Aim To investigate the prevalence of ideal cardiovascular health (ICVH) metrics among urban population in Xinjiang. Methods From July 2019 to September 2021, a two-stage random sampling method was used to randomly select residents of two fixed communities in Urumqi in northern Xinjiang and Korla in southern Xinjiang, aged 30～74 years, for questionnaire survey and physiological and biochemical indicators testing. After excluding patients with previous stroke and/or coronary heart disease, the prevalence of ICVH indicators in the population was analyzed. Results (1) A total of 10 520 participants were selected, with an average age of 46.58 years, including 5 367 males and 5 153 females. The proportion of ideal blood glucose, ideal smoking status and ideal blood lipid was 78.4%(95%CI:77.6%～79.2%), 76.5%(95%CI:75.7%～77.3%) and 65.2%(95%CI:64.3%～66.1%), respectively. Only 20.9% (95%CI:20.1%～21.7%) of the participants achieved the ideal physical activity level, 31.4%(95%CI:30.5%～32.3%) achieved the ideal BMI, 39.1%(95%CI:38.2%～40.0%) achieved the ideal blood pressure, and 43.0%(95%CI:42.0%～43.9%) achieved the ideal healthy diet. (2)Only 1.5%(95%CI:1.3%～1.7%) of the participants met seven ICVH metrics. (3) Only 1.9%(95%CI:1.5%～2.3%) of participants in the youth group had seven ICVH metrics. The proportion of ideal BMI (36.6%,95%CI:35.2%～38.0%), ideal physical activity (19.4%,95%CI:18.2%～20.5%) and ideal diet (42.6%,95%CI:41.2%～44.1%) were all lower than 50% in the youth group. Conclusion Lack of physical activity, high blood pressure, unreasonable dietary structure, and low prevalence of ICVH, especially among young people, are the main problems facing the prevention of cardiovascular and cerebrovascular diseases in urban of Xinjiang.