Immersive Virtual Reality Training for Improving Cognition in Adults With Metabolic Syndrome

This study aims to evaluate the effectiveness of a multimodal intervention using immersive virtual reality (Virtual-METS) to improve cognitive function in middle-aged adults with metabolic syndrome and subjective cognitive complaints. The intervention combines cognitive training and physical exercise in group sessions over 12 weeks.

Inclusion Criteria: * Demonstrated criteria for the MetS: central obesity (waist circumference ≥ 94 cm for men or ≥ 80 cm for women) and at least 2 of the criteria described as follow: Triglycerides ≥ 150 mg/dl or specific treatment of this lipid disorder; HDL-C \< 40 mg/dl (men) or \< 50 mg/dl (women) or specific treatment of this lipid disorder; Systolic blood pressure ≥ 130 mmHg or diastolic blood pressure ≥ 85 mmHg or previously diagnosed hypertension treatment; Basal glycemia ≥ 100 mg/dl or type 2 diabetes previously diagnosed). * Age: between 45 and 70 years old. * Subjective cognitive complaints: Subjective Cognitive Decline Questionnaire (≥ 7). * Ability to fully understand and speak Spanish or Catalan. Exclusion Criteria: * Confirmed or suspicion of dementia (MMSE\