Lifestyle changes, simultaneously increasing cardiometabolic risk. This study addresses
the issue of the relationship of eating to cardio-metabolic risk factors in middle school adolescents. A cross-sectional assessment was conducted for this study. High schools in four provinces in Indonesia and 768 total subjects were selected using purposive sampling. Data were analyzed by chi-square and independent t-test. Healthy lifestyle, including healthy eating habits, and maintenance of cardio-metabolic risk are an important solution. The prevalence of hypertension was higher in male teenagers than female at 18.1% versus 9.4% for SBP (p<0.001) and 23.1% versus 18.7% (p = 0.20) for DBP. This finding conforms to the global data that male subjects have higher prevalence of hypertension than female subjects before the menopausal period. In conclusion : This study addresses the issue of eating which influences cardio-metabolic risk factors, and their effects vary within gender groups.