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. 2025 Oct 2;13:1664400. doi: 10.3389/fpubh.2025.1664400

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Copyright © 2025 Leavens, Wagener, Lambart, Mayo, Brown, Ellerbeck, Billinger, Comfort, Woodward, Sear, Beaman, Cox and Nollen.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Flowchart of a study with 83 assessed participants. Excluded: 37 (13 did not meet criteria, 24 refused, 0 other reasons). Randomized: 46 participants into three groups: Brief Advice (16), Low Intensity Training (15), High Intensity Training (15). Follow-up losses: Brief Advice (0), Low Intensity (2), High Intensity (1). Discontinued: Brief Advice (3), Low Intensity (2), High Intensity (2). Completed analyses: Brief Advice (13), Low Intensity (11), High Intensity (12). — CONSORT participant flow diagram.