Purpose. This study was to examine (1) perceived barriers to and perceived benefits of physical activity, (2) perceived control on health, (3) relationship between participant characteristics and perceptions about physical activity, and (4) relationship between perceived control on health and perceived barriers to physical activity in HIV positive people with associated metabolic syndrome. Method. A convenience sample of 15 (11 men and 4 women) with mean age of 46 years participated in the study. Exercise Benefits and Barriers Scale (EBBS) in addition with two open ended questions were used to identify the common benefits and barriers to physical activity. Perceived control on health was assessed by the Multidimensional Health Locus of Control (MHLC), Form C. Results. The commonly reported barriers were the physical health concerns, psychological barriers as well as financial concerns. The common perceived benefits were improved physical appearance and health promotion both physical and mental. The participants had higher Powerful Other Externality (PHLC), particularly the Doctors subscore. The total barriers score and benefits score were unrelated to participants' age, gender, ethnicity educational level and exercise participation. There was a statistically significant relationship between Internal Locus of Control (IHLC) and perceived barriers (r = -.549). Conclusion. The acknowledgment of perceived barriers, benefits and control on health is needed to guide innovative, multilevel interventions for promoting physical activity among these HIV positive people at increased cardiovascular risk.