Elevated C-reactive protein (CRP) is associated with an increased risk of cardiovascular disease. Physical activity has been inversely associated with CRP. However, the clinical trials examining the effect of exercise training have produced conflicting results.Purpose-The purpose of this study was to examine the influence an exercise training program on CRP in postmenopausal women.Methods-Sedentary, overweight/obese, postmenopausal women with elevated systolic blood pressure (120.0 to 159.9 mm Hg) (N= 464) were randomized into 1 of 4 groups: a non-exercise control or 1 of 3 aerobic exercise groups; exercise energy expenditure of 4, 8, or 12 kcal/kg/week (KKW), for 6 months at a training intensity of 50% of peak VO 2 .Results-Complete data was available of 421 participants and mean baseline CRP was 5.7 (5.5) mg/L with no significant differences across groups. While VO 2 increased in a dose response manner, there were no significant changes in CRP in any of the exercise intervention groups compared to the control group. Change in fitness was not associated with change in CRP, whereas change in weight was significantly associated with change in CRP.Conclusion-Despite increasing fitness, six months of aerobic exercise training did not improve CRP. However, improvements in CRP were associated with reductions in weight.