The metabolic syndrome (MetS) is a combination of interrelated risk factors which increase the risk of cardiovascular diseases and diabetes mellitus type 2. The increased frequency of that condition and the diseases associated thereof is attributed to the unhealthy dietary behavior during the last decades. There exist combined high-fat and high-carbohydrate diets for the inducement of the disease in rats which successfully imitate the pathology in humans. The reduced aerobic capacity is considered an unfavorable prognostic marker in cardiovascular accidents and as regards longevity. The data obtained indicate a decrease of submaximal running endurance capacity upon application of high-fatcarbohydrate diet as early as the 4th week and a substantial reduction of VO2max in the 16th week. The results show worsening of the aerobic capacity and are concurrent with an increased cardiovascular risk in rats with developed diet-induced obesity. Introduction The metabolic syndrome (MetS) is a combination of interrelated risk factors which increase the risk of cardiovascular diseases and diabetes mellitus type 2. The increased frequency of that condition and the diseases associated thereof is explained by the unhealthy dietary behavior during the last decades [1, 2]. In the study of MetS, dietary, genetic and pharmacologic animal models are used [3, 4, 5, 6, 7, 8, 9]. Combined high-fat and high-carbohydrate diets for inducement of the disease in rats have been developed, which imitate successfully the pathology in humans [10, 11, 12]. They help induce obesity, impaired glucose tolerance, dyslipidemia, endothelial dysfunction, liver and heart muscle damage [10, 11, 12]. The reduced aerobic capacity is considered an unfavorable prognostic marker in cardiovascular accidents and as regards longevity [13, 14]. Aim This study was aimed at examining the change of aerobic capacity in rats on a combined high-fat and high-carbohydrate diet during a period of 16 weeks. It is part of a complex study of changes in certain morphological, functional, and laboratory indices at various stages of MetS inducement. Materials and Methods Animals Male Wistar rats (n=80) with initial body mass of 160-180 g were used. They were maintained at an ambient temperature of 20 o ± 1 oC, controlled humidity, and a 12:12 h lightdark photoperiod. The experimental protocol was approved by the Commission for Ethical Treatment of Animals at the Bulgarian Food Safety Agency. The rats were reared and all experimental procedures were performed according to the recommendations of the European Commission for the protection and humane treatment of laboratory animals. Since running on a treadmill is a skill which the rats should develop and maintain, prior to the experiment all rats were trained three times a week on a treadmill for small test animals (Columbus Instruments, Columbus, Ohio, USA) for 5 min, with a velocity of 27 m/min, at a track inclination of 5o. Such workload induces no training adaptations but familiarizes the rats with treadmill running and allows selection of rats which run spontaneously [15]. This training session is necessary for the conduct of the forthcoming functional tests. Compliant animals were randomized into two groups: a control group on standard rat chow (, n=20), and a dietary manipulated group, which had free access to a combined high-fat-carbohydrate food with added animal fats (D, n=60). During the whole period, all rats were trained on a treadmill for small test animals trice weekly with same intensity as preliminary period. Diet The control group received standard rat chow provided by the vivarium of Plovdiv Medical University and water ad libitum (Table 1). The dietary manipulated group had free access to a combined high-fat-sucrose diet (High-Fat-Sucrose Diet, HFSD) prepared on-site (Table 1). Table1. Basic properties of the food taken during the experiment.