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Randomised trialsFat

More exercise, less deep fat

Published in
Br J Sports Med 2023
People studied
2,190

In 40 trials with 2,190 adults with overweight or obesity, both exercise and eating fewer calories reduced fat around the organs. With exercise, burning more energy each week went with more deep fat lost.

Checked against
PubMed 36669870
Published in
Br J Sports Med 2023
Last checked
30 October 2026

Key takeaway

This pooled analysis of 40 randomised trials with 2,190 adults with overweight or obesity measured fat around the organs on CT or MRI scans. Both exercise and eating fewer calories reduced it compared with control groups. With exercise, the more energy burned each week, the more deep fat was lost; with eating fewer calories no such pattern was found.

At a glance

Type of study
pooled analysis of randomised trials (meta-analysis)
People studied
2,190
Compared with
control groups that did not cut calories or add exercise
Main result
Exercise and eating less both reduced fat around the organs.
Strength of evidence
Randomised trials

What this study does not show

Most trials had a moderate risk of bias, meaning some weaknesses that could skew the results. The missing pattern for eating less may come from the smaller number of diet trials.

Results from studies in groups of people, mostly in diet and movement programmes. They cannot be promised to any one person. This information is educational and does not replace a consultation with a doctor.

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