As the tertiary industry is being developed, many problems are introduced in an industrial area in Korea. This study aims to investigate the residents' health conditions, such as the prevalence of metabolic syndrome and fatty liver diagnosed by ultrasonography, comparing the urban with the industrial areas. The subjects were 378 adults in the urban area and 376 adults in the industrial area. Subject variables accounted for were gender, age, drinking habits, smoking habits, physical activities, waist circumferences and BMI. In blood tests, fasting blood glucose, triglyceride, HDL, blood pressures, total cholesterol, AST, ALT and GGT were examined. Also, the presence and absence of fatty liver, diagnosed using ultrasonography, was investigated. As a result, the prevalence of metabolic syndrome were 43.7% in the urban area and 51.6% in the industrial area, hence it was significantly higher in the industrial area than in the urban area. Fasting blood glucose, triglyceride and waist circumference in the distribution of the individual components were 47.4, 53.7, and 16.1% in the urban area and 54.5, 61.5, and 22.9% in the industrial area respectively, so it was substantially higher in the industrial area than in the urban area. On the other hand, HDL, diastolic blood pressure, and fatty liver were 25.7, 43.4, and 44.7% in the urban area and 21.3, 19.9, and 36.7% in the industrial area respectively and thus it was much higher in the urban area than in the industrial area. In conclusion, this study shows that there were significant differences between the residents' health condition, comparing the urban area to the industrial area. Therefore, the precaution and aggressive management of metabolic syndrome may be necessary, in accordance with the characteristics of the industrial zone.