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Abstract Purpose: to investigate the effect of Pilates exercise on lipid profile in postmenopausal obese women. Thirty postmenopausal obese women aged from 45-55 years. They were randomly assigned into two groups equal in numbers: group (A): was consisted of 15 obese postmenopausal women, instructed to follow a specific low caloric diet program (1200Kcal/day) for 12 weeks. group (B): was consisted of 15 obese postmenopausal women, instructed to follow a specific low caloric diet program as group (A) and performed Pilates exercise program for 30 minutes/ 5 times per week for 12 weeks. The Evaluation was done by measuring lipid profile [ Cholesterol, High-density lipoprotein (HDL), Low-density lipoprotein (LDL) and Triglycerides (TC)]by using a Spectrophotometer, body mass index (BMI), and waist/ hip ratio (W/H ratio)before and after 12 weeks of the program in both groups. Results: showed that there was a significant improvement (P<0.05) in the lipid profile and a significant decrease in BMI and W/H ratio for both groups (A and B) after 12 weeks of treatment. However, there was a clinical difference in all parameters between both groups post-treatment in favor of group (B). Conclusion: Pilates exercise combined with diet control had a better effect on lipid profile in postmenopausal obese women |