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The study by Robinson et al [34] relied on fully self-guided web-based exercise with community feedback; the study by Tabak et al [29] integrated real-time monitoring with remote counseling; and the study by Wan et al [33] focused on a pedometer combined with an educational website. Furthermore, significant variations in participant age, baseline disease severity, and intervention support intensity collectively led to highly dispersed improvements in walking capacity.
J Med Internet Res 2025;27:e76323
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Liao et al [19] showed that combining exercise with nutritional support improved grip strength and walking speed despite limited changes in lean body mass. Similarly, in this study, while there were no significant changes in body fat or visceral fat in the experimental group, muscle mass significantly increased at week 24, with effects sustained through week 36. Upper limb strength improved significantly up to week 36, whereas lower limb strength showed significant improvements only at week 12.
Interact J Med Res 2025;14:e65213
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