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6 Guidelines highlight the importance of continued exercise following PR; however, the utility of maintenance programmes is unclear.
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Consequently, effective working mechanisms of maintenance programmes are difficult to identify [ 22].
Overall, the current maintenance programme is not adequate and in order to reduce the number of door-related defects, a new PM programme including fourteen tasks has been proposed by company's asset management team (see Table 7).
We do not recommend that our maintenance programme is adopted.
This type of collaboration in a maintenance programme is unique in Sweden.
Overall, support throughout the implementation of the maintenance programme is offered by the SLIMMER project group through email and telephone.
We do not recommend that our maintenance programme is adopted and suggest that other methods of sustaining the benefits of PR are required.
The aim of the maintenance programme is to support a maintained healthy diet and physical activity pattern of SLIMMER participants, acquired during the extensive SLIMMER intervention.
A maintenance programme is added to the combined lifestyle intervention to guide participants in the process of maintaining lifestyle behaviour change in an independent and sustainable manner.
The assumption of the maintenance programme is that participants are likely to be in the action phase, as they have been enrolled in the extensive intervention for at least eight months.
29 30 31 32 According to previous studies, weight loss programmes should ideally achieve a weight loss of at least 10-15 kg. 8 9 25 Very low energy diet treatment followed by a weight loss maintenance programme is one option for achieving long term weight loss of such magnitude.
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