Objective: Aging is a natural process that will be experienced by everyone, and during the aging period there will be a decrease in body function especially in cardiovascular function so that it will cause health problems such as hypertension. Hypertension is a health problem that is generally found in the elderly and the need for appropriate treatment such as the implementation of physical exercise for the elderly and the role of the family to help the elderly overcome this problem. The purpose of this study was to determine the behavior of elderly caregivers with the implementation of physical exercise in the elderly with a hypertension health problem. Method: This research uses descriptive correlational design. The sample size was 108 respondents. Data analysis used Chi-Square test. Results: The results of this study indicated that the behavior of elderly caregiver affects the implementation of physical exercise in the elderly with hypertension (p-value < 0.001; OR = 4.781). Conclusions: The results of this study indicate that the behavior of elderly caregivers influences the implementation of physical exercise in the elderly with hypertension. The results of this study are expected to provide input to community nurses as providers of nursing care, one of them is nursing care providers for families can work with family members as caregivers, especially in the elderly with hypertension health problems to motivate families to do effective treatment so that elderly hypertension can exercise physical according to the prescribed recommendations. © 2019 Elsevier España, S.L.U.