Background:Over the past several decades, the prevalence of obesity has been rising globally, and in low- and middle-income nations, it has alarmingly reached alarming numbers.The present study was conducted to assess waist-to-height ratio in assessing cardiometabolic risk factors in affluent school-going children. Materials & Methods:180 children of both genders were enrolled. BMI and anthropometry, waist circumference, the systolic blood pressure (SBP), and diastolic blood pressure (DBP)was measured. Results: Out of 180 subjects, males were 100 and females were 80.CMR was present in 35 males and 32 females. The difference was significant (P< 0.05).FBS alone has no statistical significance (p- 0.82) in identifying cardiometabolic risk.HbA1c as an individual parameter can be used in identifying cardiometabolic risk (p- 0.05). Cholesterol alone can indicate the risk of future cardiometabolic risk (p- 0.03). VLDL alone can indicate the risk of future cardiometabolic risk (p- 0.01). Conclusion: The child with a high cardiometabolic risk can be identified by the waist to height ratio, which is an age/sex independent cut-off value that is straightforward and easy to use.Therefore, the waist-to-height ratio can be utilized in clinical settings to screen for obesity, provide parental guidance, modify lifestyles, and ensure that everyone gets frequent checkups.