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A systematic review on the effectiveness of diet and exercise in the management of obesity.

Diabetes & metabolic syndrome
April 1, 2023
Iyanu V Olateju et al. (7 authors)
Systematic ReviewJournal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to assess the effectiveness of dairy-based diets in managing obesity compared to other interventions like exercise and caloric restriction.

Results Summary

Participants on a dairy-based diet showed significant reductions in body weight (-1.16 kg) and body fat mass (-1.49 kg). The study concluded that combining intensive physical activity (175 min/week) with a portion-controlled diet led to more significant weight loss (5%).

Population

Obese adults (18 years and older).

Effective Dosage

Not specified.

Duration

Not specified.

Interactions

None mentioned.

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
dairy-based diet
decrease
body weight
Participants
-1.16 kg [-1.66, -0.66 kg]
achieved a more significant reduction
#1
dairy-based diet
decrease
body fat mass
Participants
-1.49 kg [-2.06, -0.92 kg]
achieved a more significant reduction
#2
ADF
decrease
body weight
ADF participants
mean -0.9% ± 0.6% in the low-weight-loss group
achieved body weight change
#3
ADF
decrease
body weight
ADF participants
-9.9% ± 1.1% in the high-weight-loss group
achieved body weight change
#4
caloric restricted (CR)
decrease
body weight
CR participants
-1.3% ± 0.7% in the low-weight-loss group
achieved
#5
caloric restricted (CR)
decrease
body weight
CR participants
-9.2% ± 1.2% in the high-weight-loss group
achieved
#6
combination of intensive physical activity of about 175 min per week and a portion-controlled diet
decrease
weight
-
5%
led to a more significant weight loss
#7
combination of strength plus endurance exercise for a minimum of 175 min per week and a customized hypocaloric diet based on patient-specific metabolic needs and overall health status
decrease
obesity management
adults
-
most efficient regimen
#8
Abstract

BACKGROUND AND AIMS: Obesity is a worldwide epidemic and has quickly become a clinical and public health challenge. The primary concern is the effect of obesity on quality of life. This review assesses the effectiveness of interventions such as exercise and diet in the management of obesity. METHODS: Studies selected reported on the obese adult population (18 years and older), who had a lifestyle modification using diet, exercise, or both. We screened a total of 324 articles, 25 were found to be duplicated, 261 were excluded after screening for eligibility, and 27 full-text articles due to study design, incomplete data. 11 full-text articles were reviewed and included in our study. RESULTS: Participants placed on a dairy-based diet achieved a more significant reduction in body weight (-1.16 kg [-1.66, -0.66 kg], p < 0.001) and body fat mass (-1.49 kg [-2.06, -0.92 kg], p < 0.001). The ADF participants achieved body weight change of mean -0.9% ± 0.6% in the low-weight-loss group, and -9.9% ± 1.1% in the high-weight-loss group, whereas the caloric restricted (CR) participants achieved -1.3% ± 0.7% in the low-weight-loss, and -9.2% ± 1.2% in the high-weight-loss groups. A combination of intensive physical activity of about 175 min per week and a portion-controlled diet led to a more significant weight loss of 5%. CONCLUSION: This systematic review identified that the most efficient regimen for obesity management in adults is the combination of strength plus endurance exercise for a minimum of 175 min per week and a customized hypocaloric diet based on patient-specific metabolic needs and overall health status.

Medical Subject Headings (MeSH)
AdultHumansObesityDiet, ReducingQuality of LifeBody WeightExercise
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations15
Citations/Year7.5
Relative Citation Ratio3.85
NIH Percentile89.5%
Research Impact Scores
APT Score0.75
Weight Score2.79
Normalized Score0.69
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