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The point of linking (2) was to provide a meta-analysis of many studies, and to reduce the specific weighting of individual outliers. There were plenty of outli
by arcticbull 3y ago
The point of linking (2) was to provide a meta-analysis of many studies, and to reduce the specific weighting of individual outliers. There were plenty of outliers in the other direction. Measuring after 12 weeks isn't really useful - what matters is long-term outcomes and sustainability - and honestly I don't know that postmenopausal women are entirely representative.
The meta-analysis is clear, the longer you wait to follow up the worse the numbers get.
> The achievement after 2 years may appear small, averaging 1.64 kg or 1.24 kg m−2 loss of body weight after a combination of dietary changes and increased physical activity. [2]
The meta-analysis only included overweight or obese participants, so BMI 25+ or 30+. That's a total body weight change of less than 5%, after 2 years. Even cherry-picking on 6 year study showed a 5% drop in weight, for obese people who need to lose 20 or 30% to return to a normal weight.
The important take-aways here are that studies only look good until you follow up on the participants (12 weeks is not useful) - and that statistical significance isn't practical significance. 3lbs of total weight loss after 2 years is good, of course, but it's an umbrella in a hurricane.
- Aerroon 3y agoI picked the study because it measured body fat and had a caloric restriction. If you're eating 450 kcal below your TDEE then you are going to lose fat. If your scale doesn't go down then that means you're going to gain weight somewhere else - muscle mass, glycogen, water etc. I think studies about weight loss should include body fat measurements.
- alexey-salmin 3y agoRegardless of your intentions when linking (2) the fact remains: exercise groups lose more fat and gain more muscles which means a healthier body. This would still hold true even under the worst-case assumption of no difference in overall weight loss compared to diets. Which is not the case meaning that the effect of exercise is even greater.
- arcticbull 3y agoRespectfully let's not over-index on the "10th dentist" when the whole panel is here eh?