Objective To investigate the cross-sectional relationship between multimorbidity and motoric cognitive risk syndrome(MCR)among older adults in Anhui province,China.To explore the association between the number of chron-ic diseases and MCR in order to provide a basis for the development of strategies and measures to prevent MCR in rural areas.Methods A cross-sectional study wasconducted among 652 older adults in rural areas of Lu'an and Fuyang City,Anhui Province,China,participants self-reported their chronic disease status.MCR was assessed by combining slow gait with subjective cognitive decline,and logistic regression was used to analyze the relationship between multimor-bidity and MCR.Results Older adults with chronic disease had a higher likelihood of experiencing MCR(OR=2.926,95%CI:1.256-6.816,P=0.013).Further,the presence of three chronic diseases in older adults was associated with the highest risk of MCR(OR=4.946,95%CI:1.811-13.506,P=0.002).Logistic regression analysis showed that older adults with specific multimorbidity patterns,such as hypertension+depression(OR=2.433,95%CI:1.294-4.573,P=0.006)and hypertension+hyperlipidemia+depression(OR=4.632,95%CI:1.978-10.848,P<0.001),were more prone to developing MCR.Conclusion MCR is associated with multimorbidity among older adults in rural Anhui province,China.