Background: Hypertension is one of the common health problems in developing countries. The prevalence of hypertension increases with age. There are several factors that can trigger the incidence of hypertension, and one of them is obesity. Excessive fat in the body will disrupt circulation and give pressure to blood vessels. Aim: This study aims to analyze central obesity as a risk factor for hypertension at Banjararum Village, Singosari, Malang, Indonesia. Method: A case control study was carried out to 44 respondents who were elderly that fulfil the inclusion criterias at Banjararum Village, Singosari, Malang, East Java, Indonesia using purposive sampling. This study used primary data by doing physical examination to the respondents and a questionnaire to identify respondents who already diagnosed with hypertension. Data were analysed with the Chi-square test. Results: This study showed a significant result that central obesity is a risk factor of hypertension in elderly (p =0.027 , p < 0,05) with majority female respondents aged above 59 years old. Conclusion: Central obesity is a risk factor of hypertension in elderly. Elderly with central obesity had 5 times higher prevalence of hypertension than elderly without central obesity.