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Participants in the exercise group were given information regarding a diet that would maintain their current weight and participated in three group exercise-training sessions per week. Each session was approximately 90 minutes in duration and consisted of aerobic exercises, resistance training, and exercises to improve flexibility and balance. The exercise sessions were led by a physical therapist. The aerobic exercises included walking on a treadmill, stationary cycling, and stair climbing. The participants exercised so that their heart rate was approximately 65% of their peak heart rate and gradually increased the intensity of exercise so that their heart rate was between 70 and 85% of their peak heart rate. The progressive resistance training included nine upper-extremity and lower-extremity exercises with the use of weight-lifting machines. Participants performed 1 or 2 sets at a resistance of approximately 65% of their one-repetition maximum, with 8 to 12 repetitions of each exercise; they gradually increased the intensity to 2 to 3 sets at a resistance of approximately 80% of their one-repetition maximum, with 6 to 8 repetitions of each exercise. Participants in the diet–exercise group participated in both the weight-management and exercise programs described above. All participants were given supplements to ensure an intake of approximately 1500 mg of calcium per day and approximately 1000 IU of vitamin D per day.2
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