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The aims of this cross-sectional study were to: (1) estimate the prevalence of overweight and obesity in a sample of 262 rural Saskatchewan children and (2) to identify predictors of overweight and obesity. The data were collected using a self-report questionnaire and measurement of height and weight. When BMI values were compared to international standards the estimated prevalence was 25.5% for overweight and 7.1% for obesity. The significant predictors of overweight and obesity were gender, Aboriginal descent, parent’s/guardian’s perception of neighbourhood safety, and parent’s BMI. Nurses can use these results to develop health promotion programs aimed at reducing the prevalence of overweight and obesity among rural children and their families.