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How do exercise and diet compare for weight loss?

Publication: Journal of Family Practice
Publication Date: 01-OCT-07 		Format: Online
Delivery: Immediate Online Access
Full Article Title: How do exercise and diet compare for weight loss?(CLINICAL INQUIRIES: From the Family Physicians Inquiries Network)(Clinical report)

Article Excerpt
Evidence-based answer

Exercise alone produces short-term weight loss that is comparable with that induced by diet, after which a plateau in weight loss appears to occur (strength of recommendation [SOR]: B). Exercise in combination with diet promotes maintenance of weight loss above either intervention alone in both obese and overweight men and women (SOR: A). Exercise-induced weight loss has been shown to preferentially reduce abdominal fat and increase lean skeletal muscle compared with that induced by diet (SOR: B).

Multiple short bouts of exercise per day are as effective as a single long bout in producing weight loss (SOR: B). Adherence improves when exercise can be completed at home or home equipment is used (SOR: B).

Clinical commentary

The real challenge: Motivating patients to exercise

The evidence is pretty clear. The real challenge is motivating patients to start and maintain an exercise plan. The key points I make with my patients are: Aim for 5 to 7 times each week. Start slowly (10 minutes per session) and gradually build (at least to 20 minutes within a few months). Walking is often preferred, but do what you enjoy. Having a "buddy" work out with you may help you stick...

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