Metabolic syndrome (MetS) prevalence is rising rapidly among sedentary urban working populations in low- and middle-income countries (LMICs), posing substantial cardiometabolic disease burden.

To estimate MetS prevalence and identify its sociodemographic, behavioural, and occupational determinants among urban office workers aged 30–55 years.

A facility-based cross-sectional study was conducted among 480 purposively sampled office workers. MetS was defined using harmonised IDF/AHA/NHLBI 2009 criteria. Binary logistic regression identified independent predictors.

MetS prevalence was 31.7% (95% CI: 27.6–35.9%). Abdominal obesity was the most prevalent component (52.3%). Physical inactivity (AOR = 3.18), age ≥ 45 years (AOR = 2.41), and high occupational stress (AOR = 1.87) were significant independent predictors.