Obesity is positively associated with atherosclerosis, coronary and carotid artery calcification with high risk of co-morbidity and mortality. Carotid artery intimo-media thickness (CIMT) measurement is an early marker of vascular pathology and a reliable method for detection of early atherosclerosis and assessment of its advancement. It should be evaluated in every asymptomatic adult or hypertensive patient at moderate risk for cardiovascular disease. Carotid artery ultrasound scan is the method of choice and the results are reliable. CIMT values of more than 0.08 mm should be considered...