Metabolic Syndrome is a cluster of interrelated risk factors, including central obesity, insulin resistance, high blood pressure and abnormal lipid levels, that together significantly increase the likelihood of developing cardiovascular disease and type 2 diabetes. The syndrome is becoming increasingly prevalent, affecting around 34.2 percent of adults and 5.2 percent of adolescents, with higher rates observed in males, urban populations, and individuals from higher socioeconomic groups.

Lifestyle modifications remain the first line approach for preventing and managing metabolic syndrome. Among dietary interventions, the DASH diet is widely recommended due to its effectiveness in improving cardiovascular and metabolic health. In terms of physical activity, both aerobic exercise and pilates have shown potential benefits in enhancing metabolic function and overall well being. However, there is limited evidence comparing the effectiveness of these exercise forms when combined with the DASH diet. This study aims to address this gap by evaluating and comparing the effects of aerobic training and pilates, both in conjunction with the DASH diet, on individuals with metabolic syndrome. The findings from this research may contribute valuable insights toward developing more effective lifestyle based management strategies for individuals at risk of chronic metabolic and cardiovascular diseases.