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The study of several thousand children makes several important contributions to understanding why children’s waist girths are increasing [2]. Various behaviors were implicated, with one thing in common: they all relate to ‘modernity’ – new foods in the Indian diet, new ways of eating, new leisure habits such as TV viewing. These behaviors are not brand new; rather they are recently arrived and spreading across the population in a way that can be likened to a ‘cultural virus.’ Even the parental contribution to children’s adiposity identified by the authors may involve more than genotype. Transgenerational effects may involve non-genetic impacts of parental lifestyle (eg: diet during pregnancy) on the next generation [3].

How should pediatricians in India address behavior patterns associated with childhood obesity?