Abstract: Objective To survey the prevalence of hypertension in Fuzhou and the relationship between physical activity and dietary pattern and hypertension,and to provide theory evidence for prevention and treatment of hypertension. Methods Stratified cluster random sampling was applied to draw 2380 residents aged＞18 years old in 1350 families of 54 clusters in 18 communities of Fuzhou city in 2015. Data of physical activity,food frequency,social demography such as age,smoking,income and so on were collected with standard questionnaires. Physical examination（including height,weight,blood sugar,blood pressure,etc）was conducted. Results（1）The standardized prevalence rate of hypertension in the residents was 26.6%. People of old age,physical labor,low education,low income,smoking,drinking and obesity showed higher prevalence.（2）The residents of moderate or severe work had significantly higher prevalence than that of light work（41.3% vs 34.5%,P＜0.01）. People traveling by car had significantly higher prevalence than those by walking and bike riding（41.8% vs 32.8% and 34.3%,P＜0.01）.People with moderate or strong physical exercise and with less daily sedentary time showed lower prevalence（38.7%vs 33.5% and 42.5% vs 33.4%,P＜0.01）.（3）The population shared Western,traditional and healthy dietary patterns were 48.8%,33.5% and 17.7%,respectively. After adjusted by age,sex,education level,occupation and income,positive correlation was found between Western dietary patterns and hypertension,while negative correlation between healthy dietary patterns and hypertension（OR =1.441,95% CI 1.101-1.980;OR =0.572,95% CI0.232-0.889,respectively）. Compared with the healthy diet model population,intake of energy,fat,carbohydrate and zinc were increased in Western dietary pattern （3163.8±1085.0）vs（2403.9±1091.1）kcal;（31.4±15.9）% vs（23.2±14.7）%;（129.4±43.0）vs（113.3±43.4）g;（24.8±8.8）vs（17.5±8.9）mg,but intake of dietary fiber,vitamin B2,potassium and selenium were decreased （19.4±11.8）vs（29.9±12.9）g;（1.2±0.4）vs（1.4±0.6）mg;（1409.9±815.3）vs（2210.5±922.3）mg;（22.4±11.2）vs（36.0±11.50）μg.However,traditional dietary pattern showed more carbohydrate intake （2661.5±1064.5）vs（2403.9±1091.1）kcaland less vitamin B2 and calcium intake（1.2±0.5）vs（1.4±0.6）mg;（531.2±217.9）vs（827.8±440.2）mg,all P＜0.05. Conclusion Blood pressure is closely related to physical activity,dietary patterns and social demography such as age,occupation,income and so on in the residents of Fuzhou city. Healthy dietary pattern is beneficial to the prevention of hypertension.