Resumo. ABSTRACT To analyze the occurrence of disability pension and its association with physical inactivity and nutritional condition, isolated and aggregated way, in Brazilian National Health System patients aged ≥50 years-old, in 2013. 542 adults of both sexes, with a mean age of 61.9 years (95% CI = 61.2, 62.7) were evaluated in two Basic Health Units. Body mass index (kg/m²) was calculated and disability pensions, habitual physical activity and presence of diseases were self-reported. Variable cluster of physical inactivity and obesity was created with the aim to analyze together physical activity and nutritional status. In overall sample, the occurrence of disability pension was 25.6% (95%CI= 21.9% - 29.3%), which it was associated with cluster of obesity and physical inactivity (OR= 2.26 [95%CI: 1.14; 4.47]) when model was adjusted for heart attack, osteoporosis, arthritis / arthrosis, disc herniation and low back pain. It is concluded that the occurrence of disability pension was higher than 25% and significantly related to cluster of obesity and physical inactivity.