Results from the network meta-analyses confirmed these findings .
Conclusions Moderate- quality evidence from the present network meta- analysis suggests that D + E can be highly recommended for long-term obesity management .
Furthermore , the evidence suggests a moderate superiority of D over E with respect to anthropometric outcomes .
Background The aim of this meta- analysis was to compare the long-term efficacy of diet plus exercise ( D + E ) vs. diet ( D ) , D + E vs. exercise ( E ) and D vs. E on anthropometric outcomes and cardiovascular risk factors in overweight and obese participants .
Effects of lifestyle activity vs structured aerobic exercise in obese women: a randomized trial.
CONTEXT Physical inactivity contributes to weight gain , but only 22 % of Americans are regularly active . OBJECTIVE To examine short- and long-term changes in weight , body composition , and cardiovascular risk profiles produced by diet combined with either structured aerobic exercise or moderate-intensity lifestyle activity . DESIGN Sixteen-week r and omized controlled trial with 1-year follow-up , conducted from August 1995 to December 1996 . PARTICIPANTS AND SETTING Forty obese women ( mean body mass index [ weight in kilograms divided by the square of height in meters ] , 32.9 kg/m2 ; mean weight , 89.2 kg ) with a mean age of 42.9 years ( range , 21 - 60 years ) seen in a university-based weight management program . INTERVENTIONS Structured aerobic exercise or moderate lifestyle activity ; low-fat diet of about 1200 kcal/d . MAIN OUTCOME MEASURES Changes in body weight , body composition , cardiovascular risk profiles , and physical fitness at 16 weeks and at 1 year . RESULTS Mean ( SD ) weight losses during the 16-week treatment program were 8.3 ( 3.8 ) kg for the aerobic group and 7.9 ( 4.2 ) kg for the lifestyle group ( within groups , P<.001 ; between groups , P = .08 ) . The aerobic group lost significantly less fat-free mass ( 0.5 [ 1.3 ] kg ) than the lifestyle group ( 1.4 [ 1.3 ] kg ; P = .03 ) . During the 1-year follow-up , the aerobic group regained 1.6 [ 5.5 ] kg , while the lifestyle group regained 0.08 ( 4.6 ) kg . At week 16 , serum triglyceride levels and total cholesterol levels were reduced significantly ( P<.001 ) from baseline ( 16.3 % and 10.1 % reductions , respectively ) but did not differ significantly between groups and were not different from baseline or between groups at week 68 . CONCLUSIONS A program of diet plus lifestyle activity may offer similar health benefits and be a suitable alternative to diet plus structured aerobic activity for obese women
Results from the network meta-analyses confirmed these findings .
Conclusions Moderate- quality evidence from the present network meta- analysis suggests that D + E can be highly recommended for long-term obesity management .
Furthermore , the evidence suggests a moderate superiority of D over E with respect to anthropometric outcomes .
Background The aim of this meta- analysis was to compare the long-term efficacy of diet plus exercise ( D + E ) vs. diet ( D ) , D + E vs. exercise ( E ) and D vs. E on anthropometric outcomes and cardiovascular risk factors in overweight and obese participants .