Metabolic syndrome (MetS) has an important implication from a preventive medicine perspective, as early recognition and intervention will reduce associated mortality and morbidity. To better identify patients at risk for developing MetS and cardiovascular disease, we conducted a combined cross-sectional and longitudinal study to shed light on the elevated haemoglobin (Hb) levels in the elderly. Haemoglobin is associated with MetS. Elevated Hb with a cut-off value of 14.6 and 13.7 for males and females respectively; can potentially be used as a marker to stratify the risks of developing MetS for both genders and cardiovascular disease in the female population.