At baseline and after 1, 3, 6, and

At baseline and after 1, 3, 6, and 12 months, we assessed
energy and nutrient intake (diet compliance) by the use of
a 3-day validated food record and the amount of
daily physical activity by using a standardized, validated
questionnaire .
We calculated metabolic rate by multiplying
the time of exercise with their respective metabolic
equivalent using adequate schedules to
determine METs .