as they age.  

Associated health risks 

This report also highlights how closely excess weight is linked to other health conditions. Children who are overweight or obese face a greater risk of developing chronic health issues that can continue into adulthood, affecting quality of life and increasing healthcare costs over time.

Among Nebraska children ages 6 to 18 who are overweight or obese: 

• 94% are also identified as prediabetic.  

• 72% have hypertension.  

Nebraska’s rural reality 

Nebraska’s geography presents unique challenges that differ from many urban and coastal states. While the national childhood overweight/obesity benchmark is approximately 36%, many Nebraska counties exceed that threshold.  

• 65% of rural counties exceed the national benchmark (children 6-18) 

• 33% of urban counties exceed the national benchmark (children 6-18) 

The data shows that 61% of Nebraska’s counties exceed the national benchmark for childhood overweight and obesity among children ages 6 to 18.  

Nebraska is not alone in confronting childhood obesity. Like much of the Midwest, where rural communities often faces a combination of barriers such as fewer healthcare resources, longer travel distances, and reduced access to recreational opportunities and fresh foods. While childhood obesity affects children in every part of the country, rural Midwestern states frequently report greater challenges in addressing the underlying drivers of poor health outcomes. 

Looking ahead 

Healthcare providers have limited time with patients, and discussions about weight can be sensitive. But these consistent, supportive discussions are valuable opportunities to identify concerns early, provide education, connect families with resources, and prevent more serious health issues from developing later. Nebraska data shows weight-related conversations occurring during only 24% of outpatient visits. 

Every child deserves the opportunity to grow up healthy. Data alone cannot solve childhood obesity, but it can help communities identify where efforts are needed most.  By understanding where challenges and opportunities exist, Nebraska can take meaningful steps toward improving children’s health today while helping prevent chronic disease tomorrow. 

Findings are based on deidentified BMI data collected during the latest healthcare encounter among Nebraska children.