This study was carried out on four y one mate Ex-sports group and fifteen male sedentary as a control group aged from 35-45 years. The exercise programmes including running, swimming, and handball. the duration of such training was held from 3-5 P.M. Three time per weak for 1 year. The clinical examination, blood pressure determination and ECG tracings were done for each one of the studied groups. The la-boratony investigations includU g serum cholesterol, serum triglycerides and post prandial blood sugar were carried out for each participants be¬fore training after I month, 6 months and 1 year of physical training. The aim of this study is to evaluate the effects of physical training on cardio¬vascular health among the middle aged group of Egyptian Ex-sports men. The exercise programmes resulted in a decrease in the prevalence of chest pain, intermittent claudication. blood pressure values, basal pulse rate, and ischaemic heart disease (1k-ID) ECG records. Also, senrm cho¬lesterol. triglycerides and blood Sugar level were decreasing by duration of physical training. Zr is recommended to do community health action and education to encourage middle aged men to participate in such exer¬cise programmes and to provide more centers for such activities and rec-reations which in turn increases production longivity and promote cardio¬vascular health.