Abstract: The purpose of this study was to examine the effect of a combined exercise program of aerobic and resistance exercises on the cardiovascular risk factors in hypertensive patients. The study subjects were 20 elderly women with hypertension, randomly assigned to the control group (n = 10) or the combined exercise group (n = 10). The 16 weeks combined exercise program included aerobic and resistance exercises. Body composition, blood pressure, blood lipids, insulin resistance and C-reactive protein levels were measured before and after the intervention. Paired t-test was used to analyze the differences in variables, before and after the training program. In the exercise group, post-intervention values were significantly better than the baseline values for body weight, percentage body fat, waist circumference, lean body mass, systolic blood pressure, diastolic blood pressure and serum levels of triglycerides, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol. There was no such difference observed in the control group at the end of the 16 weeks period. There was no significant difference in insulin resistance following the 16 weeks period within either of the groups. The values for C-reactive protein were significantly lesser in the exercise group after following the 16 weeks combined exercise intervention, compared to the baseline values. Given the above outcomes, our study demonstrated that a combined aerobic and resistance exercise program was associated with significant benefits in terms of improvement in body composition, blood pressure, serum lipid and C-reactive protein levels in elderly women with hypertension. In conclusion, combined exercise straining appears to play a critical role in reducing the risk factors of cardiovascular diseases in elderly women with hypertension.