Obesity is considered a disability and is statistically associated with movement problems in children (Marshall & Bouffard, 1994). The price tag for medical care for obesity-related diseases has risen to over $100 billion a year. While intervention is being addressed for adults, it is not being sufficiently addressed in pediatric settings. The percentage of children and adolescents who are overweight has more than doubled in the past 30 years. Of young people aged 6-17 years, approximately 25% are overweight. Of this, about 5.3 million or 12.5% are seriously overweight, and the research tells us that obese children and adolescents are more likely to become obese adults (CDC, 2000). Therefore the purpose of this study was to: (1) assess the level of comfort in teaching nutrition education to school children K-12; (2) identify teachers’ attitudes about students who are overweight and obese; and (3) identify modifications being utilized when teaching overweight and obese students. A survey of 55 Likert scale items with component parts adapted from Stunkard’s Body Image Scale (1965) was used to obtain data from 500 randomly selected K-12 physical education teachers in North Carolina. Results indicated 82% of those responding felt they needed assistance with information on pediatric obesity. Nearly 46% of the teachers felt they did not accommodate overweight children in their classes, while 52% felt overweight children were lazier in general. Approximately 25% responded that they became impatient with the overweight children in their own classes, and 50% of the teachers surveyed responded that they predominately focused on sports skills in their curriculums. Based upon these preliminary results of this study, physical education teachers acknowledge they need more information on nutrition education for their classes, do not really know quite what to do with their overweight students, and may not even recognize that obesity is a disability. Implications of these results suggest a need for providing physical education teachers with information on nutrition and obesity. Offering strategies and modifications for teaching overweight and obese children can also help to change the attitudes K-12 physical education teachers currently have toward this student population. Obesity needs to be recognized as a primary diagnosis in school aged children and the process of training physical education professional for meeting the needs of all students needs to be addressed.Keyword(s): adapted physical activity, health promotion, youth-at-risk