Introduction: Hypertension is a condition of a person experiencing an increase in blood pressure above normal and is still a dangerous health problem in the elderly because if it is not controlled it will develop and cause dangerous complications. Hypertension can be caused by several factors such as age, stress, obesity, smoking, drinking alcoholic beverages, kidney disorders and so on. Methods: This study uses quantitative methods with a correlational study design and a cross-sectional approach. The sample of this study amounted to 34 elderly people in Beji village, Sidoarum Sleman district. The sampling technique in this study was total sampling technique. Data collection techniques using questionnaires and blood pressure checks. The analysis technique used the chi-square test. Results: In the Univariate analysis, it was found that the level of knowledge of lifestyle was not good in the elderly as many as 7 respondents (20.6%) with the incidence of hypertension as many as 17 respondents (50.0%). The results of the chi-square test obtained P value <0.05 (0.034) which means that there is a relationship between the level of knowledge about lifestyle and the incidence of hypertension in the elderly in beji village, sidoarum district, sleman regency. Conclusion: It is very important to improve communication, consultation, and counseling about hypertension and how to prevent it through a healthy lifestyle in the elderly on a regular and sustainable basis. The elderly are expected to take action to prevent hypertension by gaining better knowledge about this problem through the media and by participating in health counseling activities held by the health department, especially the sidoarum health center.