Background: Hypertension is an increase in systolic and diastolic blood pressure that exceeds the normal limit. Overweight in middleaged adults is caused by excessive amounts of fat cells due to excessive calorie intake early. Methods: This type of descriptive research is carried out by using a retrospective approach. Data collection starting from events that have occurred or are ongoing to do a description of general characteristics and specific variables of the study to answer the research objectives. Variables that have been recorded will be determined by the prevalence of hypertension and overweight. The subjects of the study were hypertensive patients in middle-aged with overweight based on data obtained from East Denpasar Puskesmas I. Sampling was done using a random sampling method. Results: The prevalence of hypertension in middle-aged adults with overweight in Denpasar in 2018 there were 36.1% of respondents with stage 1 hypertension and 18% of respondents with stage 2 hypertension, with the incidence of hypertension with overweight is highest in the age group 56-60 years, with a percentage of 62.5%. Conclusions: The number of hypertensive patients in middle-aged adults with overweight in women is higher than in men.