Childhood Obesity is a public health problem. It poses a significant health risk, which has been demonstrated to track into adulthood and decreases children's physical and psychosocial well-being. The purpose of this study was to examine the relationship between weight status, nutrition intake, and physical activity patterns of Omani middle age children and explore the familial factors that influence them. The sample of the study consisted of 204 Omani mother-child dyads. The mean age of children was 7.74 years (SD +/- 1.161). Among examined children, 17.4% were either overweight or obese and more than 72% of mothers were found to be overweight or obese.

Weak associations between children's nutrition and physical activity pattern and obesity were found. Main familial factors that showed influence on children's nutrition intake were parental education level, family income, and family nutrition and physical activity pattern. Children's physical activity pattern as reflected by moderate to vigorous physical activity (MVPA), screen time, and sleep time found to be influenced by maternal BMI, parental education level and working status, as well as family nutrition and physical activity pattern. Interestingly, the results of the study indicated that child's BMI z-score was strongly associated with maternal BMI and parental education level, particularly mothers'.