Objective To understand the detection rate of sarcopenia in hospitalized patients with hypertension and to explore the relationship between sarcopenia and hypertesion and to analyze risk factors for the occurrence of sarcopenia in hypertensive patients. Method 415 elderly patients with hypertension from cardiology department of the first people 's hospital of Lianyungang between January 1 2021 and November 30 2021 were selected according to the inclusion criteria. The patients􀆶 basic information blood indexes nutritional screening anthropometry data and body composition analysis data were collected. All patients were divided into sarcopenia group n = 57 and non-sarcopenia group n = 358 according to the diagnostic criteria for sarcopenia. The relevant indicators of the two groups were compared and the factors that affeted the occurrence of sarcopenia were analyzed. Result In this study 57 patients were diagnosed with sarcopenia. The detection rate of sarcopenia in elderly hypertension was 13. 7%. There were statistically significant differences in age activity mode the grade of hypertension the score of MNA-SF and the score of NRS 2002 between sarcopenia group and non-sarcopenia group P<0. 05 . LDL-C BMI visceral fat area basal metabolic rate and phase in sarcopenia group were smaller than those in non-sarcopenia group P<0. 05 . Systolic blood pressure and diastolic blood pressure were higher than those in non-sarcopenia group P< 0. 05 . Multivariate Logistic regression analysis showed that systolic blood pressure activity mode the grade of hypertension LDL-C and the score of NRS 2002 were not correlated with sarcopenia P>0. 05 . Age diastolic blood pressure BMI and the score of MNA - SF were the influencing factors of sarcopenia in elderly patients with hypertension. Conclusion Advanced age and a high diastolic blood pressure are the risk factors for the occurrence of sarcopenia in the elderly patients with hypertension while overweight obesity and non-malnutrition are the protective factors of hypertension without sarcopenia. Sarcopenia results in lower body composition and higher nutritional risk of hypertensive patients.