Purpose of the study. To analyze lipid profile and blood pressure abnormalities in adolescents with abdominal obesity and determine their role as early indicators of metabolic risk. Material and methods. The study included 2000 adolescents aged 10-19 years. Anthropometric parameters (BMI, waist circumference), systolic and diastolic blood pressure, and biochemical markers (triglycerides, HDL cholesterol, total cholesterol) were assessed. Lipid abnormalities were defined as triglycerides ≥1.7 mmol/L, HDL cholesterol <1.03 mmol/L (boys) or <1.29 mmol/L (girls), and total cholesterol ≥5.2 mmol/L. Statistical analysis was performed using the chi-square test (χ²), Student’s t-test, and correlation analysis (p < 0.05). Research results. Low HDL cholesterol (28.7% in boys, 21.5% in girls) and elevated triglycerides (19.4% vs. 13.2%) were the most frequent lipid abnormalities, whereas hypercholesterolemia was less common (16.3% vs. 18.9%). Urban adolescents had significantly higher triglyceride levels (1.85 ± 0.12 mmol/L) compared to rural peers (1.65 ± 0.11 mmol/L; p = 0.011). The average systolic and diastolic pressures were 108.4 ± 12.7 and 68.9 ± 9.3 mmHg, respectively. Elevated blood pressure (≥130/85 mmHg) was found in 18.7% of adolescents, with higher prevalence among boys (22.8%) and urban residents (31.2%; p = 0.042). Correlation analysis showed positive relationships between BMI and systolic blood pressure (r = +0.41; p < 0.001), and waist circumference and diastolic pressure (r = +0.37; p = 0.002). Conclusions. Adolescents with abdominal obesity exhibit early lipid metabolism disturbances and a tendency toward elevated blood pressure. Low HDL cholesterol and hypertriglyceridemia are the main markers of metabolic risk. Regular screening, dietary correction, and physical activity programs are essential to prevent cardiovascular complications in this age group.