The aim of the study: to determine the incidence of dyslipidemia in obese children and adolescents. Research materials and methods: analysis of the results of the examination of 150 children from 3 to 17 years old in a children's clinic, taking into account lipidogram data Study results: in 102 children (68%), the lipidogram did not reveal deviations (conditionally "Normal obesity"). 48 children (32%) showed various deviations in the lipid spectrum of blood, of which 18 people (12%) - type II dyslipidemia (WHO classification) - maximum risk of early cardiovascular complications Conclusions: constitutional obesity in children is not homogeneous; it is necessary to isolate the high-risk group of early complications with dispensary follow-up and treatment