Metabolic syndrome is characterised by several abnormalities which include obesity, insulin resistance (the cells stop listening to the message), high blood pressure and raised cholesterol (1). These metabolic abnormalities increase the risk of heart and blood vessel disease (CVD) and type 2 diabetes (T2DM). This syndrome affects 25% of all adults and increases in prevalence with advanced age (2). Weight loss will reduce the risk of adverse outcomes and reverse the process (3