Objectives: To assess relations of pre-pregnancy maternal and paternal obesity with offspring behavioral problems and psychiatric symptoms at 7-8 years in the Upstate KIDS study, a prospective cohort study. Study design: Maternal body mass index (BMI) was calculated from pre-pregnancy height and weight provided in vital records or self-report at 4 months post-partum. Mothers reported paternal height and weight. At 7-8 years, mothers indicated if their children had been diagnosed with ADHD or anxiety (n=1915). Additionally, children's behavior was measured with the Strengths and Difficulties Questionnaire (SDQ) at 7 years (n=1386) and the Vanderbilt ADHD Diagnostic Parent Rating Scale (VADPRS) at 8 years (n=1484). Based on SDQ scores, we identified children with borderline behavioral problems. Adjusted risk ratios (aRR) and 95% confidence intervals (CIs) were estimated with robust multivariable Poisson regression. Results: Compared with children of mothers with BMI<25, children whose mothers had BMI 25-30, 30-35 and ≥35 kg/m 2 had higher risks of reported ADHD (aRRs, 95% CIs: 1.14, 0.78-1.69; 1.96, 1.29-2.98; and 1.82, 1.21-2.74, respectively). Risks of hyperactivity problems identified by the SDQ and a positive screen for inattentive or hyperactive/impulsive behavior with the VADPRS were also higher with increasing maternal pre-pregnancy BMI. Paternal BMI was not associated with child outcomes.