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Better psychological health outcomes occur with a diverse range of PA patterns including self-reported leisure time activity and structured exercise interventions of varying frequency, duration and intensity. However, when exercise is combined with dietary restriction as part of a lifestyle intervention to induce weight loss, the combination of both on the daily energy deficit potentiates weight loss compared with dietary intervention alone.62,63 Because of the excessive amount of exercise required to induce even modest weight loss, dietary restriction is more effective, achievable and practical for general populations. Reported changes to BMI with exercise are ~1.5kg/m2 (−0.85 to −2.1kg/m2) within three to six months of exercise.57–59 A higher percentage of weight loss (~10.6%) has been reported in PCOS when diet is combined with exercise,60 confirming that a larger energy deficit is more likely to lead to weight loss in line with general populations. 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