Living in an urbanized environment undeniably leads to more exposure to urban environmental exposures. Previous studies conducted on urban health were mostly focused on air pollution, while the urban environment is also characterized by its built environment and access to natural spaces. Recently, there is a surging interest to better understand the interplay of different environmental factors that define the urban environment and its effect on children health. Living in a more urbanized environment has been associated with greater adiposity and higher blood pressure in children. Importantly, child cardiometabolic health parameters were mostly investigated individually, while they are intercorrelated. Two approaches have been used to study child cardiometabolic health, a clustering method and a risk score.