This paper discusses the results of a study which examined the relationship between home food preparation and adolescent body mass index (BMI) in a sample of 240 African American adolescents and their caregivers in Baltimore, Md. Researchers found that meals prepared at home in African American households do not necessarily promote healthy BMI in youth. Having a greater number of meals prepared by a caregiver was associated with a greater youth BMI-for-age percentile, but healthier cooking methods used by the caregiver was associated with lower youth BMI-for-age percentile. Adolescents of caregivers who used healthy cooking methods were also more likely to use healthy cooking methods themselves.