PURPOSE: A food composition for the prevention and improvement of lipid metabolism abnormality and a pharmaceutical composition for the prevention and treatment of lipid metabolism abnormality are provided.CONSTITUTION: A food composition includes fermented red ginseng as an active ingredient. The fermented red ginseng is manufactured by fermenting red ginseng with monascus pilosus for 3 to 7 days. The food composition prevents and improves lipid metabolism abnormality due to diabetes or obesity. The food composition increases blood high density lipoprotein cholesterol. The food composition reduces triglyceride in blood. The fermented red ginseng has an increased Rg2 and Rg3 contents in the red ginseng through fermentation. The fermented red ginseng has an increased panaxadiol content in the red ginseng through fermentation.COPYRIGHT KIPO 2013[Reference numerals] (AA) Lipid metabolism abnormality (diabetes group) (BB) Total cholesterol (CC,EE) Cholesterol (DD) Triglyceride (FF) Negative control group (GG) Diabetes control group (HH) Comparative example 1 (II) Example 1 (JJ) Example 2본 발명은 모나스커스 필로서스(Monascuspilosus) 발효 홍삼을 유효성분으로 포함하는, 지질대사 이상의 예방, 개선 및 치료용 조성물에 대한 것이다. 또한 본 발명은 인삼을 이용하여 홍삼을 만드는 단계및 상기 홍삼을 모나스커스 필로서스로 발효시키는 단계를 포함하는 상기 조성물의 제조 방법을 제공한다.