Background and Objective:
Noncommunicable diseases (NCDs) account for 74% of total deaths in the world. Around 77% NCDs death occurred in low- and middle-income countries including Indonesia. Adolescents are among those who are at risk to develop NCD due to unhealthy diet and lack of physical activity. These may lead to obesity, a rise in blood pressure, and increased of blood glucose and blood lipids levels, which are known as metabolic syndrome. This study aimed to determine the vegetable dan high natrium food, nutritional status and metabolic syndrome among high school adolescents in Makassar

Methods:
This cross-sectional observational study was conducted in August to October 2022 in an urban public high school in Makassar, Indonesia. Vegetable and high natrium food intake were measured through questionnaire. Anthropometric measurement (weight and height) was performed to obtain the nutritional status of the students. Metabolic sydrome were characterized through measurement _body mass index (BMI), _blood pressure, and blood glucose level.

Results:
Among 390 high school children, 11.8% were overweight and 10% were obese. On the other hand, 16% students were underweight. Further analysis among 104 students showed that the majority of students had inadequate intake of vegetable (84.6%). For high natrium food, more than 50% students consumed at least three kinds of high natrium food and 58.7% students consumed more than 5 g salt per day. In term of the risk of metabolic syndrome. 48 (46.2%) students had one risk of metabolic syndrome, either of obesity and hypertension, and 3 students (2.9%) had two risks of metabolic syndrome

Conclusion:
In view of the fact that vegetable consumption as the protective factor for developing metabolic syndrome were severely inadequate and the intake of high natrium food were above the normal, therefore, multisectoral intervention are urgently needed to prevent the development of metabolic disease among adolescents.