Hypertension in teenagers and young adults is increasing worldwide and necessitates the implementation of scientific studies to identify the underlying aetiology. The purpose of this crosssectional study was to estimate the association between nutritional status and dietary pattern and hypertension among university female students in one of the Egyptian Governorates. A total of 220 female students were randomly selected from four faculties of Damanhur University. Data about socio-demographic characteristics, dietary intake and habits, and life style practices were collected. Blood pressure and anthropometric measurements we reassessed for every student. Hypertension was detected among 17.3% of the studied sample. When body mass index was more than 30 kg/m2 and waist circumference was more than 88 cm, 33.6% and 33.3% of the students were hypertensive respectively. Hypertension was prevalent among students who usually sleep immediately after consuming meals (24.1%),usually eat outside the home (21.3%),highly consuming salty foods(23.4%) and usually add table salt during consuming meals (23.1%). The high rate of hypertension was also associated with high consumption of fried (28.4%) and fast foods (27.2%) and soft (35.5%) and caffeinated drinks (27.5%).Caloric and other nutrients intakes were higher among hypertensive than normal students as well as sodium intake. Obesity and unhealthy dietary pattern of the university students play a major role in the development of hypertension among young adult females.