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Shinkai, S., et al. concluded aerobic exercise enhances the effect of moderate dietary restriction fitkid by augmenting the metabolic activity of lean tissue in fitkid mildly obese middle-aged women (35). The combination of moderate energy restriction and either resistance or aerobic exercise induces significant reductions in visceral and subcutaneous adipose tissue and are thus effective means of reducing total and upper-body obesity in obese fitkid women (36). The American College of Sports Medicine's Guidelines for Exercise Testing and Prescription asserts that both weight training and aerobics can contribute to a loss of fat, yet they claim aerobic exercise is more efficient because it involves a sustained, high rate of energy expenditure (4). Weight training seems to be superior in preserving or increasing fat-free mass during a calorie restrictive diet (37) and increasing functional strength.
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