Diabetes and other major non communicable diseases (NCDs), including cardiovascular diseases (CVD) and hypertension are lifestyle disorders. Modernization and industrialization cause lifestyle changes resulting in reduced physical activity, unhealthy changes in dietary habits consisting of intake of calorie-dense, refined sugars and fats and increased stress levels. These changes produce escalating rates of obesity and worsens insulin resistance which is prevalent in the Indian race. Indians have a high genetic predisposition to diabetes, CVD and metabolic syndrome (1). When the environmental factors affect adversely, the genetic tendency for these diseases gets unmasked. There is a great concern about the global increase in the prevalence of obesity especially in children and adolescents (2,3). This is closely linked to the lifestyle factors, unhealthy eating habits and decreased physical activity, both of which are occurring widely with urbanization. In this issue, Bharati and co-workers (4) report on the prevalence and risk factors for overweight in children in Wardha city. Childhood obesity is a forerunner of obesity in adulthood which has a strong association with several non communicable diseases. A prospective study in American children by Sinaiko et al (5), has shown that insulin resistance begins at an early age, has an independent effect on cardiovascular risk and may continue during adolescence.