Background: Globally metabolic syndrome is considered as important public health issue because of its association with the higher possibility to develop diabetes and heart problems in children, teenagers, and adults.

Objective: To assess the prevalence of metabolic syndrome and their associated risk factors amongst adults.

Methodology: This was cross-sectional study piloted at the physiology department Bahawalpur Victoria Hospital, Bahawalpur for duration of one year from January 2018 to January 2019. All the information including socio-demographic and anthropometric information were recorded on a predesigned Performa. Blood samples were taken and sent to hospital laboratory for blood chemistry analysis. All of the data was analyzed by using the SPSS version 23 software.

Results: In this study a total of 750 participants were included. The overall prevalence of metabolic syndrome was observed in 260 (34.67%) participants. In our study, 156 (60%) female participants and 104 (40%) male were observed with metabolic syndrome. Obese participants having OR of 15.77, age ≥51 years with OR 6.11 and overweight participants with OR of 6.55 were at high risk to develop metabolic syndrome in our study. Based on our study findings, the most common and important factors that affect participants were hyperglycemia (OR: 4.84), high blood pressure (OR: 4.31), abdominal obesity (OR: 350.55), high-TG (OR: 5.81) and low-HDL (OR: 10.3). 

Conclusion: Our study concludes that metabolic syndrome is high prevalent in our population with female predominance.