Criteria	Description
Male and Female with SCI/D > 1 year, aged 18–65 years.	Individuals of both sex with spinal cord injury/dysfunction (SCI/D) for more than one year, aged between 18 and 70 years.
ASIA Impairment scale (AIS) A-C Spinal Cord Levels C5-L1	Individuals with AIS scale ranging from A to D and spinal cord levels C5-L1
Anyone or more of the following:	Participants must meet at least one of the following criteria:
a. Waist circumference >94 cm (37 inches)	Waist circumference exceeding 94 cm (37 inches).
b. BMI ≥ 22 kg/m2 [40,41]	Body Mass Index (BMI) equal to or greater than 22 kg/m2.
c. Fasting dyslipidemia (HDL-C≤ 40 mg/dL (male)/≤50 mg/dL (female), OR; TG ≥ 150 mg/dL)	Presence of fasting dyslipidemia, indicated by HDL-C ≤ 40 mg/dL (males) or ≤50 mg/dL (females), or TG ≥ 150 mg/dL.
d. Linked with caregivers: male and female 18–70 years who consent to co-enroll in the study as partners	Caregivers aged between 18 and 70 years, of both sex, who are willing to participate alongside the study participant and provide social and/or physical support. Caregivers include family members, significant others, or friends living with a disabled (SCI) partner and offering personal assistance, routine emotional encouragement, and/or social interaction.