Aim - this study is aimed to evaluate the relationship between serum vitamin D levels and metabolic syndrome in hemodialysis patients. This study was conducted with participation of 80 patients undergoing hemodialysis for mote than 6 months three times a week, aged >> 18 years. Their height, dry weight, waist circumference were measured. Biochemical parameters such as serum 25-hydroxyvitamin D, lipid profile, and fasting blood glucose were analyzed. Metabolic syndrome was defined using the National Cholesterol Education Program Adult Treatment Panel III criteria Severe vitamin D deficiency, 25(OH) vitamin D << 5 ng/ml; mild vitamin D deficiency, 25(OH) vitamin D 5 - 15 ng/ml; vitamin D insufficiency, 25(OH) vitamin D 16 - 30 ng/ml, and vitamin D sufficiency, 25(OH) vitamin D >> 30 ng/ml were categorized. Statistical analysis of the data was performed with the use of SPSS version 21.0. Results: 48,4 % of hemodialysis patients were identified to have metabolic syndrome. According to the serum levels of vitamin D; 35,0 % of patients had severe vitamin D deficiency, 37,4 % of patients had mild vitamin D deficiency, 18,8 % of patients had vitamin D insufficiency and 8,8 % of patients had vitamin D sufficiency (>> 30 ng/ml). Vitamin D insufficiency was significantly associated with metabolic syndrome and central obesity. Conclusions: deficiency/insufficiency is observed in serum 25-hydroxyvitamin D levels in hemodialysis patients. Vitamin D insufficiency is associated with metabolic syndrome.

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