 Over one third of preschoolers were either overweight 18.4 or obese 16.5. The majority 92 of caregivers of an overweightobese child inaccurately perceived that their child was in a normal BMI category. Foreign-born caregivers were significantly more likely to inaccurately perceive their childs BMI percentile category, versus US-born caregivers OR0.65, 95 CI, 0.48-0.88. Specifically, those born in South America OR0.59. 95 CI, 0.36-0.98, Central AmericaMexico OR0.59, 95 CI,0.41-0.85, and Caribbean Hispanic nations OR0.54, 95 CI 0.35-0.83 were significantly less likely to accurately perceive their childs BMI category, versus US-born caregivers. 