Inclusion criteria:
Participants having MetS, according to IDF definition
waist circumference ≥ 94 cm for men and ≥ 80 cm for women
(triglyceride level ≥ 150 mg/dl),
(high density lipoprotein < 40 mg/dl in male and < 50 mg/dl in female),
(raised systolic blood pressure ≥130 or diastolic blood pressure ≥ 85 mm Hg),
(raised fasting plasma glucose ≥100 mg/dl),
age between 30 and 50 years,
both male and female, living in Halabja at least 3 years.
Exclusion criteria:
If the study participants use medications that might affect blood pressure, plasma glucose and lipid profiles throughout the study, they were excluded.
The use of any other supplements containing vitamin D and C was also being the exclusion criteria.
Getting pregnant at the middle of the study and lack of use the supplements for average 10 days, was excluded.
For physical activity, if the participants are not follow to recommended time and less than 25 mints, they were being excluded.
Individuals with type I and type II diabetes who are taking oral hypoglycemic agents or injecting insulin, or any medical therapy affecting the result,
smoker [Light smokers include low-rate daily smokers (< 5 cigarettes per day during their life)],
heart failure and those with known chronic renal insufficiency or creatinine ≥1.4 mg/dl;
inflammatory gastrointestinal pathology or malabsorption syndrome, neoplasms,
alcohol intake >40 g/day; and long-term institutionalization or residing in nursing homes,
pregnancy or lactation as well as post-menopausal women and women with surgical menopause was not to be included.
Patients with a history of bariatric surgery and use of weight-loss medications was also not be included.
those with high triglyceride level > 400 mg/dl, higher systolic blood pressure level >140 and diastolic blood pressure > 90, and finally raised fasting plasma glucose >125 mg/dl was not included.