The aim of present study was to determine the prevalence of prehypertension and associated risk factors among young adult females in Dammam, Saudi Arabia. A cross-sectional study was conducted on a sample of about one-third of female students enrolled in 4 colleges of the University of Dammam. They were screened for high blood pressure and associated cardiovascular risk factors by an interview questionnaire. Weight and height, waist and hip and blood pressure measurements and random blood glucose testing were done. The results revealed that 13.5% of the 370 students were prehypertensive. The most prevalent risk factor for cardiovascular diseases was physical inactivity (53.2%), followed by overweight/obesity (29.1%); 16.3% of prehypertensive students had 3 or more risk factors. Logistic regression analysis revealed that overweight/ obesity was the strongest predictor of prehypertension. Our study indicates a need for routine blood pressure measurements and risk assessment in young adult females in Saudi Arabia.