In a systematic review of weight loss exceeding 10 kg, harsher caloric restriction was associated with a larger share of the lost weight coming from fat-free mass, while adding exercise reduced the proportion of lean tissue lost.
What it shows: Systematic review pooling 26 diet/behavioural cohorts and 29 bariatric-surgery cohorts, mostly observational; the exercise finding rests on just three RCTs; applies to large weight losses of more than 10 kg.Systematic review · Int J Obes (Lond)