Background: The metabolic syndrome (MetS) is a modern disease, characterized by excess weight, high blood pressure, high blood sugar, high triglycerides and low HDL levels. It is a combination of inter connected factors that increases the risk of coronary heart disease (CHD), other forms of cardiovascular atherosclerotic diseases (CVD) and Type 2 Diabetes Mellitus (DM).

Aims & Objectives: To assess Serum Ferritin levels and find out correlation between in patients of metabolic syndrome.

Methodology: A Descriptive longitudinal observational study was conducted among 97 cases who had diagnosed with Metabolic Syndrome according to NCEP- ATPIII 2001 criteria and attending our Tertiary care hospital.

Results: In the present study, the average age of participants was 53.35 years. Female patients (61.9%) were more prevalent than male patients (38.1%) in the metabolic syndrome group. The most prevalent component in the current study is Diabetes Mellitus (100%), followed by Hypertension (77.31%) and Central Obesity (73.19%). High serum ferritin levels are more prevalent in patients with elevated triglycerides (26.1%) compared to those with normal triglycerides (7.1%). The study shows that high serum ferritin levels are more prevalent in patients with elevated triglycerides (26.1%) compared to those with normal triglycerides (7.1%). Ferritin levels are relatively stable across different waist circumference categories.

Conclusion: A positive association was found between an increase in serum ferritin and the prevalence of metabolic syndrome and its clinical parameters. Despite the lack of a clear correlation between ferritin levels and the number of metabolic syndrome components, high ferritin levels were notably associated with elevated triglycerides and low HDL.

KEYWORDS: Coronary Heart Disease, Diabetes Mellitus, Metabolic syndrome, Serum Ferritin Level.