Diet and/or Exercise Intervention: What Leads to the Greatest Weight Loss in Menopause?
BACKGROUND AND PURPOSE:
Women who are peri- and postmenopausal are at risk for weight gain
Previous studies have reported some benefits with diet and exercise
However, there was significant heterogeneity between these studies, including age and types of interventions
Cheng et al. (Menopause, 2018) examined the impact of diet and exercise on weight loss and body composition in overweight/obese peri- and postmenopausal women using systematic review
Database search of RCTs and prospective studies of overweight/obese peri- or postmenopausal women
Overweight, BMI ≥25.0 kg/m2
Obese, BMI ≥30.0 kg/m2
Patients were exposed to dietary or exercise intervention, alone or combined vs routine care without lifestyle modification
Diet intervention: Multiple interventions, including
Carbohydrates 50%-60%, fats 30%, and protein 10%-20% | Sweets/snacks limited | Low-fat and low-sugar food sources | Emphasis on vegetable consumption | Reduced portion size | Advised energy intake of 1,200 to 2,000 kcal/d based on baseline weight, or reducing calories by 500 kcal/day
Exercise intervention: Multiple interventions were diverse, including
Low-intensity resistance exercise or moderate-to-vigorous intensity exercise (began at 50%-60% maximal heart rate and progressing to 85%-95%)
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