There has been an exponential rise in obesity and diet-related non-communicable disease rates (NCDs) in the Caribbean over the last five decades. More than 60% of Caribbean adults are overweight or obese; more alarmingly, between 20-35% of adolescents are overweight or obese. Children who are overweight are significantly more likely to be overweight or obese in adulthood, and have much greater life-time physical and mental health problems. Risk factors for hypertension, diabetes and cardiovascular diseases have already started to emerge in Caribbean children. More than half the adult population in some CMS suffers from metabolic syndrome – the presence of at least three of the four major risk factors for cardiovascular diseases and diabetes: raised blood pressure, insulin resistance, excess body fat around the waist, and abnormal cholesterol levels. Obesity is estimated to shorten lifespan by nine years, and the last nine years on average will be of poor quality.