Compared to those with non-deficient levels of 25(OH)D (≥50 nmol/L) and normal PTH levels (≤6.89 pmol/L), women with either deficient 25(OH)D or excess PTH levels had higher prevalence of cardiometabolic traits including obesity, hypertension, or CKD, irrespective of diabetes status; however, the combination of vitamin D deficiency and PTH excess was associated with higher prevalence of at least one of the aforementioned diabetes-related cardiometabolic comorbidities among women without diabetes only. Here, PTH is linked to hypertensive disorder.