Introduction Childhood obesity is a major public health concern with one-in-three US children (6–11 years old) classified as either overweight or obese.1 Overweight and obesity in childhood presents significant health risks such as an increased risk for type 2 diabetes and other comorbidities.2 Studies have shown children living in rural areas are at increased risk of overweight and obesity compared with their urban-dwelling counterparts.3,4 Tackling childhood obesity requires careful...