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Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.

Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.

期刊: Clinical obesity 日期: 2026-10-01 PMID: 42586612 DOI: 10.1111/cob.70094 浏览: 16
作者: Malik MMUD
MMUD, M. (2026). Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.. Clinical obesity. https://doi.org/10.1111/cob.70094
MMUD M. Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.. Clinical obesity. 2026; doi: 10.1111/cob.70094
MMUD M. Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.[J]. Clinical obesity. 2026. DOI: 10.1111/cob.70094.
@article{mmud2026,
  author = {Malik MMUD},
  title = {Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.},
  journal = {Clinical obesity},
  year = {2026},
  doi = {10.1111/cob.70094},
  note = {PMID: 42586612},
}
TY  - JOUR
AU  - Malik MMUD
TI  - Re: Aerobic Exercise Plus Hypocaloric Diet on Serum Leptin Concentrations in Adults With Primary Hypertension and Overweight/Obesity: Results From the EXERDIET-HTA Trial.
T2  - Clinical obesity
PY  - 2026
DO  - 10.1111/cob.70094
AN  - PMID:42586612
ER  - 

摘要

This correspondence addresses the EXERDIET-HTA substudy by Aparicio and colleagues, which concludes that 16 weeks of aerobic exercise plus a hypocaloric DASH diet reduced serum leptin more than diet with activity counselling in hypertensive adults with overweight or obesity. Five concerns are raised: inference from within-group p values despite a non-significant time × group interaction; pooling of three sub-threshold exercise protocols; mislabelling of an active comparator as 'attention control'; sevenfold attrition asymmetry analysed by complete-case rather than intention-to-treat methods; and effectively complete reversion of leptin at 6 months. A disaggregated, ITT re-analysis would yield more conservative but more defensible conclusions.

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