The purpose of this study was to investigate changes in body shape, physical fitness, and cardiovascular health-related factors after a 1-year combined exercise program in rural old men. Subjects were fourteen old men with more than 65 years of age living in Korean rural areas. The combined exercise program consisted of 90-min dynamic and static exercise sessions at a frequency of 3 days per week. Body shape (body weight [BW], body fat percentage [%BF], muscle mass [MM], body mass index [BMI], waist hip ratio [WHR]) and physical fitness levels (grip strength, standing up-right, one leg standing, sit and reach, and 2-min walking) were measured before, 6 months and 1 year after the program started. Cardiovascular health-related factors, including blood glucose, systolic blood pressure (SBP), diastolic blood pressure (DBP), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), and triglyceride (TG) were measured. There were no significant changes in BW, BMI, %BF, and MM after the training. WHR was significantly decreased at 6 months and 1-year follow-up points compared to baseline. There was no statistically significant difference in grip strength, but there was a significant increase after 6 months and 1 year after standing up right, one leg standing, sit and reach, and 2-min walking tests. There were no significant differences in the levels of glucose, SBP, DBP, TC, LDL-c, and TG, but there was a significant increase in HDL-c after 1-year.