The positive (negative) percentage change implies the prevalence is increasing (decreasing). After the competitive food and beverage policies took effect in elementary schools, only children attending schools in high-income or high-education neighborhoods demonstrate a decreasing overweight/obesity trend. Percentage changes are based on a multilevel logistic regression model, adjusted for age; race/ethnicity; fitness levels; and school-level enrollment, racial/ethnic composition, and proportion of children eligible for free or reduced-price meals. Models by neighborhood income additionally adjust for continuous neighborhood education; models by education additionally adjust for continuous income. Data are from Fitnessgram 2001–2010 on fifth-grade students, linked with school, district, and 2000 Census data. The error bars indicate 95% CIs.