**1. Introduction**

Metabolic Syndrome (MetSy) is one of the fastest-growing non-communicable disorders globally [1, 2]. Metabolic syndrome (MetSy) is a precursor to Noncommunicable Diseases (NCDs) and is responsible for the high prevalence of chronic diseases like diabetes, hypertension, heart conditions and cerebrovascular incidents. The burden of NCDs is rising globally and is becoming worse in developing countries, where more women than men are at risk. Women also bear the greatest morbidity and mortality in almost all countries [2]. By the year 2030, studies project that NCDs and related diseases will be the cause of more than 75% of deaths globally [3]. Cardiovascular diseases (CVDs) are predicted to be the future major cause of deaths in low-income countries, more than all the infectious diseases,

maternal and perinatal conditions, and nutritional disorders combined [2, 3]. The risk factors associated with NCDs include smoking, high blood pressure, unhealthy diet, inactivity, overweight and obesity, hypercholesterolemia, elevated blood sugar and alcohol consumption [4].

In 2016, the WHO recorded 39% of adults aged 18 years and over (39% of men and 40% of women) to be overweight and on the whole about 13% of the world's adult population (11% of men and 15% of women) were obese in 2016 [5]. Obesity and overweight). The worldwide prevalence of obesity nearly tripled between 1975 and 2016 [5]. Obesity in men in reproductive age is increasing worldwide, impacting negatively on reproductive potential, sperm function and assisted reproduction outcomes. Changes in modern eating behaviors are needed to invert the negative correlation between lifestyle and sperm quality [6]. Current studies predict that approximately 25% of children less than 16 years old will be obese by the year 2050. This is of serious concern as childhood obesity predisposes individuals to adult obesity and the associated obesity related medical sequelae. One such sequela is the impact on reproductive health in both the male and females population [7].
