Objective To analyze the relationship between dietary patterns and metabolic syndrome(MS)among adult residents in Guangxi,providing a scientific basis for dietary nutrition guidance and intervention for people with MS.Methods Using nutritional survey data of adult residents from 2015 to 2017 in Guangxi,and adult permanent residents aged 18 and above with complete questionnaires,dietary surveys,physical measurements,and laboratory data were included in this analysis.Principal component analysis and unconditional logistic regression analyses were used to explore the characteristics of dietary patterns and their relationship with MS.Results A total of 2 372 people were surveyed from 2015 to 2017,including 355 cases of MS,and the prevalence rate of MS was 15.0%.There were differences in the intake of fat,carbohydrate,and copper between the non-MS group and the MS group.The dietary patterns of adult residents in Guangxi were summarized into five types:high-protein dietary patterns,vegetable and fruit dietary patterns,high dietary fiber dietary patterns,high-fat dietary patterns,and high-cholesterol and sodium dietary patterns.The high-fat dietary pattern had the highest fat intake,and the fat energy supply ratio was as high as 50.4%.The high-cholesterol sodium dietary pattern had the highest intake of sodium and the lowest intake of protein and dietary fiber.The unconditional logistic regression analysis,adjusted for confounders such as urban/rural areas,sex,age,ethnicity,and education level,indicated that a high-fat dietary pattern and a high cholesterol and sodium dietary pattern might increase the risk of developing metabolic syndrome among residents.Conclusions The dietary patterns of adult residents in Guangxi are associated with MS.The findings underscore the importance of advocating a reasonable diet,moderate exercise,eat more fruits,vegetables,and milk,and eat a light diet to prevent the occurrence of MS.