Introduction: The prevalence of obesity is increasing in the developed as well as developing countries. Central obesity in the elderly population is associated with significant increase in morbidity and mortality.

Aim: To know the obesity pattern and the co–morbid conditions in the elderly obese.

Methods: This is a prospective randomized observational study done in a rural tertiary care center. Patients of both sex who were ≥60 years of age with a BMI of ≥23kg/m ²  were enrolled into the study and their clinical profile was assessed.

Results: Out of the 100 patients studied males were 60 & females were 40.78 were overweight,18 were obese & 4 were morbidly obese. 42% had diabetes,40% had hypertension & Copd,66% had osteoarthris,46% had IHD, 35% had cognitive impairment, 23% had BPH,20% had CKD,12% had stroke,11% had urinary incontinence & 6% had sexual dysfunction.

Conclusion: Obesity is a growing health concern in our country and its prevalence in the elderly is also rising. Though hypertension, diabetes, IHD,COPD & BPH was seen most commonly in the males, Osteoarthritis  & urinary incontinence was most commonly seen in females.