Introduction: Cardiovascular diseases are a main cause of death across the world that are rooted in childhood and adolescence habits. High levels of low-density lipoprotein cholesterol (LDL-C), triglyceride (TG) and total cholesterol (TC) and the ratio of TG/ HDL-C and low levels of high-density lipoprotein cholesterol (HDL-C) are strong risk factors for cardiovascular diseases. The present study was conducted to evaluate the effect of aerobic exercise on the lipid profile in obese adolescents for the ultimate end of preventing cardiovascular diseases in this age group.Materials and Methods: The present applied semi-experimental study was conducted on 22 non-athlete obese adolescent girls randomly divided into an experimental group (n=11) and a control group (n=11). The experimental group performed exercises for a total of eight weeks and for three 25-60 minutes sessions per week.Participants' lipid profile, body weight and body mass index (BMI) were measured twice in both groups; first, 24 hours before beginning the first training, and second, 24 hours after the last training session.Results: According to the results of the tests, the LDL, TG and TL levels, the ratio of TG/HDL-C, the weight and the BMI decreased significantly in the experimental group; however, HDL levels did not increase significantly in this group.Conclusion: The results showed that rhythmic aerobic exercise in obese adolescent girls improves the reverse cholesterol transport process as well as the blood lipid profile. Aerobic exercise can therefore be used as a preventive intervention for cardiovascular diseases in children and adolescents.