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participants were aged 33 to 45 at the time the study abc began. Fat loss or gain was determined through three methods: self-reporting, medical examination, and whole-body analysis with magnetic resonance imaging. Grunfeld stressed that the questionnaire used in the study for both self-reporting and medical examination was open-ended: it asked whether there had been a change in fat in a particular area, and if so, whether there had been a gain or a abc loss. This format, he said, eliminated potential bias on the part of the participant or examiner, in contrast most to previous studies, which abc only inquired about loss in the peripheral areas and gain in the central areas. Grunfeld also emphasized that unlike earlier studies, the current study did not use comparison groups with the same body mass index, or BMI, because BMI is determined by muscle and fat.
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