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Donnelly, J. E. et al. (1991), accumeasure studied the benefits of aerobic exercise accumeasure 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 accumeasure 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. Conversely, strength improvements were found in the exercise groups that included strength training (40). It should be noted that exercise is less likely to induce changes in resting oxygen uptake, adipose, and water weight when combining severe dietary restriction than those employing moderate dietary restrictions (41).
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