Research indicates that adults with intellectual disabilities (ID) have high rates of overweight status/obesity (OSO). OSO is associated with several important risk factors for coronary heart disease (CHD). This study focused on assessing whether such risk factors are being identified in adults with ID who are receiving their healthcare in community settings, and comparing the rates of risk factors and appropriate preventive interventions with a sample of adults without ID from the same community. OSO rates and CHD risk factors were ascertained in a sample of 100 adults with ID from a medical chart review. All participants were residing in group homes in Monroe County, New York. These rates were compared with age-peer rates in the local general population. In addition, physician practices regarding weight and CHD risk factors were compared in the two study groups. As expected, rates of OSO were high in both groups. However, rates of obesity were proportionally higher in adults with ID. Hypertension rates were comparable in the two groups, although rates of dyslipidemia (high cholesterol) were higher in adults with ID. Medication prescription rates for hypertension and dyslipidemia were equivalent in both groups. There were more dietary recommendations and fewer exercise recommendations prescribed for adults with ID. These findings confirm that OSO rates are high in both adults with ID and those in the general population in one geographic area. High rates of CHD risk factors pose risks for premature mortality and morbidity in both groups. Because of factors that are not clear, but that merit further study, physicians may make different recommendations for diet and exercise in persons with ID compared with persons in the general population.