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Review: dietary intervention plus exercise is no better than dietary intervention alone for inducing long term weight loss

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 Q In overweight and obese adults, is a combination of dietary intervention and exercise more effective than dietary intervention alone for inducing long term weight loss?

METHODS

Embedded ImageData sources:

Cochrane Controlled Trials Register (Cochrane Library), Medline, and LILACS (all up to March 2003). Published reviews and all relevant studies and their reference lists were also scrutinised for other pertinent publications.

Embedded ImageStudy selection and assessment:

randomised controlled trials (RCTs) published in any language that compared a combination of dietary intervention (including any type of caloric restriction) and exercise (any type of exercise in which it was possible to quantify the recommended activity) with dietary intervention alone in overweight or obese adults (body mass index >25 kg/m2). RCTs were also required to have ⩾1 year of follow up. Study exclusion criteria included enrolment of pregnant women, use of any medication, and use of behavioural therapy as the only …

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