The objective of this study was to verify the frequency of central and generalized obesity and its association with lipid profile and lifestyle in hypertensive elders enrolled in HiperDia System in Campina Grande, Paraíba, Brazil. This cross-sectional comparative and associative study was performed on a sample of 131 hypertensive elders (range: 60 to 92 years). They were divided into groups by sex (masculine) n = 34 and (feminine) n = 97, and by age (60 to 69) n = 59, (70 to 79) n = 58 and (= 80) n =14. Anthropometric and biochemical assessments and interviews containing information about medical diagnosis and socioeconomic, demographic, and lifestyle characteristics were performed. A descriptive statistics analysis was used and in the comparative analysis we used Student's t test or One-way Anova. To the association we used Fisher's Exact test or Chi-square test. Seventy-five point eight percent of who were interviewed were sedentarians. Men showed frequencies of 14.7% of overweight and 11.8% of obesity, and women showed frequencies of 24.7% and 21.6%, respectively. In the Waist-to-hip ratio--WHR analysis it was observed that 76.3% of women and 26.5% of men showed inadequate values. Considering the Waistline measurement--WM, 95.9% of women and 52.9% of men showed high risk. Considering the Abdominal circumference--AC, 95.9% of women and 38.2% of men showed values that indicated risk. Only men showed significative association between WHR, AC and Body Mass Index = 30 Kg/ m2, that indicated central obesity, (p = 0.0480) and (p = 0.0040), respectively. Results point to a high frequency of overweight and central obesity associated with sedentarism.