Abstract: Objective To investigate the relationship between obesity indices,including body mass index（ BMI）,waist circumference and waist-to-hip ratio and blood pressure level or prevalence of hypertension among adults living in remote rural areas of Xinjiang. Methods The questionnaire-based survey and clinical measurements of 11 340 individuals（ ≥18years old） were conducted,using four stage stratified cluster sampling method,to analyze the blood pressure and prevalence of hypertension. The participants were stratified by BMI,waist circumference and waist-to-hip ratio,respectively,and the blood pressure level and prevalence rate of hypertension of different types of obese people were evaluated. Multivariate Logistic regression analysis was used to analyze the influencing factors for hypertension. Results Systolic blood pressure（ SBP） and diastolic blood pressure（ DBP） of these participants were（ 126. 3 ± 21. 4） and（ 80. 9 ± 13. 4） mm Hg,respectively. SBP and DBP in the male were higher than those in the female（ all P ＜ 0. 05）. The prevalence rate of hypertension was 32. 1%,and which in the male was higher than that in the female（ 35. 7% vs 29. 3%,P ＜ 0. 05）. With the increase of BMI,waist circumference or waist-to-hip ratio,systolic blood pressure,diastolic blood pressure and the prevalence rate of hypertension were increased gradually（ the prevalence rate of hypertension was 18. 0%,24. 7%,37. 3% and 54. 0% in the groups with BMI of ＜ 18. 5,18. 5-＜ 24. 0,24. 0- ＜ 28. 0 and ≥ 28. 0 kg / m2,respectively; the prevalence rate of hypertension was 14. 7%,20. 9%,30. 1%,43. 1%,55. 4% and 70. 7% in the groups with waist circumference of ＜ 70,70- ＜ 80,80- ＜ 90,90- ＜ 100,100- ＜ 110 and ≥110 cm,respectively; the prevalence rate of hypertension was 17. 5%,20. 7%,25. 4%,32. 0%,39. 2%,46. 1% and 53. 0% in the groups with waist-to-hip ratio of ＜ 0. 75,0. 75- ＜ 0. 80,0. 80- ＜ 0. 85,0. 85- ＜0. 90,0. 90- ＜ 0. 95,0. 95- ＜ 1. 00 and≥1. 00,respectively; all Ptrend＜ 0. 01）. Multivariate Logistic regression analysis showed gender,age,nationality,overweight or obese,abdominal obesity,diabetes,hypertriglyceridemia,hypercholesterolemia,hyper-low-density-lipoprotein-cholesterolemia and hypo-high-density-lipoprotein-cholesterolemia were risk factors for hypertension. Conclusion The prevalence rate of hypertension was high among adults in remote rural areas of Xinjiang. With the increase of BMI,waist circumference or waist-to-hip ratio,systolic blood pressure,diastolic blood pressure and prevalence rate of hypertension were increased gradually. Gender,age,nationality,overweight or obesity,abdominal obesity,diabetes,hypertriglyceridemia,hypercholesterolemia,hyper-low-density-lipoprotein-cholesterolemia and hypo-highdensity-lipoprotein-cholesterolemia were risk factors for hypertension.