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First consultation after randomization
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Explanations were given on the following:
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Explanations were given on the following:
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Ideal body weight (body mass index, 22 kg/m
2
) and weight reduction target of each participant (5 % body weight).
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Ideal body weight (body mass index, 22 kg/m
2
) and weight reduction target of each participant (5 % body weight).
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The positive effect of weight reduction for the participant’s present disease.
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The positive effect of weight reduction for the participant’s present disease.
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A physician measured the participant’s body weight and provided specific advice on weight reduction at every routine consultation.
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Every subsequent routine consultation
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Routine consultations were performed every 1 or 2 months for the participant’s present disease based on the guidelines for the disease.
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Routine consultations were performed every 1 or 2 months for the participant’s present disease based on the guidelines for the disease.
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Body weight was measured.
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The physician questioned the patient on key lifestyle factors for weight reduction (i.e., eating, exercising, and weight monitoring)
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The physician provided information on the following standard lifestyle changes for obese people:
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Calorie intake (reduce calorie intake to 25 kcal/kg ideal body weight/day).
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Eat a well-balanced diet (calorie balance: protein, 10-15 %; fat, 20-25 %, and carbohydrate, 60 %).
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Exercise for 20-30 min at least three times per week.
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The physician provided advice focusing on weight reduction adjusted to each participant’s circumstances and lifestyle.
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