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Walberg argued that resistance exercise is less likely than hospital aerobic exercise to acutely increase lipid and energy utilization but may indirectly aid weight reduction by increasing lean tissue and metabolic rate. He concluded that the value of aerobic exercise during hospital weight loss was apparent but the potential of resistance exercise in hospital weight remained unclear (39). Donnelly, J. E. et al. (1991), studied the benefits of aerobic exercise and weight training combined with a very low calorie diet. He discovered that changes in body weight, percent fat, fat weight, and fat-free mass, were not different between exercise/diet groups and diet groups. All groups exhibited declines in resting metabolic rate. This study failed to show advantages of any exercise regimen over diet alone for weight loss, body-composition changes, or declines in resting metabolic rate, although limited improvements in work capacity were reported in the exercise groups.
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