Aim Observe the effects of the centre-type and periphery-type obesity on serum lipids and lipoproteins level in the aged.The information about serum lipids,apolipoproteins from 84 cases of centre-type obesity,104 cases of periphery-type obesity and 101 case of normal weight of the aged was analyzed.Results Centre-type obesity has a serum lipid level disorder in accordance with what the periphery-type one has. Both obesities have an increase of total cholesterol (TC), triglyceride (TG) and apolipoprotein B and a decrease of high density lipoprotein cholesterol(HDLC) and apolipoprotein AI. The centre-type obesity. however, displays more remarkably than the Periphery-type one does. With increasing of the waist and hip ratio(WHR), the serum lipid level disorder become more serious. The incidences of the hyperlipidemia were 82. 2% and 47. 6% for the centre and periphery obesity respectively (p<0.01).Conclusion. The fat accumulation in abdomen of obesity aged may induce a more serious disorder of the serum lipid and apoproteins level. So, we should attach importance to observing and regulating the fat distribution in aged for the prevention and cure of the serum lipid and apoprotein level disorder.