Objective: to evaluate the indicators of psychological status, level of health and physical performance in people with alimentary obesity (AO) and high cardiovascular risk (CVR). Material and methods. 99 individuals with high and very high cardiovascular risk according to SCORE2 with a body mass index (BMI) of more than 25 kg/m2 aged 40-70 years were examined: the first group consisted of 13 overweight individuals (BMI=27.5±1.5 kg/m2), the second group – 45 individuals with 1 degree of AO (BMI=32.55± 1.46 kg/m2); the third group – 29 persons with the 2nd degree of AO (BMI=37.0± 1.52 kg/m2), the fourth group – 12 persons with the 3rd degree of AO (BMI=42.5± 2.69 kg/m2).