Abstract: Objective To evaluate the incidence of abnormal glucose and blood pressure,dyslipidemia and their relationship with body mass index（BMI）among hypertensive patients from Yuhuan county,Zhejiang province,China.Methods A cross-sectional study was conducted in all 11 rural communities of Yuhuan county,and 125 479 participants aged 35 years old and above were eligible. General demographic characteristics were collected by aquestionnaire,and free physical examinations were done for all participants. Venous blood was drawn to measure fasting blood glucose and blood lipids. Overall,36 560 hypertensive residents were identified and included in this study.Logistic regression analysis was performed to estimate the association of BMI with abnormal glucose and dyslipidemia. Results The treatment and control rates of hypertension were 60.2% and 24.4%,respectively,and the detection rates of abnormal glucose and total cholesterol were 39.7% and 47.8%,respectively. Relative to men,the detection rates of abnormal glucose and total cholesterol among women increased significantly with aging and reached its peak at 60 and 55years old,respectively. After adjusting for age,gender,occupation,education,smoking,drinking,high-salt diet,physical activity,family history of hypertension and the course of hypertension,unconditional logistic regression analysis revealed that compared to those with BMI＜18.5kg/m2,overweighed and obese patients had higher risk of abnormal glucose（overweight:OR1.67,95% CI1.39-2.01;obesity:OR2.03,95% CI1.69-2.45）and total cholesterol（overweight:OR1.58,95% CI1.33-1.87;obesity:OR1.67,95% CI1.40-1.99）. Conclusions The detection rates of abnormal glucose and total cholesterol was relatively high among hypertensive patients in Yuhuan county,and there was an obvious gender-specific difference. Such high detection rates might be attributable to overweight and obesity.