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The Medical Ethical Committee Leiden Den Haag Delft (METC LDD) has declared that the Medical Research Involving Human Subjects Act does not apply for this study and issued a declaration of no objection on August 25th, 2022 (MEC-22-3034).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"Participants of the service gave oral informed consent for participation and before starting with the lifestyle intervention. An opt-out informed consent procedure before the analysis was used for data utilization for research purposes with a two weeks response time.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1321"}}