Introduction: The hormonal changes of menopause have a deleterious effect on metabolism and on blood pressure regulation, since 50% of women have metabolic syndrome. At this stage, there is an increased risk for some chronic non-communicable diseases, especially hypertension. Anthropometric data are established indicators for the risk of heart disease and, associated with the food consumption of post-menopausal women and hypertension, represent a gap to be elucidated. Objective: To compare the relationships between anthropometric measures and macronutrient distribution in the diet of postmenopausal women with and without hypertension. Methods: The study recruited 45 women between 45 and 65 years old, with and without hypertension and a minimum of one year of amenorrhea. Participants answered a food recall and had their weight, height, waist circumference, abdomen and hips collected. Distribution of macronutrients in the diet, waist/hip ratio and waist/height were calculated. Data by T-test considering significant differences between groups for p <0.05. Results: There was a statistical difference between normotensive and hypertensive women for BMI (24.87±4.05 kg/m2 vs. 32.03±4.20 kg/m2; p<0.001) Waist Circumference (80.91±9.96 cm vs. 102.08±9.27 cm, p<0.001); Hips circumference (101.43±8.15 cm vs. 111.23±8.93 cm; p<0.001); Waist-to-height ratio (0.43±0.06 cm vs. 0.64±0.06 cm, p<0.001); and Waist-to-hips ratio (0.79±0.05 cm vs. 0.91±0.04 cm, p<0.001) In food consumption, there was an important disparity in intake of carbohydrates (172.66±88.67 g vs. 250.32 ± 92.95 g, p=0.007) and lipids (55.69±26.23 g vs. 82.07±51.12 g, p=0.037) with no difference in protein consumption (62.80±23.32 g vs. 77.60±39.67 g, p=0.139). Conclusion: The study suggests that there are significant differences in anthropometric and food consumption variables among the participants, which may, therefore, be related to the development of hypertension.